Assessing Physical Health Status - Assessment 2 Response Template

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
Severe constipation
due to opioid
analgesia for two
days
1. Monitor her bowel
movements regularly.
2. Prescribe
medication for
reducing constipation
Assisting her for short
walks would be
helpful
Nursing intervention
would provide her
relief from severe
constipation after the
surgery leading to
improved functioning
of her digestive and
excretory systems.
Provision of
constipation relief
medication reduces
her pain levels due to
constipation.
Difficulty in
conducting activities
for daily living alone
1. Provide assistance
for activities for daily
living while showering
2. Explain to her
about the importance
of assistance and that
there is no need for
being embarrassed.
Additional support
services for bathing,
eating and using the
bathroom
After her surgery, it
has become difficult
for her to perform
basic activities such
as undressing,
bathing and using the
washroom. Through
assistance supported
by a nurse, she would
be able to conduct
ADLs.
Improvement in her
mobility and reduced
need for assistance
for ADLs.
Anxiety and body
image issues have a
negative impact on
Mrs McFarlane’s
mental wellbeing
1. Provide recognition
of awareness about
Mrs McFarlane’s
anxiety and body
image issues.
2. Allow Mrs
McFarlane to express
her concerns
Provide counselling
for body image and
anxiety issues
Acknowledging her
issues of anxiety and
body image due to
her surgery as well as
age is an important
part of helping her
cope with her present
status
Improvement in
coping skills about
her age and
acceptance of her
body image leading to
an increase in self-
esteem.
Afraid of menopause
symptoms and
stressed about
1. Explaining the
symptoms of
menopause and its
Group counselling
with women who are
undergoing
Explaining the natural
occurrence of
menopause and
Acceptance of
menopause
APH102_Assessment_2_Module_5.2

APH102 Assessing physical health status – Assessment 2 Response Template
becoming infertile natural occurrence to
reduce fear.
2. Provision of
measures that can be
taken to manage the
symptoms of
menopause and
increase sexual drive.
menopause. measures that can be
taken to manage its
symptoms would
reduce Mrs
McFarlan’s worries
about the same and
help her readily
accept internal
changes.
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:
Yu Yan’s values and attitudes associated with healthcare care and anxiety issues have a direct impact on her timely
discharge. Her lack of trust in the healthcare system is evident from increased embarrassment while receiving assistance
for ADLs. As per the views of Davis-Floyd (2018), abdominal hysterectomy requires monitoring of the patient’s physical
along with mental needs. This is because the surgery leads to infertility causing further body image issues. Monitoring of
mental stability and acceptance is crucial in the time discharge of Mrs McFarlan. As per the stages of adulthood, it is
evident that the developmental stage Yu Yan is at is “middle adulthood”. At this stage, an individual undergoes rapid
bodily changes later on. People aged between 31-50 years below to this stage. 2 physiological changes people go through
at that stage are reduction in physical ability and an increase in skin sagging and wrinkles among women. The two other
stages of adulthood include early and late adulthood. Psychosocial changes witnessed in early adulthood are a need for
acceptance and intimacy as well as the need to start a strong relationship. On the other hand, psychosocial changes
experienced by people at late adulthood include the feelings of stagnation of growth and need to create a legacy for
themselves.
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:
A wellness approach to health focuses on holistic care towards improving both physical and mental health. According to
Mullis et al. (2016), a wellness approach to health involves being aware of the need for making healthy lifestyle choices in
order to lead a healthy life. Incorporation of a wellness approach would significantly help Yu Yan to accept her present
condition and to deal with her anxiety. By becoming aware of her bodily changes and that she needs to take care of herself
through exercise and a healthy diet would lead her to accept her age and bodily changes. Clarification of incorporating a
wellness approach to health would be provided to Yu Yan by explaining to her that she would be able to manage her
emotions and physical changes due to menopause efficiently. It would further be suggested to her that she would be able
to manage her body image issues and sexuality in a better manner through this approach. The Home and Community Care
agency is one such wellness approach to care agency which provides its services for individuals requiring the same
(health.vic.gov.au, 2020). Partnering up with the agency would enable the nurse to develop a holistic care plan for meeting
Yu Yan’s needs.
APH102_Assessment_2_Module_5.2