HLT54115 - Confirm Physical Health Status - Analyse And Respond To Client Health Information - Nursing Assignment Help

Assignment Task: 

HLT54115 - Confirm Physical Health Status - Analyse And Respond To Client Health Information - Nursing Assignment Help

PART A  Endocrine, integumentary and neurovascular disorders

Percy Jones is a seventy-two (72) year old male who was admitted with unstable blood glucose levels two (2) days ago.  He has a past medical history of:
•    Diabetes Type 2
•    Peripheral neuropathy
•    Chronic left leg ulcer
Percy’s chronic ulcer is red with exudate and odour.  He visits his General Practioner (GP) once a week to have the dressing changed.  The dressing impacts upon him walking as he is afraid of dislodging it.  Percy currently lives at home alone with no assistance.  

At 0730 these are you findings:

•    BGL – 2.7mmol/l
•    HR – 105bpm
•    RR – 16 
•    BP – 140/80
•    Temperature – 37.6C
•    SaO2 – 95% R/A
•    Slightly confused

Question1 – Describe Diabetes Type 2
Question 2 – What is the relationship between Diabetes Type 2 and Percy’s leg ulcer?
Question 3 – Percy’s BGL is 2.7mmol/L, what condition is he currently experiencing?  What is your immediate action going to be?
Question 4 – Why is Percy’s wound red with exudate?  How does diabetes contribute to this wound condition?
Question 5 – Describe three (3) health professionals who will be involved in Percy’s care.  At least one (1) of these health professionals should be medical and one (1) should be an allied health professional

Part B – Neurological and urinary disorders 

Lee Ming is forty-five (45) years old and was admitted to hospital three (3) weeks ago.  She presented to the emergency department displaying intermittent left sided facial drooping, tingling of her lips, and left sided arm weakness.  She was diagnosed was diagnosed with TIA and transferred to the ward for observation.  Overnight her condition deteriorated.  CT scan of her brain showed an occlusive CVA, with significate brain injury. 

Lee is displaying the following symptoms:

•    Left hemiplegia 
•    Aphasia 
•    Emotional lability
•    Defects in right visual field and right ear.

Lee’s management has included:

•    Urinary catheter
•    Thickened fluids
•    Full nursing care (assistance with all Activities of Daily Living (ADLs)
•    Emotional support

You are caring for Lee this morning.  You note that the urine in the catheter bag is cloudy and has an offensive odour.  You take her temperature via tympanic thermometer(PTM) and it is 38.2 C.   You perform a urinalysis and obtain the following results:

•    Glucose – negative
•    Protein - ++
•    Nitrites - ++
•    Ketones – negative
•    Blood - +++
•    pH – 5

Question 6 – What would you conclude from the urinalysis?
Question 7 – Describe two (2) risk factors Lee has for a urinary tract infection?
Question 8 – Explain the relationship between the presence of an elevated temperature and an infection?
Question 9 – Define the terms TIA and CVA.  Describe how an embolic CVA occurs.
Question 10 – How does a cerebellar stroke affect equilibrium and what 2  symptoms would the patient have?

PART C – Reproductive disorder

Mr Shaun Black is a 69 year old male admitted to the ward with prostate cancer and bone metastases.

His symptoms are;

?    Nocturia
?    Hesitancy, dribbling when passing urine.
?    Haematuria
?    Pelvic pain.

Management 

?    4/24/ Analgesia
?    Fluid balance chart
?    Pathology tests
?    Biopsy.

Question 11      Where is the prostate gland and what is its function.
Question 12      What is prostate cancer and list 3 main causes.
Question 13       Define and describe the term Bone metastases.
Question 14      How does Prostate cancer treatment affect the reproductive system?
Question 15      What is hormone therapy and how is it used in Prostate cancer? 
 

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