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Case Study with Beryl Assignment

   

Added on  2021-04-17

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Running head – CASE STUDY ON BERYLCASE STUDY ON BERYLName of the student;Name of the university;Author note;

1CASE STUDY ON BERYLResearchers are of the opinion that person centered approach is the most suitableapproach in providing nursing care to patients where things are thought and done in ways thatputs the patient sing the social as well as the health services as equal partners. The nurses makesure that they take care of the patients in ways by which the patients feel included in planning,developing as well as monitoring in their own services. This in turn ensures patient satisfactionand patient compliance with the care services (Jafar et al., 2016). At the same time, nurses shouldalso ensure the use of the clinical reasoning cycle by which they can collect cues, process theinformation and thereby come to an understanding of the patients’ problem, plan and implementinterventions that bring the best outcome of the patients ensuring safety and good health(Douglas et al., 2014). The case study that is provided here shows the patient has number ofsocial and psychological issues that result in a number of biological imbalances in the body ofthe client. Lipidemia and hypertension would be the nursing priorities of the healthcareprofessional following that the care interventions should be proposed.Beryl is a 50-year-old woman who works as an HR manager in the executive position andstates that she remains busy throughout the day due to excessive work pressure. In the rest of thetime, she remains highly engaged in the activities that include her children. She has threechildren who go to schools and need her support in her activities. Therefore, all these result increating severe stress on her that leaves her with very few times when she can take care ofherself. She is separated from her husband and after her divorce with him; she has taken theresponsibility of the children full time. Therefore, it remains a pressure on her where she has tohandle both the office work and the children at the same time. This gives her no time to cookfood for herself and she therefore buys take in food.

2CASE STUDY ON BERYLAfter the different diagnosis and collection of information from the patient, it is seen thather blood pressure was very high which accounted for about 160/95. Her weight is found to be105kg and her weight is 150cms. This accounts to a Basal metabolic index of about 46.7 thatshows that the patient lies in the obese category. Moreover, her lipid rates were also assessed.Her low-density protein was seen to be 3.1 mmol/L that is slightly higher than the normal low-density protein rate. Researchers are of the opinion that the rate should be below 3mmol/L(Morton et al., 2017). Again, her high-density lipid is found to be 0.8mmol/L. Researchers are ofthe opinion that high density lipid also called the good cholesterol should be 102 mmol/l orhigher than that. However, in case of the patient, the level is quite low than the normal level.Therefore, the diagnosis states that she is suffering from lipidemia and this level should betreated. Journal articles suggest that professionals should start treatment when the totalcholesterol should be above 5.8mmol/l. since in this case, the total cholesterol is 6mmol/ltherefore and it becomes nursing priority for the client. The client is also seen to be sufferingfrom hypertension as her blood pressure was found to be 160/95. This might lead to a number ofsevere life threatening physiological imbalances resulting in damage to arteries, heart, brain aswell as kidneys (Auserhofer et al., 2014). Hence, taking care of her blood pressure level will beanother nursing priority on the patient.A number of causes result in development of hyperlipidemia in adults. The common onesthat are also the cause of the occurrence of the disorder in case of the client are poor diet andother factors. Researchers are of the opinion that when the body takes in lot of unhealthy foodhigh in calories, it results in deposition of fat. When body fails to remove such a he amount offat, it builds up in the blood and over the course of time, causes damage in the arteries and otherinternal organs of the body (Blom et al., 2014). This results in development of heart disorders.

3CASE STUDY ON BERYLOther causes of hyperlipidemia are obesity as well as excessive consumption of alcohol. In caseof the patient, her BMI suggests that she is obese and her drinking wine on a regular basis showsthe cause of her development of hyperlipidemia. Moreover, eating foods which contain saturatedas well as trans fat, animal protein like meat and dairy are also causes. Beryl is seen to havecoffee with full cream milk that is affecting her immensely. She is also not having enoughchances of exercising and eating healthy foods as she has to buy take in food due to lack of timeof cooking healthy food (Bozkurt et al., 2016). All these act as important causes for the patientdeveloping hyperlipidemia. Here large number of low-density lipoprotein is developed in thebody that results in deposition of cholesterol in body cells and in walls of arteries. It is alsoresulting in development of low quantity of good cholesterol or high density lipoprotein whichhelps in cleaning up excess of the ‘bad cholesterol; from the body and brings them to the liveraway from the arteries. This pathophysiology clearly states how her low HDL and her high LDLare responsible for occurrence of hyperlipidemia in BERYL.Researchers are of the opinion that there might not be any specific cause of occurrence ofhypertension in patients as the condition develops over years. The main causes like sleep apnea,kidney issues, adrenal gland tumors and others were not found to be true in case of the concernedpatient called Beryl. However, a number of risk factors can be noted in the discussion that mighthelp to shed more light on the reason of the occurrence of the symptoms of hypertension in theclient. The risk factors of hypertensions include being overweight or obese which is true in caseof Beryl. In addition, when human beings are not physically active and drink too much alcohol, italso results in development of hypertension (Falaschetti et al., 2014). Therefore, Beryl wasexposed to these risk factors developed hypertension in the course of time. Beryl was alsoexposed to high levels of stress in her daily schedules as she had to perform huge number of

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