HLTAAP002 : Health - Endocrine, Integumentary And Neurovascular Disorders -Neurological And Urinary Disorders -Case Study Assignment Help

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Health Case Study Assignment Help

TASK1 Case Study 1 – 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 (T2DM) 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 T2DM 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  health professionals who will be involved in Percy’s care. At least one of these health professional should be medical and one  should be an allied health professional TASK2 Case Study two – Neurological and urinary disorders Lee Ming, forty five (45) was admitted to hospital three (3) weeks ago. She presented to the emergency department displaying intermittent left sided facial dropping, tingling of her lips, and left sided arm weakness. She was diagnosed with TIA and transferred to the ward for observation. Overnight her condition deteriorated. CT scan of her brain showed an embolic CVA, with significant brain injury. Lee is displaying the following symptoms:

• Left hemiplegia
• Aphasia
• Emotional lability
• Defects in right visual field

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 a tympanic thermometer and it is 38.2 C. You perform a urinalysis and obtain the following results:

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

Question 6 – What would you conclude from the urinalysis? Question 7 – Describe two (2) risk factors Lee has that may cause 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 – Describe three (3) health professionals who will be involved in Lee’s care. At least one (1) of these health professional should be medical and one (1) should be an allied health professional TASK3 Case Study three – Respiratory, genetic and reproductive disorders Madeleine Brown thirty (30) was admitted with an exacerbation of cystic fibrosis symptoms. This was diagnosed after birth with Guthrie testing routine screening. Madeleine has presented with:

• Increased respiratory rate (32/min)
• Breathlessnss
• Reduced air entry to left and right bases, creps and mild expiratory wheeze
• Use of accessory muscles to breath
• Copious tenacious respiratory secretions

Madeleine’s management has included:

• Oxygen therapy via a face mask
• Chest physiotherapy
• Assistance with Activities of Daily Living (ADL)

Question 11 – Madeleine’s parents are both carries for the recessive cystic fibrosis gene. State the probability of them having a child with cystic fibrosis Question 12 – What impact does cystic fibrosis have on the respiratory system? Question 13 – Although fertility for women with cystic fibrosis is rarely impacted, males with cystic fibrosis may have difficulty conceiving children. Explain why. Question 14 – If Madeleine were to become pregnant, what impact would her pregnancy potentially have on her respiratory system? Question 15 – Describe three (3) health professionals who will be involved in Madeleine care. At least one (1) of these health professional should be medical and one (1) should be an allied health professional

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