Case Study on Mrs. Ethel Simpson
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Added on 2020-10-04
Case Study on Mrs. Ethel Simpson
Added on 2020-10-04
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URN:QUT174801 | PATIENT: SIMPSON, Ethel MerleThis case study is based on Mrs. Ethel Simpson who is 64 years old. She attendsthe pre-admission clinic with her grand-daughter to discuss her up-coming left knee arthroplasty. Later, she undergoes the surgery and is then three days post-operative, in the orthopaedic ward.You will need to access the Mrs Simpson Simulation Case Study resource in yourBlackboard site to view medical documents and the three videos that tell the storyof Mrs Simpson.
Caring for a patient with dementia and arthritis who is at risk of injurySettingthe sceneSocial: Ethel is 64 years old and lives in a Granny flat attached to her daughter’s home. She has good support from this daughter and grand-daughter, and her other two children who visit at least weekly. She was previously a registered nurse. She has six steps in her house that she needs to negotiate.Her worsening arthritis, particularly the arthritis in her left knee has made it extremely difficult for her to leave the house in the last two months. Ethel complains of poor appetite, difficulty sleeping and not wanting to leave the house.Ethel was diagnosed with Alzheimer’s dementia a year ago and has been partially independent in all her basic activities of daily living. She is continent but needs assistance with bathing and household activities such as cleaning. She can cook basic meals and feed herself. Cognitively she is oriented to person, place and year. She can recall 3 out of 3 words immediately, but 0 out of 3 words at 5 minutes. Her attention is intact.Mrs Simpson and her family sought advice from her GP because of the worsening pain of her arthritis, particularly in her knee and the impact this was having on her mobility. After being referred to an orthopaedic surgeon for review, the decision was made for a knee arthroplasty to be done.Epidemiology / pathophysiology of disease processes The National Health Priority Areas of Arthritis and Musculoskeletal conditions, Dementia and Injury Prevention and Control were established with the aim of improving health outcomes in these areas.Musculoskeletal conditions are conditions of the bones, muscles and their attachments (e.g. joints and ligaments). Osteoarthritis, rheumatoid arthritis and osteoporosis are the most commonly occurring musculoskeletal conditions. They have substantial influence on the quality of life and impose a heavy economic burden on the community.Injuries are adverse effects on the human body. They are a significant source of preventable illness, disability and premature death in Australia.Dementiaisdefined asthe lossofmentalprocessing ability,including communication,abstract thinking,judgmentand physicalabilities, such thatitinterferes with dailyliving. Conditionsassociated with dementia are typically progressive,degenerative and irreversible,forwhich there iscurrentlyno cure.NSB335 Assessment 3Page 2 of 16
Your Task:Use the Clinical Reasoning Cycle on the following pages to review the nursing priorities in relation to the care of Ethel.NSB335 Assessment 3Page 3 of 16
Watch the two videos – Pre-admission Clinic and At homeGain an initial impression of your patientQuestion 1:Review the anatomy and physiology of the three musculoskeletal conditions listed above (osteoarthritis, rheumatoid arthritis and osteoporosis). What type of arthritis do you think that Ethel has?Explain the rationale for your answer.Your Answer:In accordance with the musculoskeletal conditions listed, each one has their own set of problems and causes due to which affects a person. In this context, osteoarthritis is a joint disorder that is caused by cartilage loss in a joint. Further, rheumatoid arthritis is determined to be an autoimmune disease that causes damage throughout body and jointpain. Lastly, osteoporosis is caused when density of bone decreases (Rohde & Domm, 2018, p. 405). This has negative impact over strength and structure of bones and increases the conditions of fractures.Among these, I think Ethel has osteoarthritis as this is a health condition that is faced by old people. Apart from this, she will be undergoing arthoplasty which is a common surgical intervention for osteoarthritisGain an initial impression of your patient.Question 2:List three variables that put Ethel at risk of injury. Justify your answer.Your Answer:NSB335 Assessment 3Page 4 of 16
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