Answer To: DTH107 Determine Health Assessment 1: Case Study – Care Action Plan Assessment 1 Care Action Plan...
Tanaya answered on Jul 10 2021
DTH107 Determine Health Assessment 1: Case Study – Care Action Plan
Assessment 1 Care Action Plan
STUDENT NAME
Jaspreet Singh
DATE
Enter date here
Course
HLT54115 Diploma of Nursing
Subject Title
DTH107 Determine Health
Unit of Competency
HLTAAP003 Analyse and respond to client health information
Performance Criteria, Knowledge and Performance Evidence Assessed
PC: HLTAAP003: 1.1-1.4, 2.1-2.3
PE: HLTAAP003: 1
KE: HLTAAP003: 1, 2a-c, 3a-m, 4a-b, 5, 6, 7, 8, 9, 10, 12, 13a-c, 14a-c
Title of Assessment Task
Assessment 1: Case Study
Length
1500 words +/- 10%
Submission
Due by 11:55pm AEST Sunday end of Module 3.2 (Week 6).
For this assessment, students must view two (2) case studies and respond to a care action plan for each one. This action plan requires analysis and care planning, and is based on the following diagram.
Care Action Plan: Scenario 1
For this action plan, students must view case study 1, and follow this step to determine how to manage Rob’s issues. His specifications are noted here.
Name: Rob Carrington
Gender: Male
Ethnicity: Caucasian Australian
Aged: 53 years
Family Status: Father
Religion: Anglican
· Married
· Occupation – Delivery driver
· Earns good money
· Travels a lot
· Overweight 135kg
· Likes TV and beer to cope with stress
· Has Type II Diabetes needing close management for job
· Smoker
· Diet preferences are ‘Convenience’
· Unknown social support and external interests
· Has osteoarthritis in L) knee
The steps in the action plan for Rob Carrington are listed on the following pages. At each step, there are a number of questions you must respond to. Questions 1-14 relate to Rob’s situation.
Read these questions and take note of the information or actions that need to be addressed at each step. Then, respond in the spaces provided.
Step 1
Definition of Health Disorder
Question 1
Rob has presented with a number of issues and symptoms; some of which are acute, some of which are chronic. In the table below, list which items are either chronic or acute.
Acute Issue
Chronic Issue
Arm pain
Type 2 Diabetes
Breathlessness
Smoking
Chest pain
Osteoarithritis
Question 2
Of Rob’s issues, which should be dealt with first; acute or chronic? Explain why in 50 words.
The Acute diseases should be dealt first, in this case it is the acute chest pain which Rob was suffering from including breathlessness. As the case history shows Rob had a unhealthy lifestyle with smoking habit, there are chances he is facing severe angina whose common symptom is tightness of chest.
Question 3
List five (5) body systems that are affected by Rob’s situation, and briefly note their purpose or function.
System Function
Brain and nervous system It helps in controlling body functions and acts as a relay centre for the body.
Cardiovascular system It helps circulating blood and body fluids.
Musculoskeletal system It helps in support, movement and stability of the body.
Respiratory system It helps in absorbing oxygen helping the organs to function.
Endocrine system Responsible in circulation of insulin hormone contributing in type 2 diabetes
Step 2
Normal Anatomy and Physiology
Question 4
For three (3) of the body systems affected by Rob’s issues, list two (2) signs or symptoms that might indicate there might be a variation from normal function.
1. Cardiovascular Sytem affected by Type 2 diabetes causes tightness in blood vessels increases the risk of heart attack and and flow of blood will be occluded. Symptoms are back and neck pain and tightness of chest.
2. Musculo-skeletal system due to Rob's pre-existing osteoarthritis. Symptoms includes difficulty in movement and deboarding from his vehicle.
3. Respiratory systems would be affected due to smoking, symptoms are breathlessness and difficulty in talking.
Question 5
The body consists of different levels of structural organisation and complexity. In 100 words, describe how each of the following items combine to make up the human body. In your response, specify what the different types of muscle tissue are and how human body systems are formed at a cellular level.
· Atoms
· Molecules
· Cells
· Organs
· Muscle tissue
· Human Body systems
About 99% of our body is made up of atoms of hydrogen, nitrogen, carbon, and oxygen. In addition there are atoms of electrolytes in form of ions that helps in muscle contractions, nerve impulses and enzymatic reactions. The various forms of molecules that comprises of the human body includes molecules of different elements like potassium, sulphur, magnesium and chlorine. There are different organs that comprises human body. This includes kidney, lungs, heart, brain stomach and intestine. Each of the organs have specific function in normal operation of the body. Human body system is organised into different level starting with the cell, Cell makes up tissues, tissue forms organ and organs form organ system.
Different types of Muscle tissues: Cardiac, muscles are located in the walls of heart, Smooth muscles are located in the hollow visceral organs except heart and Skeletal muscles are in the mucles attached to bones.
Step 3
Physiology
Question 6
For each body system below, describe:
· One (1) disorder or disease that may affect it
· The pathophysiology of the disease associated with the body system (20 words each system)
· The impact of the disease on the body system and their related structures in relation to potential impact of specific health procedures provided (30 words each).
Body System
Potential Disease
Pathophysiology of Disease
Impact of disease on body system
Endocrine system
Hyperthyroidism
This is a type of disorder that is often causes an autoimmune disease called Grave's disease which is characterised through the production of antibodies leading to the activation of TSH.
When the thyroid gland is overactive, body processes speed up and experience nervousness, anxiety, hand tremor, rapid heartbeat, excessive sweating, sleeping problems.
Musculoskeletal system
Osteoarithrtis
Degradation of cartilage and remodelling of bone due to active response of chondrocytes in the articular cartilage and the inflammatory cells surrounding.
With the breakdown of cartilage , osteoarithrtis affect the entire joint.It causes changes in the bone and deterioration of connective tissue which holds the joints together and attach muscle to bone.
Special Senses
Cataract
Opacity occurs when lens protein clump together, ability of lens to refract light reduces which caused reduces visual acuity.
No organ system is affected but quality of life is disturbed because of poor vision , blurry vision, not able to see anything properly, confused.
Nervous system
Alzheimers Disease
Loss of neurons and atrophy in temperofrontal cortex which causes inflammation and deposits the amyloid plaques and abnormal cluster of protein fragmets.
Causes nerve cells to die lead to loss of memory, thinking, behaviour, confusion, and other mental processings includes creative areas.
Respiratory system
Emphysema
Permanent enlargement of airspaces distal to terminal bronchioles leads to dramatic decline of alveolar surface available for gas exchange.
As we breath in the air, the alveoli stretch, drawing oxygen in and transporting it to blood. When we develop emphysema, alveoli and lung tissues are damaged.
Cardiovascular system
Coronary Artery Disease
Plaque buildup in the arteries which supply blood to different parts of the body and these plaques are made up of chlosterol.
Narrowed arteries can cause chest pain because they can block the blood flow to the heart and also weakens the heart activity.
Question 7
George has type 2 diabetes. In 50 words discuss the process of carbohydrate metabolism, including your understanding of anabolism and catabolism.
When people eat carbohydrate, the digestive system breaks down into sugar, which then enters into blood. As blood sugar level rises, the pancreas produces insulin, a hormone that prompts cells to absorb sugar for energy and storage. But in type 2 diabetes, muscle and other cells stops responding to insulin, known as insulin resistance, causes blood sugar and insulin levels to stay high long after eating. With the time insulin demands get heavy making cells wear them out and insulin production stops eventually.
Step 4
Diagnostic Tests
Question 8
List three (3) methods you could use to diagnose or assess Rob’s abnormalities, and briefly describe each one.
Three methods we can use to diagnose Rob's condition:
1. The drop arm test and the Positive Elbow Extension Test will help in the evlauation of the arm pain which Rob was suffering from.
2. Chest X-rays: This will help in the diagnosis of the chest pain which the patient was complaining.
3. Pulmonary function test, this will help in the measurement of the air exhaled and inhaled by Rob to detect the amount of oxygen in his blood. This will help in the deduction of the breathlessness he was suffering from.
Step 5
Prognosis
Question 9
In 150 words, define the disorders Rob has. In your response, include the variations and abnormalities which would be found in each body system it affects, and any the implications of any contraindications that might arise.
Rob has the following disorders:
1. Overweight: It is bascially defined as pre obesity or abnormal or excessive fat which is a risk to health. The abnormalities associated with overweight can be a development of other diseases like high blood pressure, certain types of cancer, sleep apnea, fatty liver.
2. Type 2 diabetes: The complications with is kidney failure, heart vessles damage leads to heart attack, and damage to sense organs.
3. Osteoarithrtis: It is itself a cause of Overweight condition, which leads to bulging effects on internal organs , joints causing stiffness and further damage.
4. Coronary heart condition due to overweight, lack of proper diet and uncontrolled diabetes will add to the heart risk of the patient.
Step 6
Conservative Medical Care vs. Surgical Intervention
Question 10
Rob may need both conservative medical and surgical treatment. For each intervention (medical and surgical) specify:
· What the impact would be to Rob (20 words)
· One (1) relevant pharmacological process and one (1) drug action
· One (1)...