Solution
Abhishek answered on
Nov 28 2021
Running Head: NURS3005 1
NURS3005 2
NURS3005 TRANSITION TO PROFESSIONAL PRACTICE 2 (PEP)
ASSIGNMENT 3: CLINICAL CASE CONFERENCE REPORT
Table of Contents
Introduction 3
Discussion 4
Demonstration of Medical Condition of Patient 4
Relevant Anatomy and Physiology 4
Pathophysiological Discussion 4
Nursing Management 5
Clinical Assessment 5
Relation of Nursing and Medical Management 5
Role of Interdisciplinary Team 5
Primary Health Care Strategies 6
Medical Management and Treatments 6
Pharmacological and Non-Pharmacological Treatments 6
Pain Management 6
Clinical Rationales 7
Laboratory Results 7
Clinical Inferences 8
Psychosocial, Environmental and Economic Aspects 8
Ethical and Legal Aspects 9
Education Needs of Patient 10
Discharge Planning Addressed 10
Conclusion 11
References 12
Introduction
The patient presented for the clinical case conference is a victim of a complex web of diseases. This patient is a 78-year-old man living in residential areas of Adelaide. The patient was suddenly suffering from pain in the chest and shortage of
eath. Additionally, aligning diabetes mellitus and cholesterol can be the source of huge problems for the man.
The present biographical data of the patient gaped eye towards the diagnosis of NSTEMI. This has an underlying disease of the artery of the man. NSTEMI is a vital disease in the body and it makes blockages in arteries of patients. STEMI is also linked with it making a pressure on arteries. The electrocardiogram is the instrument for the diagnosis of the artery and its associated problems.
The cu
ent medical history gives a glimpse that the patient was a chain smoker. It paved the way for the occu
ence of diabetes, major leg disease, increasing tension and high cholesterol. The NSTEMI and STEMI cause the rupture of arteries. An occu
ence of dysfunction of the heart (MCD) reduced the blood flow of the older man. Damage to the endothelial part of the human body with muscle cracks causes serious problems for old man.
Past medical history related to excess of hyper-cholesterol, tension and diabetes. All these had created a stress on the walls of the artery of the older man. Previously the patients had a cardiac a
est due to high tension. It decreases the ability of the blood vessels to control blood flow. Diabetes previously led to cell failure in the context of the man. It equally creates a malfunction of the endothelial part of the human body.
Discussion
Demonstration of Medical Condition of Patient
Relevant Anatomy and Physiology
Due to the excesses of diabetes and deficiencies, Mr, X was on daily insulin injections and he was under observation of the nurse. Nurses used to increase insulin based on a patient's high blood sugar. The patient was on strict medication of Clo-pidogrel. This medication worked as receptors for prevention from blood clotting of patients. NSTEMI and STEMI are the two most deadening, which requires serious treatments. Medical diagnostic tests such as echocardiogram are used for diagnosing these (Cooke, Nanjappa, Ko, Prins & Hess, 2017). Additionally, Echocardiogram can help in the diagnosis of dysfunction of cardiovascular enrolments.
Pathophysiological Discussion
As there is an occu
ence of various diseases, there are side effects such as dizziness, nausea and hematoma. The patient was undergoing contraindication for prevention of diabetes by nurses. He was made to take GTN for quick treatment of the chest and flow of the blood vessels (Zheng et al., 2016). As there was i
itation with cholesterol, therefore Rosuvastatin was equally given. I
espective of all these, there is a complication in the arteries.
The lipoprotein has been reduced in this case. This caused the patient to suffer from
eathing problems and inability to work. The patient has a complication of the fi
e cells in the arteries. It destroys the thin muscles of the heart. The patient had a problem with the thrombi scenic system of the body. It negates a smooth flow of blood inside the cells. In fact, during this stage of the problem, the patient also had problems with the cellular levels of oxygen.
Nursing Management
Clinical Assessment
The clinical assessment is a measure of contra-indication. This has been applied to the patient when he was bleeding from ulcer problems. It is a system-based approach to the patient also for treating diabetes. The other clinical assessment is the use of insulin, which is defined as major here. It is a kind of injection subjected for maintaining the sugar level in the body of the patient.
Relation of Nursing and Medical Management
Medical management has made use of GTN, Contraindication for treating disease. At the same time, nurses monitor the results. During the medical treatment of ulcers with modalities, nurses immediately monitor whether old patients bleed (Tebes & Thai, 2018). The relation also exposes when an enzyme receives substance, Perindopril is applied to the patient and the nurse readily monitors the blood pressures. Pulse and Blood pressure maintenance is checked by the nurse, induced by Perindopril.
Role of Interdisciplinary Team
The interdisciplinary team includes the pharmacists, physiotherapist and podiatrist. Pharmacists ensure proper use of tablets for the older man. Physiotherapists use instruments for making the movement easy for patients (Zheng et al., 2016). A Podiatrist is concerned with patient’s bowel management. Both the pharmacists and physiotherapists scale up the mobility of the patient. These two personnel lead to the development of coordination and...