Case Study - Question Answer

Running Head: CASE STUDY
QUESTION AND ANSWERS
Name of the Student
Name of the University
Author’s Note

CASE STUDY1
Question 1
Ted is an 82 year old widower who lives all alone because his wife died 3 years ago and his
children live far away from him. Considering the patient situation according to the clinical
reasoning cycle it is necessary to evaluate his situation through the bio-psychosocial, spiritual
and cultural aspect. He has gone through a bowel resection surgery and a formation of temporary
colostomy before 4 days and he is in a post-operative care. He also underwent a colposcopy and
bioscopy that indicated he had a malignant mass, considering his surgical events, it is necessary
to focus on his medical history, which consisted of type 2 diabetes mellitus, heart failure, gout
and obesity. Ted has been suffering from several health complication from the last few years. His
social background suggest that he has been living alone because his son lives overseas with his
wife, son and daughter who lives with her husband and 3 children in the city. Ted moved to a
retirement village a year ago and he has a partner called Gwen who is 78 years old. His surgical
history has a bio-psychosocial impact on him because he lives alone after his wife died and he
has to be dependent on other for his medical needs (de Oliveira Serra et al, 2016). The RLT
model of nursing suggests that an efficient nursing process has assessment, diagnosis, planning,
intervention and evaluation so Ted has been assessed for his condition that suggested he needed
a bowel resection. He was kept without food for 48 hours after the surgery. When he was given
his regular diet he started vomiting, which does not show positive implications. His care plan
will be related to the planning, intervention and evaluation done for his surgical procedures. It
will also affect his family from the spiritual and cultural aspect because his ailments are a matter
of concern for his near and dear ones. He is a widower, which is a bigger reason for him and his
family to get worried for his condition.

CASE STUDY2
Question 2
The information about the patient has already been given that will be used to evaluate his issue
and identify the health complications he is suffering from. His BMI is 37.6 m2 and it falls under
the range of obese class 3, which is not an ideal situation seeing his condition because he has
already suffered from heart failure, and he has diabetes mellitus. The excess fat in his body is the
reason for his lifestyle diseases to not stay in control and it can also increase the chances of
further complications such as bowel obstruction, kidney dysfunction, and more cardiovascular
diseases (Buch et al., 2016) He has tendencies of vomiting and nausea after he continued with his
usual diet, this suggests that his bowel resection has not healed completely and it is not working
as expected. Some of the symptoms after an improper bowel resection is abdomen pain, bloating,
no bowel movement and no flatulence. His abdomen is distended and he complains that his
abdominal pain gets worse after causing palpitations, which is on the scale of 7/10. Palpitations
occur in patient even when they have gone through a non-cardiac surgery that includes
abdominal and vascular surgeries. His abdomen pain is caused due to the recent surgery he went
through and the palpitations are a similar event that occurs in patient after a surgery (Puelacher et
al., 2018). His vital signs indicated that his temperature, SpO2 and heart rate was normal,
whereas, his blood pressure was higher than the normal rage (135/85) mmHg and his respiratory
rate was slightly higher than the usual range (26). His elevation of blood pressure shows that it is
a side effect of surgery, which happens due to the use of anesthesia or it might be a prevalence of
arrhythmia as he has already suffered from heart failure (Erb, Hyman & Osler, 2014). The
palpitations are the reason for his respiratory rate to be slightly higher than the normal range
because irregular heart beat is the reason for pulmonary hypertension. He has a right sided

Running head: CASE STUDY QUESTION ANSWER
Case Study Question Answer.
Name of the student-
Name of the University-
Author Note-

1CASE STUDY QUESTION ANSWER
Introduction
Aiming to understand the manner in which the Icelanders have fought against the hostile
natural conditions to attract tourists, the following answers will endeavor to relate to the original
incident and its related nuances.
Discussion
1.
The DMO in this case study is the Inspired by Iceland in Iceland.
2.
a) A closer look at the case study will reveal that the campaign is titled as “Inspired by
Iceland”.
b) The name of the campaign is reflective of the collated efforts that were amalgamated
by the Icelanders in relation to retain the tourists’ attraction that is vested in the area (Inspired By
Iceland, 2019). The name of the campaign had been chosen to act as a yardstick for the world to
understand the importance of pulling efforts to combat hostile conditions. The inspiring name of
the campaign has been chosen to reflect the inspiring efforts and contribution of the government
officials and the tourism department. The name of the campaign also encompasses the notion of
‘honorary islander’, which refers to the manner in which every Icelander participated in
welcoming tourist to their country. The campaign is so named because it is emblematic of the
inspirational ideas and activities that can be followed by the countries across the world. Studies
also reveal that ‘Inspired by Iceland’ has been able to garner the required and targeted audience.

2CASE STUDY QUESTION ANSWER
3.
The two target groups in this campaign were as follows:
a) The younger generation
b) The older generation
It is quite important for the destination Marketing Organizations to adopt strategies
for marketing about the tourism enterprises. In the above-mentioned case study, the
DMO had adopted the strategy of opting the online means to attract the younger
generation audience. In addition to this, to attract the older generation, the DMO had
incorporated the traditional means of marketing to reach to a wider audience. Studies
are emblematic of the fact that the proper usage of online means can help in
accentuating the future prospects of tourism (Gyimóthy, Munar, & Larson, 2014).
Adoption of proper marketing implements had assisted in improving the prevalent
condition in Iceland.
4.
Recent studies depict the fact that DMO’s employ the method of Price, Research,
Implementation, Control as well as Evaluation (Masiero, Nicolau, & Law, 2015). A closer look
at the case scenario will unearth the idea that DMO had adopted the strategy of proper research
related to the aspect of improving the situation and to delete the negativity around Iceland
tourism. The adoption of research had enabled the DMO to improve the situation. They had
researched about the prevalent trends and temperaments related to tourism. Rampant research
had enabled the country to understand the manner in which the online sites can be used to add to
the campaign (Anon, 2019). Further, the strategy of comprehensive planning had helped in