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Task 1 Client
Tom is a 48 year old male, presenting with substernal crushing chest pain. He has swelling to his feet and ankles, and shortness of breath on exertion.
Task 2 Client
Mary is a 56 year old woman who has recently been diagnosed with type 2 diabetes. She is morbidly obese and has a body mass index (BMI) of 35. She is visiting a community health clinic for assessment and education for her newly diagnosed condition.
Task 3 Client
A 40 year old male has presented with unstable blood glucose readings which are secondary to his type 1 diabetes.
1. Explain the long term complications that may occur if this patient’s disease progresses
2. Name 5 specific health care professionals that may be involved in the long term care of a client with type 1 diabetes and briefly explain the role of each.
3. Explain the services and therapies that would be provided as part of long term community care for this client.
Task 4 Client
A 24 year old male presents at the emergency department following a motor vehicle accident (MVA). He had an elevated blood alcohol reading and appears to be intoxicated. The client suffered a blow to the forehead in the accident. He is reported to have lost consciousness at the scene. On admission he is incoherent and aggressive.
1. What internal factors are likely to be affecting the client’s physical condition?
2. What external factors have contributed to this client’s condition?
3. If the client’s level of consciousness declines 6 hours after admission, what may be their diagnosis?
4. When responding, consider the onset, peak and duration of alcohol in the system and factor in your knowledge of brain injuries.What specific diagnostic tests would be required for this client?
5. Name two specific health care professionals who would be involved in the care of a client with an acute head injury and briefly explain the role of each.
Task 5 Client
A 79 year old Chinese Buddhist woman has been admitted for palliative care in a respite facility. She has requested that no opiates be given to her as she wishes to die without pharmacological intervention.
Case study 1
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Case study 4
Case study 5
Borja, M., Samaranch, N., Parise, D., Elias, E. and Martín, A. (2010). Anesthesic management and transoesophageal ecocardiography control in percutaneus extraction of pacemaker and desfibrillation leads. Our experience from 2004 to 2009. European Journal of Anaesthesiology, 27, p.17.
BROECKAERT, B. and JANSSENS, R. (2002). Palliative Care and Euthanasia. Ethical Perspectives, 9(2), pp.156-175.
Brush, J. (2002). An interventional cardiologist: A cardiologist who intervenes. American Heart Journal, 143(6), pp.943-944.
Clarke, A. (2011). Effectiveness of a community orientated diabetes education (CODE) programme for people with type 2 diabetes. European Diabetes Nursing, 8(3), pp.94-99a.
Dean, S. and Abraham, W. (2010). Venous Thromboembolic Disease in Congestive Heart Failure.Congestive Heart Failure, 16(4), pp.164-169.
Feng, W., Fan, G. and Mei, L. (2008). Diabetes & obesity. Beijing: People's Medical Pub. House.
Gottlieb, P. (2004). Type I diabetes. Philadelphia: Saunders.
Hashimoto, K. (2006). Pharmacology of Arrhythmia. Journal of Arrhythmia, 22(3), p.131.
Mahon, M. (2010). Palliative care and end of life care. Philadelphia: Saunders/Elsevier.
Mantzoros, C. (2006). Obesity and diabetes. Totowa, N.J.: Humana Press.
McDevitt, H. (2005). Characteristics of Autoimmunity in Type 1 Diabetes and Type 1.5 Overlap With Type 2 Diabetes. Diabetes, 54(Supplement 2), pp.S4-S10.
Raghupathi, R. (2004). Cell Death Mechanisms Following Traumatic Brain Injury. Brain Pathology, 14(2), pp.215-222.
Smith, K. (2012). Traumatic brain injury: CT scan does not predict outcome of mild traumatic brain injury. Nat Rev Neurol, 8(9), pp.474-474.
Svendsen, E. and Bjørk, I. (2014). Experienced Nurses' Use of Non-Pharmacological Approaches Comprise More Than Relief From Pain. Journal of Pediatric Nursing.
Vos, P. and Diaz-Arrastia, R. (2014). Traumatic Brain Injury. Hoboken: Wiley.
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