Weight: 30%Must Complete: YesWord Length: 2000 wordsNotes: Case StudyDue Date: Is displayed at the bottom of this pageThis assessment relates to:
Learning Outcomes 2-5Task Case Study Mr Sam Kwon is a 74-year-old man (Medical Record Number (MRN) 684421).
He was brought in by paramedics with right-sided hemi-paralysis, aphasia and
facial drooping. He has a history of hypertensi
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Weight: 30%
Must Complete: Yes
Word Length: 2000 words
Notes: Case Study
Due Date: Is displayed at the bottom of this page
This assessment relates to:
Learning Outcomes 2-5
Task
Case Study
Mr Sam Kwon is a 74-year-old man (Medical Record Number (MRN) 684421).
He was brought in by paramedics with right-sided hemi-paralysis, aphasia and
facial drooping. He has a history of hypertension, congestive cardiac failure,
and type 2 diabetes mellitus.
He takes oral hypoglycaemic agents. He has also smoked a pack of
cigarettes a day for approximately 40 years. His observations were as follows:
Temperature
|
Heart rate
|
Respiration rate
|
Blood pressure
|
SpO2
|
36.8°C
|
98bpm
|
24/per
minute
|
140/105mmHg
|
96%
(room air)
|
A CT scan without contrast suggested a probable left cerebrovascular
accident, with increased density in the left middle and cerebral artery and
possible early signs of oedema.
From these results, it is expected that Mr Kwon may also be experiencing
homonymous hemianopia, but communication is difficult at this stage.
As he is aphasic he requires a communication board, however, he can
answer with a head nod to closed questions.
Mr Kwon's BGL is 9.4mmol/L. He has basal crackles and has been placed on
oxygen at 2L/min via nasal prongs. A swallow review has been booked for today;
meanwhile he remains nil by mouth.
The time of the incident is currently unknown as his family have been
out since early morning and did not find him until late last night.
The team were unable to dissolve the clot. Mr Kwon requires q2h turns,
he has an IV catheter in situ and is receiving crystalloid fluids. He also requires
q2h BGL tests at this stage he is for review later today.
Task Details
1. Analyse and interpret the assessment findings for Mr Kwon.
2. Based on your analysis and interpretation, develop an
interprofessional care and management plan for Mr Kwan. In your plan, address:
1.
o
Ethical and legal implications
o
Person-centred care
o
Health promotion strategies.
Support your plan with current evidence-based literature.
3. Over the next 14 days, Mr Kwon’s condition improves to a point where
the doctor is happy to discharge him home. His gait is steady and
unaided, his speech has improved but still slurred. He has recovered some
movement on his right side and it is likely a deficit will remain. With
this new information and your initial notes about his lifestyle/history,
develop a discharge plan. Complete the attached discharge plan form.
Justify your discharge plan decisions with reference to the literature.
Assessment Criteria
You will be assessed on your ability to:
1. Identify and
analyse key case findings and draw logical conclusions. (30)
2. Develop and
prioritise care strategies that flow from your analysis. (30)
3. Explain your
decisions in a clear and logical way. (20)
4. Incorporate
relevant ideas from the literature in your writing that support your argument.
(10)
5. Use academic
English, grammatically correct sentences and APA style for references. (10)
Find Marking Rubric below.
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