Case study of Martin

Running head:CASE STUDY OF MARTIN
Case study of Martin
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1CASE STUDY OF MARTIN
An individual starting from his/her infancy to the age of 50 is capable of doing their
regular work efficiently. But after the person starts aging their capability to do regular task starts
depriving. Additionally, old age people, in general, tend to have more illnesses and issues in
comparison to the more young people. However, the alterations that accompany old age are high
in comparison to the normal changes that are seen in health. Social issues (such as living
arrangements or type of daily activities) have an impact on an older person and understanding of
the illness. This essay is about the case study of a patient named Martin Chen, who is 78 years
old. Martin has four children – Jason, Kenneth, Mandy, and Chu, who are now adults. He lost his
wife, Cathy in the year 2005 due to the result of bowel cancer, after which, he has been staying
with his youngest daughter Chu who is a pharmacist and her husband, Eric. Martin and his
family have strong Buddhist beliefs. He usually visits the Buddhist temple whenever his children
can drive him there. According to Martin, a visit to the Buddhist temple provides him with time
for meditation and relaxation. Chu and Eric have two teenage children, Lily and Cherry. Martin
has many past health issues such as Hypercholesterolemia, Hypertension, Transischaemic attacks
(TIA), Type 2 diabetes mellitus. Martin also has some past family medical history, such as his
father had Myocardial infarction and his brother had a cerebrovascular disorder. Martin is also
susceptible to Non-steroidal anti-inflammatory medications (NSAIDs), and Sulphonamides.
Martin’s health has begun to deteriorate. Chu and Eric has been concerned about Martin’s erratic
behaviors. He has erratic behaviours, struggling while speaking as he fails to find the appropriate
words to describe, he feels feared and is usually confused, fails in remembering names. Martin
was admitted in the hospital for a colonoscopy; however, he was formally admitted for five days
because of hypertension. In general, Martin required a nursing assistant for better communication

2CASE STUDY OF MARTIN
for better understanding of his situation. It was the nurse’s duty to ask for Martin’s needs while
he was being assessed for his vital signs.
Complex care also known as long-term care is given to patients who have considerable and
chronic healthcare needs. These can be the result of severe illness, incapacities or under any
hospital cure (Nelson et al., 2019). In this case study, it tells that when Martin gets admitted, he
has been undergoing colonoscopy, for bowel cancer screening. Martin was diagnosed with Type
2 diabetes, hypercholesterolemia, hypertension, trans-ischaemic attack and later he was having
memory loss as symptom of vascular dementia, both of which are severe problems and for which
he will need complex health care needs because if they are left untreated, then they can lead to
some severe health issue or death. Since martin was having Type 2 diabetes and other co-
morbidities, the management of other diseases got complicated. Patients are prescribed with
multiple medications to manager different diseases; however, it becomes a challenge for the
clinicians to manage patients with multiple medications. Thus they are provided with
multidisciplinary teams who will help such patients by providing the patient with treatment in the
home. General practitioners are well suited to address the complexities of the management of
type 2 diabetes. Importantly, three complex needs have been discussed which will play a crucial
role in maintaining health and safety and will help to prevent re-hospitalization.
 Wound management of left toe ulcer related to diabetic patient
As an ulcer has been noticed in the left foot, Martin should be provided podiatric medical
care. If a diabetic patient is diagnosed with an ulcer on foot then it should be cured to lessen the
danger of septicity and amputation, improve the condition of the foot, and lessen health-care
costs. The main goal is to reduce the infection of the ulcer as soon as possible. The sooner the

3CASE STUDY OF MARTIN
treatment, the fewer gambles for an infection. There are several factors for the proper treatment
of a diabetic foot ulcer such as the prevention of the infection then taking the pressure off the
area, called “off-loading”, removing all dead skin and tissues, called “debridement”, applying
medication or dressings to the ulcer for it start reducing or curing, and at last controlling the
blood sugar level to restrict other health problems from occurring. To keep an ulcer from
becoming infected, it is important to keep blood glucose levels under tight control, keep the ulcer
clean and bandaged, cleaning the wound daily, and avoiding walking barefoot (Schaper et al.,
2016).
 Behaviour Management related to vascular dementia symptoms
Handling a continuous series of aggressive or disruptive behaviour of a person especially
with symptoms of vascular dementia like Martin can become stressful for all people who are
treating the patient and who are concerned. The challenges for the nurse who will be working
with the multidisciplinary team will be to minimize the danger to themselves, to patient and, on
occasions, to minimize dangers to others who are present at that moment, and maximizing the
opportunity for a positive outcome. There are certain steps that need to be taken by the nurse
who are present with the multidisciplinary team to prevent Mr Martin’s aggressive behaviour.
First of all they should not invade the personal space of the patient unless they are applying first
aid. It is very easy to feel threatened and to misinterpret situations when feeling depressed or if
something is going on inside the mind. Keeping other people away from the patient during the
treatment of the patient. Communication with the patient should be done in a calm and smooth
way and it should be kept short. Avoidance of long explanations. The concentration or focus of
the aggressive patient is generally for a small duration thus keeping the communication, short
calm and smooth way will keep the patient from getting violent sooner and will make them