- Analyse Health and respond to client information
- Q1. Explain the pathophysiology of emphysema. (2marks)
- Q2. Choose two vital signs that are affected by his emphysema? Explain why. (2 marks)
- Q3. Describe the pathophysiology of angina. (2 marks)
- Q4. Explain the pathophysiology of a Myocardial Infarction. Name one type of a MI – think about the area of the heart that may have been affected. (3 marks)
- Q5. How / why would his past AMI have caused his CCF? (2 marks)
- Q7. Explain Benign Prostate Hypermegaly (BPH) (2marks)
- Q8. What is Pulmonary Oedema? What signs and symptoms would you be looking for in case Mr Brown started to show signs of PO? (2 marks)
- Q9. Complete three nursing care plans for Mr. Brown. Each plan must identify one patient problem/issue, one goal and two courses of action you would take. The outcome should then be evaluated. (18 marks)
- Q10. State the general role of Allied Health workers providing patient care. (2 marks)
- Q11. List those that should be involved in Mr. Brown’s care to ensure that when he is discharged home, he will be able to live safely until he makes a decision to move into permanent care. Describe in detail their role and how they will assist Mr. Brown (6 marks).
Analyse Health and respond to client information
Long-term exposure to irritants may cause erosion in the alveolar walls, which may lead to the development of large cavities i.e. bullae. Consequently, the gaseous exchange decreased significantly and bringing about inspired air to be trapped during exhalation (Hough, 2014).
The emphysema patients may not inhale enough O2 and exhale enough CO2 which leads to the breathlessness. As a result, the oxygen level in blood decreases, consequently, the heart started to function more rapidly than usual to supply required oxygenated blood to the bloodstream (Jensen et al., 2013; Visca et al., 2013).
The patients with emphysema mostly suffered from hypoxia, inflammation, and loss of alveolar tissue which further leads to the constriction of the pulmonary artery blood vessels. (Held & Jany, 2012; Imaizumi et al., 2014). Subsequently, create high pressure to the right atrium and ventricle to pump more oxygenated blood to the alveoli and left part of the heart, resulting increase of BP (Engström et al., 2001).
ST-segment elevation myocardial infarction (STEMI) affects the middle layer or myocardium of the heart muscle.
The signs and symptoms of PO in case of Mr. Brown are breathlessness during activity, swelling in legs and ankles, increased heart rate.
I.Chronic Obstructive Pulmonary Disease (COPD): Goal is to achieve the airway clearances which involves assessment and monitoring of respiration rate and breathes sounds, coughing pattern; and administering bronchodilators and corticosteroids. The desired outcome includes maintenance of patent airway with clear breath sound; demonstrate practices to enhance airway clearance like controlled coughing (Barnett, 2008; Finset, 2007).
II.Hypertension: Goal is to increase the cardiovascular function; and course of action include monitoring blood pressure (BP) and heart rate; observing skin color, temperature, and moisture. The expected outcome includes normal BP and stable cardiac rhythm (Wilson & Ferrer, 2005; Bolton, 2005).
III.Benign Prostate Hypermegaly (BPH): Goal includes relieve chronic urinary retention; encouraging urination during every 2-4 hours, monitoring urinary stream and recording size of the force. Possible outcome includes sufficient urination without bladder distention and pain (Davidian, 2016; European Association of Urology, 2006)
- The nurse must provide written and verbal information regarding medications and its side effects to prevent further complications.
- Encourage him to measure BP at home and provide instructions to manage hypertension.
- Instruct moderate activity and breathing retraining exercises to control COPD and prevent heart disorders (Barnett, 2008).
- Encourage healthy eating habit (low-sodium diets, non-spicy foods, avoid alcohol, and coffee) and increase fluid intake; also provide information regarding the early signs and symptoms of heart failure (Wilson & Ferrer, 2005).
- The nurse must provide guidelines for monitoring urinary output and exercises for regaining of urinary control (European Association of Urology, 2006).
Allied Healthcare Professionals and their role in the healthcare delivery system - ET HealthWorld. (2018). ETHealthworld.com. Retrieved 12 February 2018, from https://health.economictimes.indiatimes.com/news/industry/allied-healthcare-professionals-and-their-role-in-the-healthcare-delivery-system/46835292
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