For these 2 papers, please write a short little feedback response about what was good but also something that could have been added.
This was the original case and the pdf’s attached are the answers provided:
Ms. N is an 80-year-old female who experienced a syncopal (fainting) episode when at home washing dishes. She was not injured when she fell. She has no other new symptoms. She has smoked 1 ppd (pack per day) for 30 years. She lives alone in a 1 story home. She has 3 cats and 2 grandsons who check on her weekly. She takes public transportation to the senior center in town once a week for lunch and activities. During physical exam, you note a systolic ejection murmur.
1. Using the information given, name and describe: Functional considerations (mobility,
safety, self-care)
●
●
●
Mobility:
– Assess Ms.N for mobility and balance to help discover any issues that may
have contributed to her fainting episode. One type of assessment that may
be considered is a gait and balance assessment. If any issues are identified,
Ms. N should be referred to a physical therapist. The physical therapist can
help create an exercise program to help with balance, coordination, and
strength.
– A cane or walker may also help improve stability and help avoid future
falls.
– Assess Ms.N’s home environment to make sure it is clear of hazards that
may contribute to future falls.
Safety
– Evaluate Ms. N’s home for fall hazards and make modifications. Adequate
lighting, handrails on stairs, and grab bars in areas like the bathroom.
– Ms. N may benefit from wearing medical alert devices like a life alert
bracelet
– Educate Ms. N on fall prevention strategies- using handrails, being
cautious about changing positions (sitting to standing)
Self-care
– Encourage a physical activity regimen to help improve strength and
overall health. Senior citizen centers often offer group fitness classes.
– Talk about her diet and hydration and refer her to a nutritionist who may
be able to make a plan with her.
2. Describe a management plan that incorporates the above. This must include both
treatment and prevention.
–
–
–
Since Ms. N had a syncopal episode and systolic ejection murmur. It is
important that she is evaluated further for potential health conditions.
Refer Ms. N to a cardiologist for a cardiac evaluation, and a neurologist.
Depending on what the cardiologist finds it may be necessary for Ms. N to
quit smoking. Offer Ms. N different resources to find a smoking cessation
plan that works for her.
Have Ms. N follow up with her primary care physician and other
specialists for further evaluation
1. Using the information given, name and describe: Medical considerations
– List this by organ system (include those we have covered so far)
– Include the potential medical diagnosis in the appropriate system, and the implications of that
diagnosis for the other system/s if applicable
– Include the expected age related changes in each system independent of the diagnosis/pathology
Musculoskeletal: Ms. N experienced a syncopal episode, so I would be concerned with any injuries that
could have occurred when she fell. The study reports that she was not injured when she fell, but I would
want to make sure there was no bruising or any lasting soreness that persists. In terms of age related
changes, the musculoskeletal system tends to weaken as we age and older adults can experience loss of
muscle mass and function, loss of bone health and associated problems.
Integumentary: I would be concerned about any breakage in the skin when Ms. N fell as skin thins and
becomes more delicate with age, making it harder and take longer to heal. The study says she was not
injured so this system doesn’t seem to be problematic for the patient.
Cardiovascular: The patient reported smoking 1 pack per day which is very damaging to the heart and its
vessels. Ms. N experienced a syncopal episode, which is the result of not enough blood circulating to the
brain, meaning the patient most likely has a cardiovascular problem. The physical exam showed a systolic
ejection murmur, so it is known at least one cardiovascular pathology is occurring. In terms of age related
changes, cardiac muscle is less efficient, maximum heart rate is reduced, the ejection fraction is
decreased, the risk of arrhythmias is increased, and many more concerns.
Respiratory: The patient smokes 1 pack per day, so I would be very concerned about her lung health and
function. She lives in a one-story home so there isn’t the respiratory concern of traveling up and down
stairs. The patient isn’t reporting much physical activity so there isn’t much attempting to offset the
effects of smoking. Some age related changes that occur with this system are limited chest expansion,
increased residual volume, decreased surface area for gas exchange, and changes to specific cell types
decreasing overall functioning.
I believe that Ms. N is suffering from an aortic stenosis, a pathology of the cardiovascular system. A
major risk factor for this problem is smoking, which Ms. N reports smoking 1 pack per day, most likely
for the majority of her life. This diagnosis is commonly linked with systolic ejection murmurs which Ms.
N has. This condition will most likely impact her respiratory health as blood won’t be able to travel
throughout the body efficiently which is necessary when pushing your respiratory system. The heart is
necessary for meeting the demands of the body.
2. Describe a management plan that incorporates the above. This must include both treatment and
prevention. Medical – again, list by system. Include either treatment plan or prevention plan for
each item you have listed or described in part 1a. Don’t forget to include the impact of your
diagnosis on the health of other systems if applicable
Ms. N needs to make lifestyle changes to improve the aortic stenosis. She needs to quit smoking, so I
would recommend nicotine patches or other alternatives to start that process, as it won’t be an easy thing
to quit. I would want the patient to start exercising on a regular basis. The exercise can be paced based on
her current abilities and build from there. This would also work to improve her musculoskeletal health,
but too much too fast could cause injuries which is why it is important to start off easy. Exercising could
also improve her respiratory health, but again she would need to start of slow and easy as to not push her
body too far. There aren’t any major concerns for the integumentary system unless new symptoms arise.
Assuming this was the first time the patient experienced problems due to the aortic stenosis, it may not be
very severe and lifestyle changes could significantly help. If not, medication options would need to be
explored and ultimately surgery on the blocked valves if all else failed.
Order an Essay Now & Get These Features For Free:
Turnitin Report
Formatting
Title Page
Citation
Outline
