Implement and monitor care for person with chronic disease

Running head: NURSING
Implement and monitor care for person with chronic disease
Name
Institution

NURSING
Case study 1
Question 1 answer
From Beverly’s past health history based on the symptoms presented, the actual health
problem she might be undergoing is identified as the chronic kidney disease which has posed the
above symptoms.
The potential health problem Beverly might be experiencing can be linked to the heart disease
following its effects on the cardiovascular mortality in patients which causes cardiomyopathy.
Question 2 answer
The shortness of breath experienced by Beverly can be linked to the impacts caused by the
chronic kidney disease which has affected proper function of the heart since most of the veins
responsible for the circulation of oxygenated blood in the body is tampered with.
Question 3 answer
Coughing of pink, frothy sputum by Beverly indicates the signs of pulmonary edema. Other
signs of pulmonary edema experienced by Beverly are anxiety and excessive sweating which is
caused by the failure of left ventricular. The pathophysiology of the pulmonary edema is a
condition where fluid leaks into the alveolar spaces which is due to the hemodynamic caused by
pulmonary venous obstruction or micro vascular injury.

NURSING
Question 4 answer
The medication for chronic kidney disease has not been established since the condition cannot
be completely treated but medication can be given in order to control the symptoms from getting
worse. Dialysis treatment can be done in order to replicate some of the kidney functions which is
necessary for stage five of the chronic kidney disease. Kidney transplant is also necessary for
controlling the disease as it controls some of the symptoms during stage five of the chronic
kidney disease.
Question 5 answers
Cardiomyopathy can be treated through medications provided by the qualified medical
practitioners through the following process.
Diuretic: This involves increasing the production of urine by the body in order to get rid of the
excess saltwater in the body.
Statin: This involves decreasing the production of harmful cholesterol by the liver.
Blood thinners: This medication will help to prevent the blood clot from forming in the veins.
Question 6 answer
The condition that is chronic kidney disease will negatively impact the daily activities of
Beverly following the medication process she is undergoing. Personal hygiene of Beverly will be
altered with following the symptoms of her conditions which is considered unhygienic therefore
she is expected to improve her hygienic condition than before. Daily activities like doing heavy
work on her farm will be hindered since the condition does not require more energetic activities.

NURSING
Question 7 answers
The 1.5 litres fluid intake restriction for Beverly is necessary based on her health condition.
Restriction is necessary in order to reduce the ultrafiltration function of the kidney so as to
reduce the fatigue.
Question 8 answer
Beverly may have a renal dysfunction complication due to the excess consumption of sugar
due to her love for wine. Excessive consumption of sugar into the body will increase the
ultrafiltration work of the kidney leading to kidney fatigue which may result in renal dysfunction
due to overworking.
Question 9 answer
The permanent pacemaker will be essential in implantation on the hemodynamic profile so as
to relieve symptoms on patients with sick sinus syndrome since it will control the pace at which
the ventricular pumps the blood to the whole body.
Question 10 answer
Nursing diagnosis for the chronic kidney disease for Beverly thus according to her health
condition is dialysis process. Kidney dialysis will be necessary in the case of Beverly since it
involves artificial removal of excess body fluids and waste products from the body. The process
of hemodialysis involves filtering waste products and extra fluid from the blood using a thin tube
which is inserted into the abdomen filling abdominal cavity with a dialysis solution that absorbs
wastes and extra fluids from the blood.

NURSING
Question 11 answer
The doctor’s recommendation for the daily weigh before six o’clock in the morning is
essential for Beverly who has a chronic kidney disease since at this time, there will be no excess
fluid buildup in the body, therefore, Beverly will be able to know her exact weight. At this time,
the body weight obtained will be similar to the weight which a person with normal kidney
function weighs.
Question 12 answer
The symptoms associated with the hypothyroidism include:
• Whole-body fatigue, lethargy or feeling cold even on a hot day
• There will be a slow growth rate and delayed puberty development
• There will hair loss and dryness of the hair
• Slow heart rate
• Sexual dysfunction
• Irregular uterine bleeding
Question 13 answer
Pantoprazole helps in reducing the amount of the acids in the stomach, heartburn thus also
help treat stomach ulcers. GORD is a condition where one keeps on getting acid reflux.

NURSING
Question 14 answer
In managing Beverly’s daily activities following her tired nature due to her health condition,
finding a house help will be appropriate for her to help her to manage some of the household
chores which might need more energy to complete. Hiring people to help her with the farm's
work will be a good idea for managing her daily activities as she will not be involved in most of
the activities due to her medical condition which makes her feel tired and unable to complete her
daily activities.
Question 15 answer
The information and findings based on Beverly’s condition of shortness in the breath before
reporting the condition to the doctor involves gathering information on her daily activities which
might make her feel short in breathing. Her past medical history would be appropriate
information for her condition in order to identify some of the possible cause for the condition.
Question 16 answer
Salbutamol is used to relieve symptoms on asthma by relaxing the muscles of airways into the
lungs which make it easier to breathe therefore it aid to relieve shortness in breathing.
Question 17 answer
Baseline assessment of Beverly’s condition is important so as to get a medical history. The
medical history will provide information on her health status so as to help the doctor to perfectly
analyze her health condition for better medication.