NURS3003: Nursing - Martin Chen Case Study Assessment Answer

Internal Code: 1AHDHC Code: NURS3003

Martin Chen Case Study Assessment Answer

Assignment Task: Patient: Martin CHEN DOB: 1/2/1941 Weight: 110 kgs Height: 168cms Family/significant others Wife: Cathy, Two sons: Jason and Kenneth and two daughters: Mandy and Chu. In 2005, Cathy died as a result of bowel cancer. In 1997 Martin emigrated to Australia from Hong Kong with his wife and four children. All of Martins children are now grown adults with children of their own. Since his wife's death in 2005, Martin has lived with his youngest daughter the Chu who is a pharmacist and her husband Eric. Chu and Eric have two teenage children, Lily and Cherry. Past medical history: Hypercholesterolaemia Hypertension Trans ischaemic attack  2018 T2 diabetes mellitus (Last HbA1C 6 months ago= 7%) Past family history Father – Myocardial infarction age 52- deceased Brother – Cerebrovascular Accident age 60- deceased Allergies: Nonsteroidal anti-inflammatory medications (NSAIDs) Sulphonamides Medications: Lipitor (atorvastatin) 40mg daily Metformin 1000mg daily Carvedilol IR 6.25mg b.d.(commenced while in hospital recently) Martin and his family have strong Buddhist beliefs. As Martin doesn’t drive, he attends the Buddhist temple in Adelaide when one of his children can drive him. Martin feels that the visits to the temple provide him with much needed time for meditation and relaxation. For many years, martin has contributed to the family by cooking and tending to the vegetable garden, although he prefers to eat take away meals himself. Over the last couple of years Martins health has begun to deteriorate and Chua and Eric have become more concerned with his erratic behaviours. Martins ability to speak English seems to be getting worse and worse –he sometimes struggles finding the right words and understanding what people are saying. When this happens, he becomes quite agitated. Over the past year or so, when the family is asleep, martin often awakens and cries out. He seems fearful and confused and thinks he is back in Hong Kong. On a few occasions Martin has left the stove unattended, burning the food. Once Lilly and Cherry watched on in amusement as their grandfather carefully placed a   garden fork in the back of the freezer. Martin has become increasingly frustrated when he cannot remember the names of people and of common household objects. Recently Martin told Chua that the neighbour was poisoning the soil in their garden and deliberately killing some of the vegetables. Chua and Eric have been wanting to take their daughters on an overseas holiday but feel that it would be unsafe to leave Martin alone in the family home. Martin was recently admitted to hospital for a colonoscopy, however, he was formally admitted for five days because his blood pressure was extremely high. During his hospital stay, the nurses called three code black emergencies due to Martins aggressive behaviour when he was trying to leave the ward to go home. Once Martins blood pressure and BGL levels settled, martin was discharged home.They also noticed a small ulcer on his L great toe which was dressed prior to discharge.

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