BN510510 - Olive Hawkes Case Study - Medical Science Assignment Help

Assignment Task

CASE Study: Olive Hawkes
Olive is an 85 year old female retired legal secretary who has been living in a 20 bed aged care facility for the past 3 yrs. Olive’s husband Frank died of a Myocardial Infarction (MI) commonly known as a heart attack 10yrs ago. The aged care facility is located close to her daughter, Jody, who visits at least weekly.
Jody is married to Bill and they have two adult children who live three hour's drive away; they visit 2-3 times a year. Olive moved into the facility following a fall which resulted in a left sided neck of femur (NOF) fracture (#) to which she had an open reduction and internal fixation (ORIF). Olive likes to play cards and attends church once or twice a month. Her 14-year old cat Ernie moved in with her daughter when she moved to the facility. She communicates daily with her 2 sisters. Her circle of friends and
family is progressively shrinking as she is outliving those around her. Transportation is provided by friends or her daughter and son-in-law.

Family history:
Both of Olive’s parents are deceased. Olive’s Mother died at 90 years of age of ischaemic heart disease (IHD) and Olive’s father died aged 47 years following a motor vehicle accident (MVA), Olive was also involved in the MVA.

Diagnosis:
- Osteoporosis.
- Vitamin B12 deficiency.
- Glaucoma.
- Chronic back pain.
- Mild hypertension.
- Mild anxiety.

Previous Hospitalisations:
Approximately 3 months ago for ongoing back pain related to previous fall.

Surgical History:
Appendectomy aged 21 years.
Cataract extraction and placement of intraocular (IO) lens aged 80 years.
ORIF #L)NOF aged 82 years.

Allergies:
NKDA – Nil Known Drug Allergies.
NKA – Nil Known Allergies.

Medications & immunisations:
- Vitamin B12 IM (monthly).
- Accupril 5mg OD.
- Paracetamol Q4-6hrly PRN.
- Ibuprofen PRN for an occasional backache.
Olive receives the flu vaccine annually.

Input:
Olive has no dietary restrictions.
 

Output:
Olive is continent of both urine and faeces, but does wear a pad at night, as Olive is anxious that she may not make it to the toilet quickly enough.

ADLs – (Activities of Daily Living):
Olive usually requires the assistance of x1 caregiver to assist her with showering 3x weekly. Otherwise Olive is independent with all other hygiene cares. Olive takes a pride in her appearance and becomes anxious if she feels she is not “looking her best”. Due to Olive’s hypertension she can become lightheaded and as a result require more assistance with completing cares. Olive has both top and bottom dentures, wears glasses and mobilises with the assistance of a low frame.

Presenting Medical History:
Olive has not been feeling well and been reviewed by the facility GP. She has a 12-hour history of nausea, diarrhoea, abdominal cramping, and vomiting (about 6 episodes), malaise, and a low-grade fever 37.6 C. She describes her onset of symptoms as sudden. Physical examination shows that Olive is currently afebrile (not running a fever) with a supine (lying on her back) blood pressure of 123/74 mm Hg. She has a diffusely tender abdomen and is dehydrated. Stool examination is negative for occult (hidden or invisible) blood.

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