Assessing Physical Health Status - Assessment 2 Response Template

This is the response template for Assessment 2 of the course APH102 - Assessing Physical Health Status. It includes nursing diagnoses, interventions, expected outcomes, and community support services for a case study. The template also covers topics like body image, wellness approach to health, human growth and development, and developmental stages of childhood and adolescence.

APH102 Assessing physical health status – Assessment 2 Response Template
ASSESSMENT 2 - Response Template
Student Name
Date
Subject Title Assessing physical health status
Unit of Competency HLTAAP002 Confirm physical health
HLTENN003 Perform clinical assessment and contribute to planning nursing care
Performance Criteria,
Knowledge and Performance
Evidence Assessed
PC:
HLTAAP002 = 1.1, 1.2, 1.3, 1.4, 2.1, 2.2, 2.3, 3.1, 3.2, 3.3, 3.4
HLTENN003 = 1.2, 1.3, 1.6, 1.7, 1.8, 1.9, 2.1, 2.2, 2.3, 2.4, 3.1, 3.2, 3.3, 4.1, 4.2, 4.3, 4.4
PE:
HLTAAP002 = 1
HLTENN003= 1, 2, 4
KE:
HLTAAP002 = 1, 2b, 4a, 4b, 5, 7a, 7b, 7c, 7d, 7e, 7f, 7g, 8, 9, 10, 11a, 11b
HLTENN003 = 1, 2a, 2b, 2c, 2d, 3, 4, 5, 6, 7, 8, 9, 11, 12a, 12b, 12c, 12d, 12e, 12f, 12g, 12h, 12i, 12j, 12k,
12l, 13, 14, 15, 16, 17, 18, 19, 20
Title of Assessment Task Assessment 2
For this assessment, you must read two case studies then and answer the questions below each one. When
responding to the questions, please pay attention to the entire question being asked, as well as the
prescribed word count. And, use the correct medical terminology when answering all questions.
Scenario 1 Mrs Yu Yan McFarlane (questions 1-7 refer to this scenario)
Mrs Yu Yan McFarlane is a 38-year old female, who had an abdominal hysterectomy two (2) days ago. Yu Yan is on four (4)
hourly observations. The most recent recorded observations were:
· Temperature 36.5 °C,
· Respirations 22, HR 110,
· BP 135/80mmHg and
· SpO2 98%, on room air
· Reported 7/10 abdominal pain
Mrs McFarlane has received opioid analgesia for two (2) days and has reported that she has not opened her bowels. She
requires assistance to perform ADL’s (Activities of daily living), due to her pain and has expressed embarrassment at being
assisted in the shower.
She shared in confidence that she was concerned about becoming menopausal. Her mother experienced a lot of emotional
distress when she went through menopause, and her body changed as well. Yu Yan suffers from anxiety and has a very
poor self-image. She already finds it difficult to adjust to her body, and now that she is no longer fertile she is becoming
quite anxious about what might happen to her when menopause begins .
Mrs McFarlane feels embarrassed when undressing in front of nursing staff. Mrs McFarlane admits to having difficulty
identifying with her own sexuality as a result of the changes she is going through and has said it is causing issues with her
husband.
Yu Yan lives with her 70-year-old mother, Fei Hong, her husband George and their children; three-year-old twins and Yu
Yan’s 17-year-old son Jason from a previous relationship.
She is sceptical of the support she might be able to receive from you regarding her body changes, as she doesn’t feel that a
healthcare team can do anything to stop them, so she feels quite pessimistic about any interventions.
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 1
Based on the information received in the case study, you need to consider how best to plan appropriate care for Yu Yan.
Using the template below, plot out a care plan for Yu Yan taking into account the information provided. This requires you
to:
 Specify four (4) nursing diagnoses or risk factors associated with the client’s health variations
 Record at least two (2) nursing interventions that could be applied for each diagnosis
 Specify at least one (1) community support service that may be able to support your suggested interventions
 Clarify how your planned intervention reflect the client’s interests and physical, emotional and psychosocial
needs
 Note at least one (1) expected outcomes that you would hope for as a result of each intervention.
Nursing diagnosis Planning - (Nursing
intervention)
Community support
service
Link to personal needs Expected Outcome
Risk for infection
related to surgical
intervention and
presents of foley
catheter as
evidence by
patient post-opt
day 1 from
abdominal total
hysterectomy and
indwelling foley
catheter present.
Grieving related to
loss of body part
and childbearing
ability.
1. The nurse will assess
and report a
temperature greater
than 100.5 ‘F, high
WBC, tachycardia, low
blood pressure, and
increased respiratory
rate to md which may
indicate infection.
2. The nurse will
remove the patient’s
foley catheter on post-
opt day 3 per md order
(Tortora and Derrickson,
2018).
Taking help
of patients
mother
Requires
assistance
for ADL
Patient will remain
free from infection
throughout
hospitalization.
Patient will verbalize
3 ways to prevent
surgical infection by
discharge. Patient will
demonstrate how to
properly change
wound dressing using
clean technique by
discharge. Patient will
verbalize 3 ways of
coping with the loss
ability of childbearing
by discharge.
Acute Pain
secondary to
surgical operation
1. Establish rapport
2. Provide comfort
measure.
To gain
trust
The patient
may
verbalized
The patient pain scale
decreased 8/10 to 4/10
Delayed surgical
recovery related to
pain
1. Advice the patient to
have an adequate rest
and sleep.
2. Assess nutritional
status and current intake
Support of
husband
Weak
looking and
restless.
The client was able to
perform her usual
activities.
Sexual Dysfunction
related to altered
body structure and
function.
1. Establish rapport
2. Monitor vital signals
Support of
mother
Problem
such as loss
of sexual
desire
The patient identified
stressors in lifestyle
that contributes to the
dysfunction.
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 2
Mrs. McFarlane has confided that she has had trouble adjusting to her body image now that she is no longer fertile.
 In 20 words, suggest how Yu Yan’s values and attitudes regarding health care, and the issues/anxieties she has
may impact on a timely discharge.
 Specify what developmental stage of adulthood Yu Yan is going through, and list two (2) additional Physiological
changes people go through at that stage.
 Also, list two (2) other stages of adulthood and for each, specify two (2) psychosocial or psychological changes
that might be experienced by people going through them.
Response: Mrs. Yu Yan’s verbalized understanding of individual reasons for sexual problems might arises.
2 Additional physiological changes:
1. Sexual dysfunction
2. Menopausal
2 Psychological changes
1. Embarrassment
2. Feeling of guilty
Question 3
Mrs. McFarlane has expressed embarrassment at needing assistance with her ADL’s (Activities of daily living) due to her
poor self-image. This implies she may need support emotionally as well as physically. In 50 words, explain:
 What a wellness approach to health is
 How it may benefit Yu Yan given her current anxieties
 How you would clarify with Yu Yan that this approach would align with her needs
 And, provide one (1) community support agency that may be able to assist you to when facilitating a wellness
approach to care
Response: Wellness is an active approach to being aware and making decisions about a hard and fulfilling life.
Health is more than being freed from disease, it is a powerful way to progress and improve.
It may benefit Yu Yan by motivating her for self care and concern about her health.
It will be clarified through explaining the benefit of this approach to her life.
Local woman health centre may be able to assist when facilitating wellness approach to care (Shier, Butler and
Lewis, 2018).
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 4
Yu Yan’s situation is common amongst many women her age. Additionally, it may also be influenced by how she has grown
and developed, and what her genes are.
 Specify four (4) stages of human growth and development
 Then, in 20 words, explain how genetics and environment may impact a person’s own development
Response:
4 Stages of human growth and development:
1. Infancy (birth to 2 years old)
2. Early childhood (3 to 8 years old)
3. Middle childhood (9 to 11 years old)
4. Adolescence (12 to 18 years old).
On the other hand, if it is talked about the genetics and environment's impact on a person's on development
then and any individual whose parents have or had any sort of illness like asthma then it will be transmitted to
the child.
Question 5
As soon as clients present and are admitted into care, the healthcare team also starts planning what is needed for
discharge. List a minimum of six (6) requirements that might need to be confirmed for Yu Yan before Yu Yan is discharged,
and explain why they are needed, using 10 words for each.
Response:
1. Infection: It will be checked whether patient experience any infection.
2. Weakness: Check whether patient still fell weakness or there’s some improvement.
3. Behaviour: Is patient still feel depressed or guilt from inside.
4. Level of pain: How much pain out of 10; is patient feeling.
5. Blood pressure: How much blood pressure patient records; is it high or low.
6. Temperature: Is the body temperature of patient is more than 36 degree Celsius
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 6
Yu Yan has 3-year-old twins at home, whose developmental needs differ from hers greatly. It is important that you
understand these needs when considering the type of care that Yu Yan could be provided after discharge, as her wellbeing
will affect theirs. Describe the developmental stages of childhood by addressing each point below:
 List five (5) physical growth, psychosocial, cognitive and motor development needs of toddlers and pre-school and
school aged children
 List five (5) physical growth, cognitive and motor development needs of infants 0-12 months
 Explain in 20 words, the role of play in a child’s development
 Explain in 20 words, the impact that hospitalisation of a child can have on the child and family
Response:
List five (5) physical growth, psychosocial, cognitive and motor development needs of toddlers:
 Language development.
 Emotions development.
 Improvisation of motor skills
 Imaginative skills
 Socializing skills.
List five (5) physical growth, cognitive and motor development needs of infants 0-12 months
 Head control
 Pincer grasp
 Sitting and walking
 Holding a spoon
 Hand fishing
Role of play in child development
Play is vital to kid's learning and improvement. At the point when kid plays, it gives her loads of various ways and times to
learn. Play likewise helps youngster:
 assemble certainty
 feel adored, upbeat and safe
 create social aptitudes, language and correspondence
 find out about thinking about others and nature
 create physical aptitudes.
Impact of hospitalization on child and family
Drawn out and rehashed hospitalization expands the opportunity of later issues (Everly and Lating, 2019). The
detachment of the kid from recognizable figures during confirmation might be the reason for a portion of the enthusiastic
bombshell. More youthful kids, particularly those between the ages of a half year and 4 years are generally powerless.
Singular factors, for example, the kids' disposition and knowledge add to their style of adapting and therefore may impact
both the present moment and long haul impacts of hospitalization. Kids who play a functioning adapting job are
progressively helpful with clinic staff and show less unsettling influence after release. The readiness of kids for the
experience of hospitalization has demonstrated to be extremely viable in lessening their enthusiastic trouble during
confirmation.
Question 7
Yu Yan also has a 17-year-old son, Jason. His stage of development is different from both hers and the twins. In 30 words,
describe the developmental stages of adolescence and list four (4) common health issues or psychological concerns that
adolescents face.
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Response: Specifically, there are three different development stages of adolescence and these are presented underneath:
 Early Adolescence (Ages 10 to 13): During this stage, youngsters regularly begin to develop all the more rapidly.
They likewise start notice other body changes, including hair development under the arms and close to the
private parts, bosom advancement in females and broadening of the gonads in guys. They as a rule start a year or
two prior in young ladies than young men, and it tends to be typical for certain progressions to begin as right on
time as age 8 for females and age 9 for guys. Numerous young ladies may begin their period at around age 12, on
normal 2-3 years after the beginning of bosom improvement. These body changes can rouse interest and
uneasiness in some especially on the off chance that they don't have the foggiest idea that what is fantasy and
what is not.
 Middle Adolescence (Ages 14 to 17): Physical changes from pubescence keep during middle pre-adulthood. Most
guys will have begun their development spray, and pubescence related changes proceed. They may have some
voice breaking, for instance, as their voices lower. Some create skin inflammation. Physical changes might be
almost finished for females, and most young ladies presently have starting of menstruation cycle. Including this,
The mindset keeps on changing and develop in this stage, yet there are as yet numerous distinctions in how a
typical middle immature thinks contrasted with a grown-up. Quite a bit of this is on the grounds that the frontal
projections are the last zones of the mind to mature―development isn't finished until an individual is a ways into
their 20s! The frontal flaps assume a major job in organizing complex dynamic, drive control, and having the
option to think about different alternatives and outcomes. middle youths are progressively ready to think
uniquely and consider "the comprehensive view," yet they despite everything may do not have the capacity to
apply it at the time (Miguel-Aliaga, Jasper and Lemaitre, 2018).
 Late Adolescents (18-21… and past!): Late young people by and large have finished physical turn of events and
developed to their full grown-up tallness. They as a rule have more drive control at this point and might be better
ready to check dangers and rewards precisely. On the other hand, Adolescents entering early adulthood have a
more grounded feeling of their own singularity now and can recognize their own qualities. They may turn out to
be increasingly centered around the future and base choices on their expectations and beliefs. Companionships
and sentimental connections become progressively steady. They become all the more genuinely and truly isolated
from their family. Be that as it may, many restore a "grown-up" relationship with their folks, thinking of them as
increasingly an equivalent from whom to ask counsel and examine develop subjects with, instead of a power
figure.
On the other hand, if it is talk about the health and other psychological issues that are faced by adolescence then these
are presented underneath:
 Physical injuries
 Depression
 Interpersonal violence
 Nutrition and micro nutrition deficiencies
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Scenario 2: Mrs Fei Hong (Questions 8-13 refer to this scenario)
On Sunday at 1000hrs, you are assigned to admit a new client to your ward.
Fei Hong is a 70-year-old female who was admitted to your ward this morning, following a fall at home. On admission,
her daughter Yu Yan is in attendance. Fei Hong has sustained significant bruising and swelling to her right hip and
shoulder with a large skin tear to her right forearm. She did not sustain any fractures. She is admitted for pain relief,
dressings to her forearm, and a physiotherapy review.
However, on assessment Fei Hong has bony prominences on her hips and pelvis, and is at risk of developing pressure
areas.
Yu Yan has requested an interview with the doctor to determine if her mother needs any extra care at home, as Fei Hong
is beginning to show signs of Dementia according to her daughter. Fei Hong generally eats a small, but nutritious diet at
home that includes all food groups, but which is predominantly Asian cuisine.
Fei Hong has reported no urinary issues and takes Metamucil daily to prevent chronic constipation. She can shower and
dress independently but requires supervision and prompting at times, due to early signs of Dementia. She had been
mobilising independently prior to his fall.
She will need to be assessed by a physiotherapist for a walking aid. Medically, Fei Hong has some hearing and sight
impairment, and wears glasses and bilateral hearing aids, but is on no medications.
Socially, she lives with her daughter Yu Yan, son-in-law George and their children; three-year old twins and Yu Yan’s 17-
year-old son Jason from a previous relationship.
Yu Yan cares for her mother and her three (3) children and has no community support for her mother. Fei Hong, has no
other extended family, as she immigrated to Australia 16 years ago to help her daughter raise her son, she speaks little
English and is Buddhist. She states that her strong faith and her daughter help her cope with her ageing process.
Fei Hongs observations on admission are: Temp 36.1, BP 105/68, Respirations 18, Pulse 64, Height: 156cm and Weight: 46kg.
 Fei Hong is thin, with a BMI of 19
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 8
Referring to the information provided in Fei Hong’s case study, write the nursing admission notes, using appropriate
terminology and a holistic approach. Please complete the admission notes on the template provided below. Ensure notes
meet legal requirements and use correct medical terminology.
NAME: Fei Hong
ADDRESS: Edinburgh, Scotland
GP: Physician
MEDICARE NO. 3348
DATE: June 24th, 2020
AGE ON ADMISSION: 70
GENDER: Female
RELIGION: Shenism
ETHNICITY: Chinese
ALLERGIES: None
LIFESTYLE PATTERNS: Normal
COPING
MECHANISMS: Distress
SOCIAL: Distress faced by the patient
CURRENT HEALTH
PRACTICES/NEEDS:
Bruising and swelling to her right hip and shoulder with a large skin tear to her right forearm.
ADL ASSESSMENT:
DIET: Malnutrition diet is followed.
OUTPUT: Lots of distress.
MOBILISATION: Less movement and supervision is needed
HYGIENE: Proper cleanliness the help of supervision
FAMILY CONCERNS
AND NEEDS RE:
CLIENT
Conduction of an interview to analyse that if any sort of supervision is required by the patient or
not.
ADMISSION
OBSERVATIONS:
T__36.1__ P: _64___ R: __18__ BP: 120/80____
HEIGHT: _156 cm__ WEIGHT: _46 Kg___ BMI: _19___
NURSING NOTES:
(sign off with name,
signature and
delegation at the end
of the notes)
History:
Fall at home
Assessment:
Extra care at home
Admission Plan:
Starting from June 24, 2020 to next 3 days for proper observation and some medical tests.
Name: _________ABC__________ Signature _____abc__________
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 9
Another Nurse has drafted a plan of care for Fei Hong. Respond to the questions below based on the scope of your work as
an enrolled nurse, using 20 words for each:
 How would you confirm that this plan reflects the needs of Fei Hong and her family?
 If this care plan seems to conflict with a plan you feel is necessary, who would you speak with and how would you
justify your assumption?
 If Fei Hong’s situation deteriorated after admission, who would you communicate this to, and when should that
be done?
Nursing diagnosis Planning (Nursing intervention) Expected Outcome Pain to hip and shoulder due to
bruising and swelling following fall
 Monitor pain levels with regular pain assessments,
may need to use Abbey pain scale, due to limited
English.
 Minimise pain by administering regular analgesia as
prescribed.
 Apply ice pack to reduce swelling as required.
 Pain assessment
scales reflect
reduced pain levels
after interventions.
 Reduced mobility following fall
 Enable Fei Hong to mobilise safely
 Follow physiotherapy recommendations.
 Fei Hong able to
mobilise with a
frame and
supervision.
 Potential pressure area formation;
related to limited ability to move.
 Provide regular pressure area care and assist with 2-4
hourly repositioning.
 Use air mattress to reduce pressure areas.
 Skin integrity
remains intact.
 Potential infection due to
laceration/skin tear to arm
 Keep wound clean, change dressings as prescribed.
 Review surgical site for redness, swelling discharge.
 Monitor temperature 4th hourly
 Report any concerns to RN.
 Optimal wound
healing without
infection.
 Potential decline in emotional
state, related to lack of support in
exercising his religious faith and
limited communication due to
speaking little English
 Allow time/support for Fei Hong to exercise her faith
as a coping mechanism.
 Use pictograms to assist with communication, and
daughter/ interpreter to interpret on admission and
throughout the hospital stay.
 Optimal emotional
state and Fei Hong
able to maintain
basic
communication
strategies. Hearing and sight impairment
related to ageing.
 Assist Fei Hong to apply her glasses and hearing aids.
 Ensure limited background noise when speaking to
client.
 Do not shout at client, speak in a clear voice in good
light facing her.
 Fei Hong is able to
see clearly and hear
while in hospital.
Response:
How would you confirm that this plan reflects the needs of Fei Hong and her family?
Through performing different test and communicating with family. This will effectively deliver the information that what is
required to be done next.
If this care plan seems to conflict with a plan you feel is necessary, who would you speak with and how would you justify
your assumption?
In any sort of complexion if faced while developing the plan of following it, the discussion can be done with seniors
because they have the experience of dealing with the patient of same conditions.
If Fei Hong’s situation deteriorated after admission, who would you communicate this to, and when should that be done?
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
The information can be provided to senior health care providers as they will be taking right decisions in order to reduce
the chances of deterioration. This information can be e given just after getting the results after performing tests.
Question 10
Fei Hong has a few issues that may impact her treatment. These have all been uncovered during her initial health
assessment. An accurate, holistic health assessment should be conducted on all patients who present at a medical facility,
as it helps clarify client needs or problems and determine a person’s response to their health problems and proposed
interventions. Specify the seven (7) principles of quality health assessment, and for each principle, describe it in 10 words.
Response: Response:
7 principles for quality health assessment:
 Use multiple data sources to drive improvement: near a data driven approach is crucial to improve the service
quality so the first step is to obtain the valid patient satisfaction survey data.
 Define clear lines of accountability for service quality: for managing service quality every organisation want every
employee in the form to be engaged in the service quality improvement for this year guidelines must be set up.
 Providing service consolation and improvement tools: it is liability that without careful analysis patient
satisfaction survey data can be missed in protected and misuse so it have to be presented in proper form by a
proper consolation (Musiek and Baran, 2018).
 Define service values and performance standards: for managing quality, ki leaders and staff should define the
service values of our organisation which were introduced to each staff member in the staff meetings.
 Provide service education and training to providers and allied health staff: institute of providing journal service
education customised and well training program must be enabled for medicine practices.
 Continuous monitoring and improve service quality: for increasing the service quality it is important to properly
manage and monitor the data where the organisation can conduct periodic secret assessment of service
performance.
 Recognise and reward excellent service: it is duty to hold annual event to recognise the department and
individuals who achieve the exceptional performance for increasing their motivation
Question 11
During her stay, Fei Hong’s is going to require some clinical measurements/assessments regularly, so her status can be
observed. Explain the process required for each of the clinical measurements/assessments listed below, using 10 -15
words for each.
Measurement Process to perform measurement
Blood glucose level it can be measured by applying a drop of blood to the chemical treated disposable
test strip which will insert into electronic blood glucose metre
Blood pressure
The measurement of blood pressure is done by the use of cough which place around
the bear and stretch out the upper arm and inflated until know but blood can flow
through the brachial artery.
Body mass index or waist hip ratio It is calculated by measuring the waist and the hip and then dividing the waist
measurement by the hip measurement
Height and weight Height and weight can be measured by the help of weight scale and a ruler.
Level of consciousness Tool that is used to identify the consciousness level within the patient is glass glow
coma scale.
Pupil reaction the difference in pupillary reaction to the light maybe in aise by showing off
flashlight back and front from the eye of the individual
Neurological reflexes
Biceps (innervated by C5 and C6)
Radial brachialis (by C6)
Triceps (by C7)
Distal finger flexors
Peripheral circulation
Examination of peripheral circulation is easily done by touching the
skin, measuring capillary refill time (CRT) or even by observing the skin mottling
pattern
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Urinalysis During a urinalysis, a clean urine sample is collected into a specimen cup and
analysed with a visual exam, a dipstick test, and a microscopic exam.
Skin colour, integrity and turgor By personal observation
Temperature, pulse, respirations Monitors and software
Sensory perception and identified
personal aids and devices required
for hearing or sight
Hearing aids were worn on the body or carried in a pocket, but these types are very
seldom seen today
Question 12
As humans move through the stages of adulthood, like Fei Hong is doing, they experience changes in the way their bodies
act, which can affect moods, functions and perspectives. These can also be amplified when they are admitted to hospital.
List six (6) risk factors older people face in hospital, based on their developmental changes.
Response:
 Older are not able to reposition themselves.
 Older patient may have multiple medical issues required several specialist
 New medication may be introduced which can lead side effects in older patients with in the hospital
 Old adults are risky for false especially if they are sedated or disoriented.
 Older adults can be at risk for malnutrition within the hospitality
 Spread of infection disease such as ammonia is common in hospitals and old age is more prone to it.
 Delirium occur in one of the three patients hospitalize and old age patients are more chances of it
Question 13
All of the decisions you make as an enrolled nurse should align with the standards devised by the Nursing and Midwifery
Board of Australia (NMBA) Standards for Practice: Enrolled Nurses, Codes and Guidelines. Provide 20 words for each
NMBA standard or statement listed below, specifying how it relates to Fei Hong.
 NMBA Code of Conduct: Conduct statement 4.1
 NMBA Code of Ethics: Value statement 2
 NMBA Standards for practice: Enrolled Nurses: Standard 6.2
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Response:
 NMBA Code of Conduct: Conduct statement 4.1
Professional boundaries allow nurses, the person and the person’s nominated partners, family and friends, to engage
safely and effectively in professional relationships, including where care involves personal and/or intimate contact. This
will help in this case as patient will get extra care.
 NMBA Code of Ethics: Value statement 2
Nurses value respect and kindness for self and others, Valuing respect for self and others encompasses valuing the moral
worth and dignity of oneself and others. This will increase the satisfaction of Fei Hong.
 NMBA Standards for practice: Enrolled Nurses: Standard 6.2
Participates with the RN in evaluation of the person’s progress toward expected outcomes and the reformulation of plans
of care.this will improve the mental situation of Fei Hong.
Question 14
Yu Yan and Fei Hong have a complex family. It is made up of different members, with a range of differing needs. In 50
words, explain the objective of understanding ‘family health care needs’ and describe two (2) techniques nurses can use to
increase a family’s involvement in their child’s care during hospitalisation.
Response:
Understanding family health care needs wood easily help both the healthcare providers along with the care takers of the
patient dealing with deteriorated disease to easily come up with effective results when it comes to improve the health
conditions of the patient. Effective communication and understanding the behaviour of both patient and caretaker
improve relations and enhance involvement it in child's care during hospitalization.
Question 15
Disease and illness can be caused by a number of factors, no matter the age of a person. These factors can also impact
people in different ways. For each cause listed below, specify at least one (1) key feature, physical, emotional and mental
impact that might occur because of them.
Cause Key Feature Physical Impact Emotional Impact Mental Impact
Pathogens
Replication or
multiplication is
considered to be the
key feature.
Sometimes they kill
cells and tissues
outright. Sometimes
they make toxins that
can paralyse, destroy
cells' metabolic
machinery, or
precipitate a massive
immune reaction that
is itself toxic.
Isolation Depression
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Inherited genetic
conditions
Discrete mutation in
DNA
Heart disease,
obesity, cancer and so
on
Distress and fear of
death
Depression and
mental health
disorders
Trauma, toxins and
other environmental
hazards
Contamination in air,
water, food and sand.
Asthma Distress Headache
Nutritional factors
Feeling weak or sick
all the time
Anaemic Self isolation May lead to
depression
acts caused by health
interventions
(iatrogenic)
Complications while
performing surgery
Illness due to
toxication
Distress Brain tumour
Degenerative changes
in vital organ systems
Changes or kill cells May lead to death or
organ failure
Anxiety and
development of fear
of dying
Mental distress
The loss of normal
control mechanisms
like the uncontrolled
growth of cancer cells
Deterioration disease Without therapy, this
may lead to death.
Continuous fear of
dying
Depression or any
sort of mental
disorder
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 16
Cellular adaptation refers to changes made by a cell in response to adverse environmental changes. List the five (5) major
types of cellular adaptation, and write one sentence for each, explaining what it is.
Response:
Cellular adaptation defines the modifications that are made by the cells towards the environmental changes. In
respect of this, there are five types of cellular adaptation that are mentioned as under:
Atrophy: These are the type of cell that decreases in size of a body part, organ and other tissue. This term
depicts that atrophied part was the normal size for an individual.
Hypertrophy: This term describe the tiny units that are important in the functioning of body and easy to adapt
within the environmental changes.
Hyperplasia: These cells are increase in number of the normal cells within the tissue or particular part or organ.
It leads to represent the precancerous condition.
Metaplasia: It shows the transformation of cells to different cell type and this change is termed as the part of
normal maturation procedure and it is caused by the abnormal stimulus.
Dysplasia: It is the type of cellular transformation which depicts the abnormality and potential towards the
reversible procedure regarding the disordered growth and maturation of cells within the particular organ
Question 17
Explain each of the life processes listed below, in 10-15 words.
 Metabolism
 Nutrition
 Body temperature regulation
 Biological maturation
 Inheritance and ageing
Metabolism: It refers to the sum total of all the prominent chemical reactions that occur within the body as it is
the conversion of one chemical form to another.
Nutrition: It depicts the whole procedure of balance diet and ability to eat food by the human being and proper
use of components that work as the fuel towards the growth and development.
Body temperature regulation: Our internal body temperature is regulated by our brain and called as
hypothalamus and normal temperature is 37°C.
Biological maturation: It is a procedure that depicts the growth towards the adult state and it is a stage in
which all the tissues, organs and body system get mature.
Inheritance and ageing: It is predicted by the DNA as the genes of a person are responsible regarding how long
an individual live.
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
Question 18
For each of the mouth types below, list four (4) types of disease that clients may experience.
 Edentulous (no-natural teeth)
 Dentate (having natural teeth)
Response:
Edentulous (no-natural teeth): Some mouth diseases under this type of stage are:
Cavity: It describes the permanently broken part in the teeth that need development and its symptoms are
Tooth loss and toothache.
Dental plaque: It shows the sticky coats on teeth that contain bacteria and its symptoms are bleeding gums,
bad teeth and tooth loss.
Bone loss: It happens when the body does not make new bones and it reabsorbs old ones and its symptoms are
bone fracture and asymptomatic.
Gum disease: It represents the serious gum infection that leads to destroy the jawbone and its symptoms are
bad breath, swelling and toothache.
Dentate (having natural teeth): Few diseases of this stage are mentioned below:
Sensitive teeth: In this an individual feel pain or discomfort after having some cold and hot drinks and food and
it is also termed as “dentin hypersensitivity”.
Oral cancer: It occurs due to the consumption of tobacco and includes the areas like gums, tongue, lips, cheeks,
floor of the mouth and hard and soft palate
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
REFERENCES
Books and Journals
Everly, G. S., & Lating, J. M. (2019). The anatomy and physiology of the human stress response. In A clinical
guide to the treatment of the human stress response (pp. 19-56). Springer, New York, NY.
Miguel-Aliaga, I., Jasper, H., & Lemaitre, B. (2018). Anatomy and physiology of the digestive tract of
Drosophila melanogaster. Genetics. 210(2). 357-396.
Musiek, F. E., & Baran, J. A. (2018). The auditory system: Anatomy, physiology, and clinical correlates.
Plural Publishing.
Shier, D., Butler, J., & Lewis, R. (2018). Hole's essentials of human anatomy & physiology. McGraw-Hill
Education.
Tortora, G. J., & Derrickson, B. H. (2018). Principles of anatomy and physiology. John Wiley & Sons.
APH102_Assessment_2_Module_5.2