Implement and Monitor Care for a Person with Chronic Health Problems

HLTENN012 Implement and
monitor care for a person
with chronic health problems

Table of Contents
1. INTRODUCTION.......................................................................................................................3
2. Complaint, assessment data and diagnosis..............................................................................3
3. Past medical and health history................................................................................................3
4. Clinical manifestations of the chronic health problems on the body systems.........................3
5. Health issues of the patient......................................................................................................3
6. Current treatments for the identified chronic problems...........................................................4
Resources and support services which can be utilised to meet patient's care needs....................4
7. a. Nursing interventions you performed based on the patient's needs according to continuum
of chronic disease.........................................................................................................................4
7. b. Patient's understanding of the conditions and its impact.....................................................4
7. c. Agencies and interdisciplinary team members involved in supporting patient's care.........4
8. Action plan...............................................................................................................................5
9. Involvement of Patient.............................................................................................................5
10. Own role and responsibilities.................................................................................................5
11. Variations in person's needs and response to these variations...............................................5
12. Level and type of contribution and support made by family or carer....................................5
CONCLUSION................................................................................................................................6
REFERENCES................................................................................................................................7

1. INTRODUCTION
Patient has been diagnosed with Cholecystitis w/ biliary sepsis and was having history of
diseases like PPM, T2DM, Osteoporosis, OA. For the patient several assessment were done t
accurately diagnosis medical condition. This is a case report that involves different aspects of
care for a person with chronic disease.
2. Complaint, assessment data and diagnosis
Patient has been diagnosed with Cholecystitis w/ biliary sepsis and for the purpose of
diagnosis assessment performed include QID obs and BGL & 0200 1.2 LFR, DW. Insulin S/S,
Daily Weight. Measurement of drain output and educate patient on how to empty bag.
Investigation was made about blood and blood culture 14/3, chest discomfort, ECG/Trop – NDA,
W/ temp of 38 c.
3. Past medical and health history
Past medical history of patient includes PPM, T2DM, Osteoporosis, and OA. PPM is
Primary-progressive multiple sclerosis, it is a disease of central nervous system in which
condition of patient keep worsening. T2DM is Type 2 diabetes mellitus, Osteoporosis is a bone
disease which occurs when body loses too much bone. OA is Osteoarthritis most common form
of arthritis. History of medication involves telmisartan 20 mg, novorapid, ryzodeg, palexia IR,
and paracetamol, Aspirin (Malhotra and et.al., 2020).
4. Clinical manifestations of the chronic health problems on the body systems
Chronic health problems of patient has several impact on body systems. PPM causes pain
in body such as headache, pain in legs and back pain. Type 2 diabetes mellitus can cause heart
and blood vessel disease and increases possibility of stroke and high blood pressure.
Osteoporosis causes bones to get weak and brittle that little stress can cause fracture.
5. Health issues of the patient
Actual
 Trouble with bowel and bladder control
 Weak bones and brittle that mild stress on bone or even bending can cause fracture
Potential
 Injury to bile ducts draining the liver
 Gallbladder gangrene