Case Study: Diagnosing and Managing Lina Liaw's Health Problems (CRC)

This case study focuses on Lina Liaw, a 75-year-old woman residing in Brisbane, who presents with a complex set of health issues including hypertension, osteoporosis, and suspected vertebral fracture and pneumonia. The analysis begins with an introduction to Lina's situation, including her social withdrawal and recent fall. The case identifies key health issues, such as hypertension and osteoporosis, supported by relevant symptoms and diagnostic recommendations. The document then outlines smart goals and interventions aimed at managing depression, controlling blood pressure, and addressing cognitive degeneration and osteoporosis-related fall risks. It also provides an evaluation and reflection section, emphasizing the importance of family involvement, pain management, fluid intake, and emotional support. The case study is supported by references to medical literature, providing a comprehensive overview of the patient's health challenges and potential interventions.

CRC AS PER CASE STUDY
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Brief Introduction to Lina
 Lina Liaw is a 75 year-old women who resides in Brisbane
 She lives alone
 she got diagnosed with hypertension followed by
osteoporosis after the death of her partner
 She became quite , anxious a well as socially withdrawn.
 One morning she was found fallen on the floor
 She as taken to a local hospital
 The management of the healthcare home suspected
vertebral fracture and pneumonia

Identification of the Chosen health issue and
associated ND
 The heath issue as being suspected by the management of the local nursing home include vertebral fracture
and pneumonia
 Normal blood pressure should not exceed 120/80 and 140/90; thus patient exhibits symptoms of
hypertension
 Patient suffers from Osteoporosis making her susceptible to fractures; therefore, X-ray recommended
 On the basis of her large tear on lower limb, it can be concluded she suffers from poor skin integrity
 Relating to the clues it can be seen the patient’s partner died that may be termed as a gendering factor for
depression
 Inference can be drawn relating to high pulse rate being major cause of hypertension (Wolff, Spillman,
Freedman & Kasper, 2016)

Smart goals
S (Specific) 1. Reducing Hypertension
2. Reducing falls
3. Revising her diet to reduce brittle bone
M (Measurable) 1. The measurement of the sphygmomanometer used for measuring hypertension should be
brought near 120/80.
2. The target is to prevent any kind of major or minor falls within the next week
3. At least 5 calcium reach food items and fruits will be included in her diet.
A (Achievable) 1. At least 10 percent improvement pr week is the target for hypertension.
2. A nurse to take care of her daily activity will be recruited for her within the next 5 days.
R (Relevant) 1. A constant companion will be appointed for Miss Lina so that she can reduce her mental
stress by regular communication
2. More lights should be installed in her residence in order to prevent sudden falls.
T (Time bound) 1. Her hypertention shoud be kept in control by the next 2 months.
2. By the next 2 months the strength of her bones should be increased by 45 percent
3. By the net 1 month the rate of her fall should be reduced by attest 75 percent.

Intervention and Rationale
 The patient needs suitable intervention to manage
depression by staying in a collaborative environment
 There remains immediate need to control the increasing
levels of blood pressure, by practising alternative
therapies such as yoga
 The patient needs to be made acquainted with a
stimulating environment to control cognitive
degeneration (Kogan, Wilber & Mosqueda, 2016)
 Osteoporosis issues may be addressed by reducing the
risk related to falls by maintaining a proper diet
Source: (Shuman et al., 2019)

Evaluation and Reflection
 Including the patient’s family in the act of
decision making
 Work on reducing the level of pain caused due to
the fall (Puts et al. 2017)
 Increase the intake of fluid to decrease the high
blood pressure
 Work on directing the emotions to cope with the
loss of partner Source: (Wolff, J. L., Spillman, Freedman & Kasper, 2016)

Reference
de Souto Barreto, P., Morley, J.E., Chodzko-Zajko, W., Pitkala, K.H., Weening-Djiksterhuis, E., Rodriguez-Manas, L., Barbagallo, M.,
Rosendahl, E., Sinclair, A., Landi, F. & Izquierdo, M., (2016).. Recommendations on physical activity and exercise for older adults
living in long-term care facilities: a taskforce report. Journal of the American Medical Directors Association, 17(5), 381-392.
Kogan, A.C., Wilber, K. & Mosqueda, L., (2016).. Person‐centered care for older adults with chronic conditions and functional
impairment: A systematic literature review. Journal of the American Geriatrics Society, 64(1), e1-e7.
Puts, M. T. E., Toubasi, S., Andrew, M. K., Ashe, M. C., Ploeg, J., Atkinson, E., ... & McGilton, K. (2017). Interventions to prevent or
reduce the level of frailty in community-dwelling older adults: a scoping review of the literature and international policies. Age and
ageing, 46(3), 383-392.
Shuman, M., Chukwu, A., Van Veldhuizen, N., & Miller, S. A. (2019). Relationship between mirtazapine dose and incidence of
adrenergic side effects: An exploratory analysis. Mental Health Clinician, 9(1), 41-47.
Wolff, J. L., Spillman, B. C., Freedman, V. A., & Kasper, J. D. (2016). A national profile of family and unpaid caregivers who assist
older adults with health care activities. JAMA internal medicine, 176(3), 372-379.