QUESTION
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case study patient profile
750 words case study on older people (55 to 65)australain first people and choose 2 co-morbidities that impoact on their functional status, plz choose one nuerlogical issue and one physical issue .please don't choose dementia and diabetes. Please follow the guideline to make case study with proper points. The important thing when you choose two co-morbidities then my next assignment is based on this assessment .Use APA7 reference style. so if you need anything let me know and deliver it on 28 july pm.Thank you
3805NRS Health & Illness in Older People
Assessment 1: Case Study - Patient Profile
Word Count: 750 words (20%)
AIM:
People aged 65 years and older constitute 50% of health service users. As people age, they experience changes to their physical and mental function, social environment and overall wellbeing. For those requiring health services, these changes are further complicated by illness (Moyle et al., 2014).
The aim of this assignment is for students to demonstrate an understanding of the complex health needs of an older person through presentation of a patient profile of a selected case from a clinical/ workplace experience in a practice setting, community or residential or acute care.
Case study/ patient profile reports are an effective way to summarise an individual patient’s history, symptoms, and conditions in the context of their lives (Mellerio, 2019). This assignment relates to Learning Outcomes 1 and 2.
TASK DESCRIPTION:
In your case study/patient profile report you must:
- Identify the person (the case/patient), and summarisetheir family and social history, ensuring you preserve confidentiality (you should use pseudonyms).
- Identify the acute presenting issue (reason for hospitalisation/nursing care), risk factors and potential or actual stereotyping.
- Evaluate case’s/patient’s health history including its impact on the person’s physical and/or mental functional status.
These guides may help you writing a case study:
Additional information and Submission:
- Present your work according to Academic standards: Always refer to the Griffith Health Writing and Referencing Guide.
- Use academic language and health specific terminology throughout.
- You may use headings to organise your work
- Use the third personin your writing
- Refer to the marking guidelineswhen writing your assignment. This will assist you in calculating the weightings of the sections for your assignment.
- It is important that you maintain confidentiality as per University guidelinesand include no identifying demographic information about patients, colleagues or institutions. Please use pseudonyms.
- A minimum of six (6) different sources from the scholarly literature should inform your case study report.
- Ensure that you use scholarly literature (digitised readings, research articles, relevant Government reports and textbooks) that has been predominantly published within the last 5 years.
- Include your references on a new page, correctly formatted as per APA7 and the Griffith Health Writing and Referencing Guide
- You do notneed to submit a University Assignment Coversheet.
- Complete the Electronic cover sheetafter which the Final submission point will appear.
- You do need to include a correctly formatted title page - State your actual word count(excluding your reference list) on the Assignment Title Page (refer to the Griffith Health Writing and Referencing Guide).
- Submit your assignment electronically via TURNITIN on your Learning@Griffith site / Assessment Tab/ Assignment 1: Case Study Final.
- Markers will stop marking your assignment once the word limit of 750 words is reached.
References
Mellerio, J. E. (2019). Enduring support for the case report. British Journal of Dermatology, 181(3), 429-430. https://doi.org/10.1111/bjd.17500
Moyle, W., Parker, D., & Bramble, M. (2014). Care of older adults: A strengths-based approach. Cambridge University Press.
3805NRS ASSIGNMENT 1: CASE STUDY - MARKING CRITERIA
CRITERIA
POSSIBLE MARK
Criterion One: Patient Overview
· Identify an older person (the case) (person > 65 years or > 55 years if Australia’s First People). (1)
· Summarise his/her family and social history (3)
· Clearly identifies that confidentiality has been maintained (1)
/ 5
Criterion 2: Current Situation
· Clearly identifies and briefly discusses the acute presenting issue (reason for hospitalisation/nursing care) (5)
· Identifies the contributing risk factors for the presenting condition specifically in relation to ageing and older persons (5)
· Identifies potential or actual stereotyping in relation to this older person (5)
/ 15
Criterion 3: Health History
· Evaluates two (2) comorbidities of the chosen older person (15 marks, 7.5 marks for each health condition)
· Evaluates the impact that the person’s situation and comorbidities have on their current physical and/or mental functional status (15 marks, 7.5 marks for each functional status)
/ 30
Criterion 4: Writing & Presentation
· Complies with academic standards (title page, font, format, line spacing, third person) (2)
· Writes logically with correct spelling, grammar, punctuation and paragraph structure (3)
/ 5
Criterion 5: Referencing
· Uses scholarly literature to support key points (1)
· No fewer than 6 sources that are current (within 5 years) (1)
· References (in-text) and in reference list formatted according to APA 7 (3)
/ 5
Total Marks
[weighted at 20%]
/ 60
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| Subject | Nursing | Pages | 6 | Style | APA |
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Answer
Case Scenario: Ischemic Stroke
Patient Overview
Eric (not his real name), 63 year of age, is Aboriginal and Torres Strait Islander individual who has been regularly visiting the hospital this year over several health issues. Eric, who has four kids; two daughters and two sons, is an active cigarette smoker for the last 10 years; however, he quitted smoking this year as a result of a direction from his doctor over the consequences of smoking to his life. Eric is a community elder who obey the cultural rules of the Aboriginal and Torres Strait Islander people. He drinks alcohol occasionally with his friends. He has been diagnosed with hypertension, obesity, and diabetes, which he is managing using medication and physical exercise. Eric’s wife suffer from diabetes and hypertension. Two of his kids are also hypertensive and he notes that his father died of stroke. While the daughters do not drink alcohol or smoke, the sons are active cigarette smokers. Both of them live in one homestead, something that is common with their culture. All her daughters and sons have attained education past high school. One of his grandchild is diabetic; however, the rest of the grandchildren have not shown any health issue.
Current Situation
Eric has been hospitalized as a result of sudden ischemic stroke. The patient has weakness or numbness on the face, leg and arm on the left side of the body. He looks confused and has trouble understanding other people or speaking. He has trouble walking, and has lost coordination or balance. He also complains of headache whose cause has not been identified. Based on subjective and objective data, it is certain that the patient is suffering from ischemic stroke.
Although there are several risk factors that might have contributed to the condition the patient, age and lifestyle are the main ones. According to the study conducted by Boot et al. (2020), aging is the most robust risk factor for incidents of stroke which doubles every 10 years after the age of 55 years. With aging, “both cerebral micro- and macro-circulations undergo structural and functional alterations”. The client in the case scenario is 63 years old, hence the likelihood of the cause of stroke is actually his age. Secondly, the lifestyle of the patient is a risk factor to his condition. As stated before, the patient has been an active smoker and also drinks alcohol heavily. According to Chan et al. (2019), smoking nearly doubles the risk of having an ischemic stroke. Although the patient has stopped smoking, the impacts are still notable since he was an active smoker.
Stereotypes of aging in contemporary culture, particularly, among Aboriginal and Torres Strait Islander primarily is common. Old people are not given best care as the young ones since it is believed that are more likely to die. A study conducted by Cipolla et al. (2018), reveals that some cases of death of old people are caused by stereotypes from family members as well as healthcare professionals. For example, in this case, the family members took long time to bring the patient to the hospital citing that they have no hopes that he will survive based on his condition and age.
Health History
There are two major comorbidities of ischemic stroke in this case scenario. The first one is hypertension or high blood pressure. A study conducted by Hung et al. (2016), reveals that hypertension or high blood pressure is the single most factor that causes about 50 percent of ischemic stroke. Individuals who have hypertension are more likely to develop stroke than normal people. This is evident in this case since the patient has been diagnosed with high blood pressure and manages it using medication. The second comorbidity is obesity that is also evident in this case. Other than being one of the risk factors of high blood pressure, excess fat in the body causes inflammation that results in poor blood flow, which causes inadequate flow of blood to the brain hence causing stroke.
The patient in this case has got two main health conditions, which according to health experts are likely to cause an ischemic stroke. Notably, stroke occurs when part of the brain is deprived of nutrients and oxygen (Sennfält et al., 2020). This occurs during high blood pressure when blood vessels are damaged and are unable to pump blood effectively to the brain. On the same note, being overweight greatly increases chances of having a stroke. Because of excess fat in the body, inflammation is likely to occur, which causes poor blood flow and potential blockages which are two major causes of stroke.
References
Boot, E., Ekker, M. S., Putaala, J., Kittner, S., De Leeuw, F. E., & Tuladhar, A. M. (2020). Ischaemic stroke in young adults: a global perspective. Journal of Neurology, Neurosurgery & Psychiatry, 91(4), 411-417.
Chan, S. L., Edwards, N. J., Conell, C., Ren, X., Banki, N. M., Rao, V. A., & Flint, A. C. (2019). Age, race/ethnicity, and comorbidities predict statin adherence after ischemic stroke or myocardial infarction. European Journal of Preventive Cardiology, 2047487319861219.
Cipolla, M. J., Liebeskind, D. S., & Chan, S. L. (2018). The importance of comorbidities in ischemic stroke: impact of hypertension on the cerebral circulation. Journal of Cerebral Blood Flow & Metabolism, 38(12), 2129-2149.
Hung, K. H., Liou, K. C., Hsu, K. N., & Hu, C. (2016). Disparities in ischemic stroke subtypes and risk factors between Taiwanese aborigines and Han Chinese in Taitung, Taiwan. International Journal of Gerontology, 10(1), 17-21.
Moyle, W., Parker, D., & Bramble, M. (2014). Care of older adults: A strengths-based approach. Cambridge University Press.
Sennfält, S., Pihlsgård, M., Petersson, J., Norrving, B., & Ullberg, T. (2020). Long-term outcome after ischemic stroke in relation to comorbidity–An observational study from the Swedish Stroke Register (Riksstroke). European stroke journal, 5(1), 36-46.