Complex health needs Case study
Order ID: 89JHGSJE83839 Style: APA/MLA/Harvard/Chicago Pages: 5-10 Instructions:
Complex health needs Case study
This case study investigates the management of a 68-year-old woman with complex health needs, who has been referred for assessment and management of her conditions.
Martha has a history of vascular disease, having undergone a coronary bypass at the age of 53. Her past medical history includes type 2 diabetes (diagnosed 10 years ago), hyperlipidaemia, hypertension and atrial fibrillation. She is also a known asthma sufferer, with a history of multiple accident and emergency (A&E) admissions and therapy with prednisolone. Previously reported arthritic knee pain resulted in her reluctant retirement three years ago from her job as a PE teacher. She often feels breathless and has a moderate amount of ankle swelling, which she says is almost always present regardless of the time of day. Martha has also suffered from moderately lengthy depressive episodes in the past few years, since her husband died suddenly and her only daughter migrated to Australia. She has now presented for assessment and management.
The rest of this chapter will therefore consider the management of Marthas drug regime for physical illness as well as for her mental health problems. These mental health issues can be significant as age increases and life-changing events become more frequent and often much more difficult to handle.
Martha now lives alone and has just moved into sheltered accommodation. She has just changed her GP after 35 years and has visited the GP practice only once. Marthas daughter has noted that her mother seems to have become more agitated recently when she calls her, and that she is reporting palpitations, large fluctuations in her blood sugar readings and some shortness of breath on exertion. Martha also suffered a particularly painful fall. Her daughter begins to wonder what is happening with Marthas medication, as she seems to be taking a lot of drugs now, some of which appear to be new. Martha also regularly uses herbal medicine and her daughter has noted that this includes St Johns Wort.
Previously, Martha has been treated with a selection of drugs, which included amitriptyline, at times alongside drugs to manage agitation such as temazepam and nitrazepam. Other regular medication includes metformin, aspirin, digoxin, simvastatin, amlodipine, furosemide and telmisartan, with tramadol and diclofenac for arthritic pain and GTN spray and salbutamol inhaler as required (PRN) medications. Martha denies taking alcohol, has never smoked, and has no known allergies.
RUBRIC
Excellent Quality
95-100%
Introduction 45-41 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Literature Support
91-84 points
The background and significance of the problem and a clear statement of the research purpose is provided. The search history is mentioned.
Methodology
58-53 points
Content is well-organized with headings for each slide and bulleted lists to group related material as needed. Use of font, color, graphics, effects, etc. to enhance readability and presentation content is excellent. Length requirements of 10 slides/pages or less is met.
Average Score
50-85%
40-38 points
More depth/detail for the background and significance is needed, or the research detail is not clear. No search history information is provided.
83-76 points
Review of relevant theoretical literature is evident, but there is little integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are included. Summary of information presented is included. Conclusion may not contain a biblical integration.
52-49 points
Content is somewhat organized, but no structure is apparent. The use of font, color, graphics, effects, etc. is occasionally detracting to the presentation content. Length requirements may not be met.
Poor Quality
0-45%
37-1 points
The background and/or significance are missing. No search history information is provided.
75-1 points
Review of relevant theoretical literature is evident, but there is no integration of studies into concepts related to problem. Review is partially focused and organized. Supporting and opposing research are not included in the summary of information presented. Conclusion does not contain a biblical integration.
48-1 points
There is no clear or logical organizational structure. No logical sequence is apparent. The use of font, color, graphics, effects etc. is often detracting to the presentation content. Length requirements may not be met
You Can Also Place the Order at www.collegepaper.us/orders/ordernow or www.crucialessay.com/orders/ordernow Complex health needs Case study
Complex health needs Case study