Health Assessment of a Patient: Mr Ernest Smith

Running head: ASSIGNMENT 3
Case Study
Name of the Student
Name of the University
Author note

1ASSIGNMENT 3
Introduction- Nursing assessment encompasses the procedure of collection of
information about the patient's psychological, sociological, physiological, and spiritual status
by a nursing professional and is the first step of delivery of care services (Giger 2016). The
assessment involves the comprehensive evaluation of the health status by conducting patient
interviews, performing physical examination, recording patient history, and conducting a
focused assessment. This essay will discuss in details on the health assessment of a patient
Mr Ernest Smith, and will identify the health abnormalities, followed by his individual
healthcare needs.
Case scenario- Mr Smith is an octogenarian who had been admitted to the hospital.
Vital signs form a crucial aspect of nursing assessment and refer to some of the most
common indications that help in gaining a sound understanding of the life sustaining
functions of the human body (Fridkin et al. 2014). Thus, recording vital signs was crucial in
order to gain an insight of the general physical state of Mr Smith, thereby facilitating the
identification of possible diseases, and determining the progress of the patient towards
recovery. The vital signs readings of the patient were as a blood pressure of 180/100 mmHg,
pulse rate of 110, respiration rate of 26, and body temperature of 38°C.
Analysis of health condition- Temperature recording provides an understanding of the
core body temperature that is typically controlled by thermoregulation, and creates a
significant impact on the chemical reaction that occur in the body. In order words, body
temperature is generally maintained by a steady balance of heat generated from the body, and
that produced in the body. Presence of a body temperature between 36.1- 37.2°C is generally
considered normal. Thus, owing to the fact that the patient reported a temperature of 38°C, it
can be suggested that he was suffering from fever. Also referred to as febrile response, this
condition occurs when the temperature is beyond the normal range and leads to an increase in
heat production in the body, with increased efforts of heat conservation (Kluger 2015). The

2ASSIGNMENT 3
onset of fever can be accredited to a plethora of medical conditions such as, bacterial or viral
infections like urinary tract infection, common cold, malaria or meningitis. Presence of fever
in the patient might have been triggered due to pyrogen that resulted in a release of
prostaglandin 2, thereby creating a systemic response and bringing about heat generating
effects (Brito et al. 2016).
Pulse refers to the rate at which the heart pumps blood that flows through the arteries
and is recorded in the form of beats per minute. The normal pulse rate of an adult ranges
between 50–80 bpm, and presence of 110 bpm in the patient signifies the presence of
tachycardia. Also referred to as tachycardia the condition is identified when the heart rate
exceeds 100 bpm and can be accredited to several causes such as, atrial flutter, anxiety,
antiarrhythmic agents, exercise, hypoglycaemia, or hyperventilation (Sapp et al. 2016). In
addition, aging associated wear and tear on the heart also increased the likelihood of Mr
Smith from developing tachycardia. His respiration rate was 26 breaths/minute, higher than
the normal rate of 12-20 breaths/minute in adults (Leung et al. 2017). This elevation in
respiratory rate might have occurred due to an imbalance between the respiratory gases, or an
accumulation of acids on the patient body (Liu et al. 2016).
Furthermore, Mr Smith also demonstrated signs and symptoms of hypertension since
his blood pressure was 180/100, in contrast to the normal range of 120/80 mmHg. Blood
pressure increase has often been associated with aging process and manifests in the form of
an increase in resistance to the flow of blood in the arteries. This in turn is associated with
reduction in peripheral venous compliance that might elevate venous return and lead to
cardiac preload.
Intervention- Administration of antipyretic medications will help in lowering the body
temperature. Ibuprofen is a mainstay in treatment of fever and has been found more effective,