Knowledge of Anatomy and Physiology to Analyse Client Health Information
Part 1: Case study with short answer questions
Read the case study below, then complete your written responses to the questions in the spaces provided in this document, using relevant resources from Clinical Key(URL: https://www.clinicalkey.com/student/nursing/) and other reputable resources. Please take note of the word count requirement where indicated.
At the end of your assessment, you must include a reference list using APA reference styleto acknowledge the sources you have used to base your answers on. For guidelines use the following link: A guide to TAFE NSW referencing: APA 7 style).
(URL: https://tafensw.libguides.com/ld.php?content_id=41117567)
Case study
Mrs Robyn Jennings, a 78-year-old-woman with type 1 diabetes mellitus, was admitted with an ulcer on her right toe and under the ball of her right foot. Her right foot and lower leg are cool and pulseless.
- What does this assessment tell us about Mrs Jennings peripheral vascular system? (30 70 words)
- Describe the pathophysiology of atherosclerosis and the impact of this disorder on the vascular system. (30 70 words)
- Using the internet, MIMS Online[ https://tafensw.libguides.com/mims] or a current hard copy of MIMS, research the medication Fentanyl and complete the following table.
Before you leave Mrs Jennings, you ensure that the nurse buzzer is within reach. It is important to ensure Mrs Jennings is not having any adverse reactions to the medication.
4.Identify 3signs and symptoms of an adverse reaction to Fentanyl.
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Three signs of a negative fentanyl reaction are as follows (Hwang et al., 2020): 1.Respiratory depression: This potentially fatal condition can present as shallow breathing, irregular, fast, or slow breathing, or difficult or troubled breathing. 2.Hypotension: This may appear as fainting, dizziness, or light headedness. In case of extreme drowsiness or the patient cannot be woken up, a medical emergency is indicated. 3.Bluish lips: This may indicate that the patient's blood isn't receiving enough oxygen. |
Mrs Jennings has a history of Type 1 diabetes mellitus.
5. Which body system is commonly associated with Type 1 diabetes mellitus? (2 words)
6. Describe the pathophysiology of Type 1 diabetes mellitus and the impact it will have on Mrs Jennings homeostatic balance. (75 150 words)
7. Why do cells require glucose? (10 20 words)
8. Which transport system transports glucose into a cell? (2 words)
9. Summarise the following transport systems by completing the table below.
At 1.30pm Mrs Jennings blood glucose level (BGL) is 10.4mmols.
10. Complete the following table with the normal ranges for blood glucose levels.
11. What affect could diabetes have on Mrs Jennings wound healing? (30 60 words)
12. For each of the following body systems, identify one age-related change that is likely to affect Mrs Jennings recovery. (10 30 words for each response)
13. Why is it important to encourage Mrs Jennings to perform range of movement (ROM) exercises during her recovery? (20 50 words)
14. Identify 3support services and 3members of healthcare team you would refer Mrs Jennings to, for rehabilitation. (10 30 words)
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Support services: 1.Psychologist/therapist 2.Peer support group 3.Occupational therapist Healthcare Team Members: 1.Physiatrist 2.Prosthetist/Orthotist 3.Social worker |
15. In the following table, complete an analysis of the health information and planned care for Mrs Dupont. (100 250 words in total)
16. In the following table, complete an analysis of the health information and planned care for Ms Patel.(100 250 words in total)
17. In the following table, complete an analysis of the health information and planned care for Mrs Wong.(100 250 words in total)
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