Highlights
Task:
TITLE PAGE
ANALYSIS AND INTERPRETATION OF ASSESSMENT FINDINGS (400 words)
78 YO F
BIBA – R SIDED HEMI PARALYSIS, APHASIA AND FACIAL DROOPING – TIME OF ACCIDENT UNKNOWN AS SHE WAS FOUND LATE LAST NIGHT BY NEIGHBOUR
MEDICAL HISTORY – HTN, CONGESTIVE CARDIAC FAILURE, T2DM
REGULAR MEDICATIONS – HYPOGLYCEMIC AGENTS
SOCIAL HISTORY – SMOKES X1 PACK OF CIGARETTES FOR 40 YEARS
OBS – HTN BOTH SBP AND DBP/DECREASED SATS ON RA (94%) BUT HAS BASAL CRACKLES AND IS ON 2L OF O2 VIA NP’s – THE REST ARE BTF. BGL = HYPERGLYCEMIC.
INVESTIGATIONS – CT SCAN WITHOUT CONTRAST REFLECTS A PROBABLE LEFT CEREBROVASCULAR ACCIDENT (CVA) WITH INCREASED DENSITY IN THE LEFT MIDDLE AND CEREBRAL ARTERY AND POSSIBLE EARLY SIGNS OF OEDEMA SHE CAN BE EXPERIENCING HOMONYMOUS HEMIANOPIA BUT CANNOT COMMUNICATE WITH HER DURING THIS STAGE. REQUIRES A COMMUNICATION BOARD DUE TO BEING APHASIC BUT CAN ANSWER WITH HEAD NOD TO CLOSED QUESTIONS
SHE IS NBM DUE TO A SWALLOW RV BOOKED FOR TODAY
MEDICAL TEAM UNABLE TO DISSOLVE THE CLOT
PT REQUIRES Q2H TURNS AS WELL AS Q2H BGLS
IVC INSITU AND RECEIVING CRYSTALLOID FLUIDS
*Interpret all findings above and analyse them with new vs old papers*
INTERPROFESSIONAL CARE AND MANAGEMENT PLAN:
ETHICAL AND LEGAL PRACTICE WITHIN A TEAM APPROACH TO PERSON CENTRED CARE (400 words)
*Use the members of the multi-disciplinary team for this pts holistic care*
*You can use sources such as the NMBA ethics codes, clinical excellence commission, safety and quality websites*
*relate this back to this pt*
RELECTIVE PRACTICE AND INTRA AND INTERPROFESSIONAL COMMUNICATION STRATEGIES (400 words)
*Use GIBBS reflective cycle to reflect, what is intra vs inter-professional communication and what are the strategies of both?**use old vs new papers*
*relate this back to the pt*
HEALTH PROMOTION STRATEGIES HEALTH AND WELLBEING (400 words)
*use sites like this https://www1.health.gov.au/internet/publications/publishing.nsf/Content/nat-fram-ucfhs-html~framework~core-elements~health-promotion
*use statistics to back up how health promotion strategies and wellbeing are effective in practice and this can be done by the AIHW and the ABS*
*use old vs new papers*
*relate this back to the pt*
DISCHARGE PLAN FORM – THAT IS ATTACHED TO THE ASSIGNMENT (please fill in at the beginning or the end of this assignment)
JUSTIFICATION OF THE DISCHARGE PLAN (400 words)
Pt gait is steady and unaided
Speech improved but still slurred
Has limited movement still on her right side and it is likely a deficit will remain
*compare the first presentation of this pt to what the notes are now being 14 days post presentation – use old vs new papers*
REFERENCES
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