Implement and Monitor Care for a Person with Chronic Health Problems - Medical Science Assignment Help

Assignment Task:

Task:

Task overview:
This is an ungraded assessment. You are required answer all questions to a satisfactory level for you to pass this assessment. Some answers will require referencing (check marking guide). Ensure you use APA style referencing as detailed on the library website. Please note that referencing the lecture notes is not permitted and that if you use websites they must be reputable organisations.
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Case Study 1
Henry Parks is a 68-year-old male who presented to the emergency department with the following signs and symptoms :

• extreme fatigue,
• dyspnoea which worsens when lying down
• a persistent cough
• bilateral pitting odema to lower limbs
• pulmonary crackles evident upon auscultation

Medical history:

•  Hypertension
•  Heart failure
•  Chronic back pain
•  Constipation

Henry states that he takes oxycodone 10mg bd for his chronic back pain however it does not completely relieve the pain and he has difficulty sleeping and mobilising. He is also on medication to manage his heart failure and hypertension which he forgets to take sometimes.
 

Social History;
Henry lives with his wife, Joan in a rental property which has stairs to the front door which Henry is finding extremely difficulty to navigate. He spends most of his day watching TV and feels frustrated he is unable to enjoy his past interests of gardening and going to the community centre with his wife. They both receive the aged care pension however find that after paying rent, bills and food there is not much money left for any extra expenses. Currently Joan does all the cooking and cleaning as Henry simply cannot help due to his chronic pain, fatigue and limited mobility. Joan states that she doesn’t know how long she can keep going and is finding it difficult to keep up with the housework and cooking. She said that sometimes Henry goes for days without showering. Besides their son who visits them about once a month they don’t really see anyone as it is too difficult to go out.

On arrival to ED Henry’s observations were:
RR 28 breaths per minute
Sp02 88% RA
HR 120bpm
BP 160/100
Temp 36.9
GCS 14

Q2. Explain why the medical officer ordered Hi-flow oxygen and frusemide.

Q3. Discuss in detail 3 examples of non-pharmacological pain management strategies for Henry. (Provide referencing)

Q4. What strategies could be suggested to Henry to manage the symptoms of heart failure and reduce the risk of re-admission due to exacerbation of heart failure? Explain why. Provide reference(s).

Q5. Discuss the impacts of ALL of Henry’s chronic conditions on Henry and Joan. Discuss the likely social, emotional, physical, psychological and financial impacts.

Q6. What are the likely causes of constipation for Henry and what nursing interventions could be implemented?

Q7. Suggest which interdisciplinary health teams in the hospital would be able to support Henry and explain in detail the support they provide. (Provide reference)

Q8. Identify community based care services that would be able to assist Henry and explain why. (Provide reference) (hint: must not be overseas, review primary health.)

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