NSG3RDP: Joanna Cleese Case Study and Health Assessment

This report presents a comprehensive analysis of the case study of Joanna Cleese, a patient who experienced a fall resulting in multiple fractures and subsequent health complications. The report delves into the changing conditions of the patient, highlighting the impact of the trauma and pre-existing conditions such as hypertension and diabetes. It explores the potential for further deterioration, considering factors like bone fractures, reduced blood pressure, and the challenges posed by her medical history. The study examines the health assessment tools utilized, specifically the primary ABCDE assessment and the head-to-toe assessment, detailing their processes and importance. The report emphasizes the critical role of monitoring the respiratory system in managing the patient's condition. Overall, the report provides a detailed overview of the case, incorporating relevant literature and analysis of potential consequences, contributing to a better understanding of patient care in complex trauma scenarios.

Essay and Case Writing

Contents
INTRODUCTION...........................................................................................................................3
MAIN BODY..................................................................................................................................3
Changing Condition of Patient....................................................................................................3
Further Deterioration in the Health condition of Patient.............................................................4
Health Assessment Tools that are used for Primary and Head to Toe Health Assessment of
Patient..........................................................................................................................................4
Importance of the Monitoring of the Respiratory system............................................................6
CONCLUSION................................................................................................................................7

INTRODUCTION
This study is providing brief information of the case study that is based on Joanna Cleese.
Various elements from her case study will be analysed in the report to provide better overview of
her case and further possibilities that are related to her case. Different literature will be used in
the study to provide better overview about the health condition of Joana Cleese. All possible
deterioration could occur for this patient with detailed evidence. Different tools that are used in
the assessing the health condition of the patient will be considered in the study (Liao, Jin and
Pavel, 2016). Both primary and head to toe assessment processes are compared in the report to
analyse the assessment processes that can be used for the case of Joanna Cleese. The physical
health indicators will be used in the report to analyse the possible future conditions in health
conditions of the lady. Possible consequences that can be observed later in the case of Joana
Cleese will be studied in the report.
MAIN BODY
Changing Condition of Patient
Medical trauma is considered as physical or emotional response people may have due to
different accidents like illness, injury, surgery, or any other intensive treatment (Zhao and Lin,
2017). This type of situations are critical for people who are facing any king of physical and
mental trauma. Physical and emotional trauma can lead the individual person to the critical
situation that can affect the health of the individual person for long term. She is a year old female
and had faced an accident where she fall from 2 meter height on concrete floor. According to the
report of the Joanna Cleese there are some symptoms are observed in some days that her physical
conditions and health conditions are changing. Some of the indications in her body are reflecting
various symptoms that can be considered to provide her with proper treatment. As per the case
study Joanna Cleese was up on a ladder from which she fall on the concrete floor from height of
2 meter. At this age bone density is major problem in females (Stewart and Hamza, 2017). This
can affect the further heath treatment of patient. As per the assessment of the Joanna Cleese,
there were multiple fractures were found in her body. The injuries that are faced by her in the
accident are sever and can lead to many other problems in future. The medical history of Joanna
Cleese is also not good for the health care organization because medical history can force the
medical team to avoid many other treatment process that are need to be used for her recovery

(Stewart and Hamza, 2017). There are some changes are continuously occurring in her health
condition which are major sign of negative changes in health conditions. Declining blood
pressure, increasing pulse rate are signal of health falling situation. This conditions can affect the
health of the Joanna Cleese. Due to the hypertension, diabetes and old age issue she can not be
provided with normal medication which is provided to the normal patient. This is how the case
of Joanna Cleese is getting worst with the time. There are several issues and health challenges
are faced by Joanna Cleese like hypovolaemia, haemorrhage and hypertension. Joanna is
suffering from these challenges that can be considered for deterioration in the health condition of
her (Singh and Carlton, 2017). Various injures can also affect her health condition and reduce the
efficiency of respiratory system due to decreased intravascular volume. This can affect other
physical processes in body and can lead to more deterioration in her body.
Further Deterioration in the Health condition of Patient
As the health condition of the Joanna Cleese is falling and complicacy of the case is
getting worst. There are some deteriorations can be observe in her health condition. The medical
history which is not good can affect the recovery process of some factures that are faced by her
in accident. Due diabetes the risk of bone fracture increases (Petersen, 2016). This can affect the
strength of bone and reduce the healing rate of the bone fracture. This thing can increase the time
of healing for the sever fractures. Reducing blood pressure can cause dizziness in Joanna Clsses
and affect the stability in health. Reducing blood pressure also can affect the cardiac functions.
Poor cardiac function can reduce the ability ti recover with normal speed. Poor heart conditions
and hyper tension that is diagnosed in previous reports (Petersen, 2016). Old age also can make
conditions more critical that can affect the treatment process of the patient. During surgery this is
also critical process to inject Joanna Cleese with dose of anaesthetic. Minor changes in the dose
can affect the process of surgery. The wounds in the process of surgery also can take longer time.
Blood pressure, hypertension and fracture bones can reduce the stability in their health. This is
how the symptoms and further deterioration the health of Joanna. In the primary health analysis
process the factors that can be considered as risk factor for health of patients are examined and
removed in order to provide primary treatment to the patient (Liu and Hao, 2017). This is all
about reducing the risk of death for patient. This process is used by the doctors to set the base
line for the patient in treatment. In future deterioration in blood pressure and mental stability due
to the trauma of the accident. The environment of hospital also can affect the health condition of

Joanna Cleese. This is how future deterioration can be evaluate on the basis of current symptoms
that are observed in her.
Health Assessment Tools that are used for Primary and Head to Toe Health Assessment of
Patient
There are different health assessment tools are used by the health care organization to
assess the health conditions of the people (Bragadin and Kähkönen, 2016). There are two types
of health assessment process are used in the health care organization which are known as
primary health assessment tools and other processes that is used in the health conditions
assessment of complete body are general known as head to Toe Health assessment tools.
Primary Health Assessment Tools (ABCDE)
In the primary health assessment process ABCDE health assessment processes are
evaluated by the nursing staff to evaluate the primary health conditions of the Joanna. ABCDE is
acronym of Airway, Breathing, Circulation, Disability and Exposure. All these considerations
are made in the health assessment process to provide better cure to the health conditions of the in
the initial process the airway related problems are treated for the Joanna Cleese (Al‐Hussein and
Haldar, 2016). Airway blockages are assessed and treated on the primary basis to avoid any kind
of issue related to it. After the assessment of the air way patient is assessed for the problem that
is related to the breathing issue. Breathing problems are assessed and treated to avoid the
interruption in respiratory system of the Joanna Clese (Liao, Jin and Pavel, 2016). The main
purpose of the primary analysis is to treat the life threatening issues in patient to correct them as
soon as possible. In the airway assessment voice and breath sound of Jonaah Clesse is analysed
in order to assess the airway of the patient. In the breathing analysis respiratory rate, chest wall
movement and chest pressure is analysed in the primary check up of the breathing problems to
provide immediate treatment. In the third step the circulation in the body is analysed where skin
colour, sweating capillary refill time, palpate pulse rate, heart auscultation and blood pressure are
analysed to provide quick solution to the patient for further treatment. In the next step any kind
of disability is analysed in Jonaah Clesse. In this assessment process level of consciousness of
the patient, alertness, voice response, pain responsive and unresponsive, limb movement
pupillary light reflex, blood glucose is analysed to analyse any kind of disability in the Jonaah
Clesse (Singh and Carlton, 2017). In the end of the primary assessment process expose skin

temperature is analysed to know the body temperature of the Jonaah Clesse to complete the
primary analysis process and select the primary treatment for the patient. After the accident all
these primary assessments were performed to evaluate the primary health condition of Joanna
Cleese.
Head to Toe Assessment
Head to toe assessment is mainly refers to physical examination or health assessment. In
this process complete body of the patient is assessed in order to evaluate their health conditions
in order to evaluate the needs and problems of the patient. This is how complete physical test is
performed in the head to toe health assessment process (Liu and Hao, 2017). There are different
processes and assessment processes are used by the doctors or nursing staff to assess the
complete body check-up of the patient. Basic equipment that are used in the head to toe
assessment processes are gloves, thermometer, blood pressure cuff, watch, scale, height wall
ruler, tape measure, pen light and stethoscope. These are basic tools that are used by the nursing
staff to evaluate the health conditions of the patient. For more comprehensive examination tools
like otometer, ophthalmoscope, reflex hammer, tongue depressor, sterile sharp object, sterile soft
Object and something for patient smell is used for the assessment process. In the head to toe
assessment all the system of the body are assessed in order to analyse the health condition of the
people. Overall health evaluation. There are different steps are used by the health care
organization to provide better assessment to the Jonaah Clesse case (Edens and Boccaccini,
2017). Main steps that are followed in the head to toe assessment process is- documentation of
the patient and past medical history. By this process better health assessment can be defined by
the health care organization. All the information need to be communicated to the patient to make
them aware of the tests and assessments that are followed in the health assessment process. By
considering bilateral symmetry organization can help the organization to evaluate the health
condition of the Jonaah Clesse. The skin of the patient is analysed in the next step. By skin test
circulation of the blood can be evaluated in the head to toe assessment process. In the next step
the eyes of the patients are analysed by the nursing staff to check the vision and reflexes to the
light and other activities. Ears of patients are tested in this process by checking the response of
the patient towards the sound (Edens and Boccaccini, 2017). Nose of the patient to check for any
blockage to maintain the continuity in the respiratory system. In the next step probe is used to

analyse the mouth and throat of the Jonaah Clesse. Neck and the shoulders are examined by the
doctor of trained staff to evaluate their health conditions. Lungs and thorax of the patient is
analysed in the next to examine the respiratory system of the patient. In the next step the
circulatory system of the patient by examining the pulse. By this process pre analysis of the heart
function can be performed. Gastrointestinal system of the Jonaah Clesse is examined by the
nursing staff by asking question to the patient. Later in the head to toe health assessment process
hands and arms of the patient in the examination process. This is how complete process is
followed in the head to toe health assessment process.
Importance of the Monitoring of the Respiratory system
For the nursing staff this is important for the health care organization to evaluate the
health of the patient on the basis of number of breaths per minutes (Bragadin and Kähkönen,
2016). This is the sign of ventilation of the air in lungs. Change in the breaths of the patient can
be considered as deterioration as body tries to maintain oxygen that is delivered to the tissues.
Change in the respiratory rate can lead to less oxygen supply to the tissues that can cause
dizziness or numb ness in the patient.
Methods to Measure the Respiratory Rate of the patient
There are different processes can be used by the nursing staff to measure the number of breaths
that are taken by the patient in the respiratory system. Mainly for the analysis of the respiratory
rate of the Jonaah Clesse Standard Pulse Oximeter is used by the nursing staff to measure the
breaths per minute (Al‐Hussein and Haldar, 2016). Normal watch also can be used to measure
the respiratory rate in the patient (Zhao and Lin, 2017). This is how different processes can be
used to measure the respiratory rate of patient in the health analysis process to perform health
condition of the people like Joanna Cleese.
CONCLUSION
This report is concluding the information about the case study of Joanna Cleese. That
health condition of the patient has been analysed on the current customs that are visible in their
health condition. On basis of different literature and evidences the possible future condition of
the patient has been analysed in the report. In the report primary and Head to toe health
assessment process has been analysed in the report. various process ti analyse the respiratory
process has been discussed in the report.

REFERENCES
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