Clinical Handover

This document discusses the clinical handover process and its significance in healthcare. It provides information about the medical background of a patient suffering from multiple diseases. The document also offers recommendations for patient care and treatment. Explore Desklib for study material and assignments related to clinical handover.

Running head: CLINICAL HANDOVER
CLINICAL HANDOVER
Name of the student
Name of the University
Author note

1CLINICAL HANDOVER
Identification
I am the registered nurse of the community and the name of my patient is Mrs. Zoya
Solarian who is an old woman of 72 years.The patient is a widow and have no children, she lives
alone in the 3rd floor of a walk up apartment.
Situation or current issues
The patient presently takes the medicines perindopril, actrapid pen and simvastatin
(Elliott et al., 2015) All of these medicines suggest that the patient is suffering high blood
pressure problems, problems from high diabetes type II or diabetes mellitusand also have high
cholesterol levels in the blood. I am visiting this person because this person is suffering from a
few sensitive diseases and my knowledge about the diseases will also increase.
Medical background
I have asked the patient about the disease that she has suffered before. She told that she
has suffered from type II diabetes mellitus, hyperlipidaemia, hypertension and cataract in the
right eye. The patient is suffering from different diseases at the same time. The main cause of
diabetes mellitus is hypertension. So her diabetes has increased high because she use to get
tensed at simple matters. She is also having cataract in her right and as she has high diabetes
operating the cataract is also very hard. She also has hyperlipidaemia, thus has high level of lipid
in the blood. She must take medicines regularly and if required the medicines that she is taking
now should be changed and new medicines should be given to get cured from the disease.
Presently, the patient is taking the medicines perindopril, actrapid pen and simvastatin. The
medicines are showing how the patient is effected with the diseases. Her high blood pressure is

2CLINICAL HANDOVER
caused by doing tension unnecessary tensions and because of becoming tensed she has been
caught by diabetes mellitus. These diseases are inter-related, one disease is followed by the
others. Her medicines also suggest that she has high levels of lipids in the blood, this poses a
serious threat to her heart (Villegas-Rivera et al., 2015). Other comorbidities no doubt effects the
patient. Her main cause of doing hypertension is that she lives alone in an apartment. No one is
there to take care of her, she has to do everything on her own at such an old age. The apartment
where she lives have no lift and so the woman had to use the stairs every time she needs to move
out of home. The patient takes perindopril of weight 4mg once in a day, actrapid pen 100units/ml
and simvastatin of weight 40mg once in a day. The medications are clearly showing that she is
suffering from diabetes mellitus, hypertension and hyperlipidaemia. The woman takes each
medicines for curing each of the diseases.
Assessment
Before visiting a patient, a nurse must now in details about the medical history of the
patient, from which diseases the patient has already suffered, the current medicines that the
patient is taking and also about the different risks associated with the medicines that the patient is
taking (Uchida et al., 2015). She must also know about the economic backgrounds from which
the patient belongs and also the environment in which the patient lives. Many diseases occur
because of the unhealthy living conditions (Munshi et al., 2015). While treating the patient I need
to identify whether the patient has allergies against any medicines also and the medicines should
be prescribed accordingly.

3CLINICAL HANDOVER
Recommendations
My goal is to treat Mrs. Solarian within 21 days and to notice how much she has
recovered within this period of time. I will take care of her by preparing a care plan specially for
her as she is suffering from so many diseases at the same time. At first I will analyse about the
problems that she is suffering and will do the analysis of the problems (Wang, Yu & Hailey,
2015). Then I will list the outcomes that are expected occur after the framed time period. I will
definitely change the diet plan that she is taking at present, no fat containing foods will be
present in her diet and amount of carbohydrates also should be reduced. Her foods will contain
more proteins and leafy vegetables (Westra et al., 2015). I will definitely check her vital signs
time to time and shall record all the changes and how her health is improving. I must evaluate the
changes that the patient is undergoing. In the care plan I will definitely keep some time for her to
do exercises daily. As I have not taken care of any patient suffering from diabetes mellitus before
I am not much confident whether I will be able to take care of her or not, so from the next
appointment I will become much more conscious about the food habits of the patient as people of
all ages cannot take all kinds of foods.

4CLINICAL HANDOVER
References
Elliott, W. J., Whitmore, J., Feldstein, J. D., & Bakris, G. L. (2015). Efficacy and safety of
perindopril arginine+ amlodipine in hypertension. Journal of the American Society of
Hypertension, 9(4), 266-274. doi.org/10.1016/j.jash.2015.01.012
Munshi, M. N., Florez, H., Huang, E. S., Kalyani, R. R., Mupanomunda, M., Pandya, N., ... &
Haas, L. B. (2016). Management of diabetes in long-term care and skilled nursing
facilities: a position statement of the American Diabetes Association. Diabetes
care, 39(2), 308-318.doi.org/10.2337/dc15-2512
Uchida, K., Satoh, M., Inoue, G., Onuma, K., Miyagi, M., Iwabuchi, K., & Takaso, M. (2015).
CD11c+ macrophages and levels of TNF‐α and MMP‐3 are increased in synovial and
adipose tissues of osteoarthritic mice with hyperlipidaemia. Clinical & Experimental
Immunology, 180(3), 551-559. doi.org/10.1111/cei.12607
Villegas-Rivera, G., Román-Pintos, L. M., Cardona-Muñoz, E. G., Arias-Carvajal, O.,
Rodríguez-Carrizalez, A. D., Troyo-Sanromán, R., ... & Miranda-Díaz, A. G. (2015).
Effects of ezetimibe/simvastatin and rosuvastatin on oxidative stress in diabetic
neuropathy: a randomized, double-blind, placebo-controlled clinical trial. Oxidative
medicine and cellular longevity, 2015. doi.org/10.1155/2015/756294
Wang, N., Yu, P., & Hailey, D. (2015). The quality of paper-based versus electronic nursing care
plan in Australian aged care homes: A documentation audit study. International journal
of medical informatics, 84(8), 561-569.doi.org/10.1016/j.ijmedinf.2015.04.004

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Westra, B. L., Latimer, G. E., Matney, S. A., Park, J. I., Sensmeier, J., Simpson, R. L., ... &
Delaney, C. W. (2015). A national action plan for sharable and comparable nursing data
to support practice and translational research for transforming health care. Journal of the
American Medical Informatics Association, 22(3),
600-607.doi.org/10.1093/jamia/ocu011