Care of a Person with a Medical Condition

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This document discusses the care of a person with a medical condition, specifically focusing on nursing assessments, care planning, and patient education. It provides insights into considerations for patients with chronic obstructive pulmonary disease (COPD) and offers guidance on providing holistic care. The document also emphasizes the importance of a multidisciplinary team approach in patient care. Find study material and solved assignments on Desklib.

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Running head: CARE OF A PERSON WITH A MEDICAL CONDITION
CARE OF A PERSON WITH A MEDICAL CONDITION
Name of the Student
Name of the University
Author note

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1CARE OF A PERSON WITH A MEDICAL CONDITION
Task 1
Consideration of the patient
In Peter’s scenario it can be seen that he is suffering from COPD, which is a very crucial
disease and in most people this disease becomes chronic. This disease possess obstruction on
flow of air from the lungs. The most important symptoms of this disease include suffering from
difficulties in breathing, cough and production of sputum. While doing the considerations of the
patient, the nurse need to focus on the nursing assessments, the diagnostic reports that the man
had till now and also his medical reports. The nurse must consider the psychological conditions
of the patient along with his sexual, functional, emotional conditions and the age. The medical
background history of the patient need to be considered (Vaismoradi et al., 2014). In this case the
patient is suffering from chronic obstructive pulmonary diseases. The main causes has already
been described that the man is a heavy smoker and also drink socially. At present, the patient has
been found to be suffering from chronic obstructive pulmonary disease. The treatment of this
disease a much time taking process. The two common conditions that lead to the cause of this
disease are chronic bronchitis and emphysema (Köberich & Farin, 2015). The background
medical history is evidenced from the breathlessness that the man is suffering. The disease has
effected the lining of the bronchial tubes which has got inflamed. The alveoli at the end of the
smallest air passages are also destroyed. The nurse must at first consider all the present
conditions and the background medical histories of the patients (oskenniemi, LeinoKilpi &
Suhonen, 2015). At first The nurse must make sure whether the patient will be able to recover
within a short period of time or he will take a long time to be cured. All the nursing documents
including the details of the vital signs of the patients and also the progression report of the
patient are needed to be prepared. In the present case, the nurse should check chest size of Peter
as he is suffering from COPD, should check the oxygen level of the patient along with the pulse
rate. Finally, analysis of the changes in the vital signs should be done from before. The nurse
need to note down the outcomes supposed to receive after the treatment period is over and then
do the analysis how much the patient has recovered from before (Kelly et al., 2016).
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2CARE OF A PERSON WITH A MEDICAL CONDITION
Task 2
Nursing assessments.
For doing the nursing assessment at first the nurse need to completely go through the
clinical reasoning cycle. The nursing assessment includes all the information about the patient’s
physiological and psychological status of the patient. The first important assessment of nursing is
the admission assessment. The nurse must know carefully that whether this person has allergies
against some medicines or not. The nurse must know in details that the man has already been
immunized before or not, any injections have been given regarding the pulmonary diseases or
not (Arakelian et al., 2017). In the present case scenario, the man has been found to be suffering
from COPD so he might have taken medicines of bronchitis. She must do the thorough check up
about the medicines that Peter has taken till now. The physical and emotional needs differs from
person to person and also vary a lot according to different ages. Children, adolescents and old
persons have different needs and requirements. In the given case, the patient is a man of 44 years
of age. So he does not need much emotional supports, he just need the treatment of the diseases,
the medicines and also the diagnoses from time to time. The vital signs of the patients like the
blood pressure, body temperature, pulse rate are also needed to be checked and recorded from
time to till (Peplonska, Bukowska & Sobala, 2015).In this case, the person is suffering from
pulmonary diseases, so the oxygen carrying capacity must also be checked from time to time.
Peter must do the spirometry test and this test can be done after the inhalation of a medicine like
albuterol (Lamprecht et al., 2015). It increases the path of the airways so that air can pass
thorough the way. Shift assessment is another important assessment for a nurse and she should
do this assessment for each and every patient seeking care from her (Cornell et al., 2013). For the
given patient, the nurse definitely not going to spent the whole day in the hospital so she should
regularly check the vital signs of the patient and also note down the improvements that the
patient has been making because of this treatment. She should note down all the changes in the
vital signs and analyse how the patient has changed from the diseased conditions to normal
conditions. The last important assessment criteria is the focussed assessment. In this assessment
the nurse need to carefully assess the specific systems that are found to be effected by the person.
In the given case study, the patient is suffering from chronic obstructive pulmonary diseases. So
the effected systems of the patient’s body are the respiratory systems and the circulatory system
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3CARE OF A PERSON WITH A MEDICAL CONDITION
may also be effected (Malik et al., 2017). The nurse need to record the time that the patient is
taking for coughing. The pulmonary diseases can be diagnosed by measuring the time of
coughing. The respiratory rate should be recorded as it has much reduced due to blockage of the
supply of the air in the respiratory tract. The size of the chest must also be recorded. The lungs
are affected so, this may also effect the circulatory system. The pulse rate is slow, the circulation
of blood is also not occurring properly. The pulse rate must be checked properly time to time.
Task 3
Care planning
The care planning of the patients involve the nursing diagnoses. The diagnoses of the
nurses involve the identification of the problems of the nursing so that the nurses can improve
themselves in taking the care of the patient. The diagnoses of nursing is an important aspect of
nursing. This is completely a judgement, specially a clinical judgement regarding the
individuality, community issues and also the family problems to the health related problems and
also the problems of life. The medical diagnosis actually identifies a disorder and the nursing
diagnosis determines the causes of the disorders. In the given case, the nurse has the sole duty to
properly diagnose and take care of the patient. The first important nursing diagnosis is the actual
diagnosis. This diagnosis involves doing the clinical judgement of the experiences of a patient,
the responses that the family shows to the respective environment and it also involves how the
interaction is there in between the patient and the family members (Chiffi & Zanotti, 2015). Peter
is suffering from COPD, so the pathways through which the air passes has decreased lot and the
alveolar ends has also decreased. The actual diagnoses the nurse should make in this case is
impaired gas exchange. This refers to the excess or deficient in the concentration of oxygen or
carbon dioxide at membrane of alveoli and capillary. Gas exchange mainly occurs by diffusion
and this is maintained by the airflow so if the rate of airflow decreases the impaired gas
exchange will also be hampered (Lamprecht et al., 2015). The nurse must make sure what
medicine the patient actually needs and should provide medicines accordingly. The nurse must
consider the environment where the man is living (Chiffi & Zanotti, 2015). The concentration of
oxygen and carbon dioxide needs to be maintained as it gets disbalanced the body metabolism
will also get disbalanced (Bray et al., 2016). So the nurse can easily start taking care of the
patient as the actual diagnosis is over. The next diagnosis of a nurse is the risk diagnoses.

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4CARE OF A PERSON WITH A MEDICAL CONDITION
Through this diagnoses the nurse notice the responses of the individuals to different processes of
life. In the scenario, the patient may be develop the risk of infection ( Lee et al., 2016). As COPD
onizes in the respiratory tract and may lead to acute exacerbations. The vulnerability is
sometimes increases the risk of infection in the respiratory tract also increases. Different strains
of bacteria col measured by the different risk factors. The patient have some risks in
exacerbations of COPD. (Lamprecht et al., 2015). The decline in the function of the lung need
to be assessed .The next diagnosis is the diagnosis of ineffective breathing pattern. The patient is
facing aeration problems abnormally, the patient is not able to breathe properly and thus the
patient is unable to maintain the lung contraction and expansion. It also hampers the emotional
conditions of the patient as it is seen that the patient is unable to do his work properly (Harkness
et al., 2015). This is the clinical journey in which the nurses motivate the patients, their family
and the society to increase the well being of the people ( Roche et al., 2017). The nurse must
motivate the patient about the pulmonary diseases and the associated breathing problems to the
patient and his family for better well being. (Feo & Kitson, 2016).
Task 4
Education of patient
The present scenario involves the pulmonary diseases. So it is necessary for the nurse
and the different workers of the hospital to properly teach the patient. The hospital have a
multidisciplinary body which provides patient education at the time of the dispersal of the
patient. (Peter et al., 2015). The patient here suffers from pulmonary diseases and so it is
necessary to teach the patient and also his family about the cessation of smoking. The pulmonary
functions improves a lot if the smoking is stopped (Vogelmeier et al., 2017). The patients also
need to teach about the side effects of smoking, the main causative agent of the pulmonary
diseases. So, education of cessation of smoking should be spread in order to save the life of
Peter. The hospital management tool and different structural pathways provide methods so that
the patient get cured after the discharge from the hospital ( Hill et al., 2015). The tools provide
reminders from time to time to the patient so that the patient can take medicines timely. The
patient must get a written leaflet so that the patient can take medicines timely (Chiffi & Zanotti,
2015).
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5CARE OF A PERSON WITH A MEDICAL CONDITION
Task 5
Team care
So many people are there who take care of the patient. The main person involved in
doing the treatment of the patient are the doctors. The doctors start treating the patients after
taking the admission of the patient along with the nurses. Apart from the registered nurses, the
other nurses who are involved are the non registered nurses, who take care of the patients when
the registered nurses are not present. The AHPA’s membership involves different healthcare
professionals like audiologists, chiropracters, occupational therapists, exercise physicians,
dieticians, orthotists, orthoptists, pharmacists, psychologists, physiologists, sonographers and
social workers. The pharmacists provide the patients with the medicines ( Harkness et al., 2015).
The specialist of the disease are the most important ones who are responsible for treating the
diseases. In the present scenario, the patient needs a specialist who can cure pulmonary diseases.
The patient need exercise physician to improve the health conditions and also psychologists can
improve the mental conditions of the patients. Apart from these people the technicians involved
in doing the tests of the person are also a part of the healthcare team. The dieticians provide the
patients with proper food. The social services provide the patient with services and the rapid
healthcare services help the patients aiding with services at accurate time. (Karazvan et al.,
2015).Thus by involving all these persons a patient must get cured. In a hospital, starting from
the admission of the patient till the discharge all these persons work hard in cure the diseased
person. Thus the nurses are not the only ones who cure the patient, the credit of curing of a
patient goes to all the allied team members of the hospital.
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6CARE OF A PERSON WITH A MEDICAL CONDITION
References
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7CARE OF A PERSON WITH A MEDICAL CONDITION
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