Potential Health Complication: Stroke Case Study PPT 2022

Mr. Tomasi Joni Case Study
Potential Health Complication: Stroke
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Introduction
 Human beings are prone to health complications. The
complications likely to be developed in daily lives are
determined by several factors. Some include family
medical history, past patient medical history, lifestyles
and occupation.
 For this presentation, an analysis of Mr. Tomasi Joni Case
Study has been done to determine one of the health
complications he is likely to develop based on the
provided information.
 A discussion of the potential health complication for Mr.
Tomasi Joni has been discussed by the use of the “Levett-
Jones’ (2018) Clinical Reasoning Cycle Steps 1-6”.
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Running head: MR. TOMASI CASE
STUDY

Step 1: “Consideration of the facts
from the patient situation”
 This step involves an analysis of the current situation of
the patient. The current analysis of Mr. Tomasi Joni
medical status reveals the following information.
 His blood pressure is 142/96mmHg. Blood pressure refers
to the exerted force on the blood vessels walls by the
circulating blood (James et al, 2014). It is generally
referred to as the arterial pressure. The heart rate is HR
96bpm.
 A normal heart rate should range from 60bpm to 100bpm
(Billman, 2011).
 A retention rate of 22bpm and a body temperature of
36.7 degree Celsius are normal.
 SpO2 96% on RA is also normal since it should range
between 95% and 100% normally.
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Step 2: “Collection of information”
This step involves the consideration of the past medical history of a patient,
the current plan for treatment and the results obtained based on the
investigations done (Hunter & Arthur, 2016).
Mr. Tomasi Joni has a past history of hypertension, gout, Acute Myocardial
Infarction (AMI) and Obstructive Sleep Apnea (OSA).
His medications include Metoprolol, Aspirin, and Allopurinol.
The current investigation reveals the following results for Mr. Tomasi Joni.
His weight is 93 kilograms, height is 1.7 meters and there is evidence of
abdominal fats being excess. The waist circumference is also 104
centimetres. This means that he is obese.
His total level of cholesterol is 9.2mmol/L. This is a high level of cholesterol
since the normal cholesterol level should be 5mmol/L or less for healthy
adults (Cook, 2015).
His fasting blood glucose level is 9.6mmol/L. A high fasting blood glucose
level above 7.0mmol/L is considered to be risky.
His Urine Albumin-to-Creatinine Ratio (Urine ACR) is 10mg/mmol. This Urine
ACR level signifies Microalbuminuria.
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Step 3: “The gathered information processing”
 This step involves the processing of the patient’s current health status
gathered information considering the patterns of pharmacology and
pathophysiology in order to come up with a relevant decision.
 Based on the gathered information, the following conclusions about Mr.
Tomasi Joni’s current health status can be drawn.
 His blood pressure is high at 142/96mmHg.
 His heart rate 96bpm, RR 22bpm, SpO2 96% on RA and body
temperature of 36.7 degree Celsius are normal (Nunan, Sandercock &
Brodie, 2010).
 He is also obese. This is because his body mass index of 32.18 exceeds
30 which is considered to be obese.
 His cholesterol level is also high at 9.2mmol/L since it exceeds the
normal cholesterol level which should be 5.0mmol/L or below.
 Also, his fasting blood glucose level is high at 9.6mmol/L since it is above
the normal level of 7.0mmol/L.
 His Urine ACR of 10mg/mmol indicates his kidney is moderately damaged
which signifies Microalbuminuria.
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