Biopsychosocial, Spiritual and Cultural Impacts | Case Study Assessment

Case Study Assessment
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Biopsychosocial, spiritual and cultural impacts
Patient Teddy currently faces post-operation care at the aged care nursing
home. In the nursing and recuperation phase, an assessment of biopsychosocial,
spiritual and cultural impacts are essential in the recovery process. Based on the
Roper Logan Tierney model of nursing, assessing these fundamental aspects is
critical (Williams, 2017). The biological aspect of the Patient entails medical aspects
of type II diabetes, heart failure, obesity and gout disease which have an impact on
his current state. Psychosocial aspects of Patient Teddy show that she has lost her
wife 3 years and currently lives alone at the care facility. She has the company of
one elderly Patient at the care facility as her children have grown up and lived far
from him. No evidence of past spiritual information over the Patient. His cultural
aspects demonstrate that his retirement village is close to where he used to stay with
his wife and children until when they left home. This demonstrates that the location
of her retirement home has an impact on how she ages as he can connect a lot of
engagements and activities at his village.
These underlying aspects are fundamental in the process in which patient
Teddy is likely to recover and recuperate. His past medical history demonstrates an
impact on how he is going to recover and expectations of deterioration of certain
aspects o care such as type II Mellitus and increased intensity of gout due to limited
movements. Further, loss of attachment from his family is likely to have a negative
impact of slowing the recovery process. The Patient will have a feeling of loneliness
and impede the recovery process. Despite this, the attendance of the retirement
home and company found will play a key role in the care recovery.
Information processing and identification of problems
Patient Teddy as observed in the assessment metrics demonstrates that he
has previous confirmation of colposcopy and biopsy signalling malignant mass. The
Patient has a history of type II diabetes, heart failure, gout and current state of bowel
resection. This care process entails the removal of a section of the smaller intestines
which often occur in three parts, the duodenum, jejunum and ileum. Ileostomy
involves an opening to the outside body necessitating stool exit opening after bowel
resection. Small bowel resection is essential in the management of certain types of

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cancer and precancerous diagnosis. In colostomy there is the diversion of the
effluent of the colon, in this case ascending, transverse and sigmoid colostomies can
be performed. A transverse colostomy is often temporary while sigmoid colostomy is
often shared and permanent stoma, especially in cancer treatment, which is
essential to the Patient as a previous diagnosis had demonstrated the presence of
malignant mass biopsy.
The enhanced recovery pathway often entails a combination of issues to
improve the overall patient postoperative recovery phase. This involves aspects such
as eating, drinking and mobilization of the Patient. Despite this care process,
complications can arise after surgery, linked to bowel surgery such as abdominal
distension as noted in the Patient, abdominal pain having a score of 7/10 on
palpation and occurrence of nausea.
Management of postoperative complication is ensured through the
implementation of enhanced recovery program which is geared towards reduction of
patient complications though a combination of evidenced-based goals and
interventions in the postoperative period (Coulson & Murray, 2017). The caring
process entails being aware of the potential complications of Patient Teddy. Current
problems identified affecting the patient entail, post-operative ileum, nausea and
abdominal distension. These are the underlying problems being encountered by the
Patient at the moment
Nausea and vomiting
Patient Teddy currently is experiencing nausea and vomiting as noted in the
ongoing assessment. Despite nil per mouth of 48 hours, there is still an occurrence
of vomiting. The needs to assess this avenue is critical for the Patient.
Studies have demonstrated that nausea and vomiting are the prevalent forms
and complications recorded during the postoperative process (Gan et al., 2014).
Initiating enhanced recovery process and early feeding are essential aspects in
managing this state. Often the patients are encouraged to drink frequently. An
avenue of nauseous and vomiting, encouragement of antiemetic to enhanced early
return on the oral intake state is key (Shaikh, Nagarekha, Hegade & Marutheesh,
2016). It is recommended that no more than two emetics be consumed at a moment.