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APH102 Assessing physical health status - APH102 Assessing physical health status

Introduction
Assessing the physical health status of patients often requires different techniques depending on the gender, age and makeup of the client. Other members of the healthcare team will review the information you have obtained from the client, in order to ensure a plan of holistic care is established early. This prevents actual or potential complications occurring and identifies individual needs during the assessment process. This requires you to have a good understanding and knowledge of anatomy and physiology, and be able to demonstrate this during the assessment, admission and discharge process.

This assessment provides an opportunity for you to show your understanding of how to apply this knowledge to clients in the health care setting.

Summary
Following on from Assessment 1, this assessment presents two (2) scenarios relating to clients at different stages of their lives; an adult and an elderly client. When you have viewed the case studies, you will be required to respond to a number of questions related to the health related issues faced by the clients, specific to their developmental stage/age. Care planning will also be assessed related to actual or potential nursing diagnosis relating specifically to the scenario's provided.

Task Instructions

To complete Assessment 2, you will be required to read two (2) case studies and respond to a number of medium-response questions. Your responses must be typed into the spaces provided beneath each question, and the whole document must be submitted to the LMS portal as your response to Assessment 2.

These questions must be answered in full. When responding to the questions, please pay attention to the entire question being asked, as well as the prescribed word count (if provided). You are required to use the correct medical terminology when answering all questions. Answers requiring references must be provided in alignment with Think Education policy.

Assessment Question

Question 1. Referring to the information provided in Yu Yan's case, complete the nursing admission form, on the template provided below, using appropriate medical terminology. Ensure the documentation meets legal requirements.

Question 2. Based on the information received in the case study, you need to consider how best to plan appropriate care for Yu Yan. Using the template, develop a care plan for Yu Yan taking into account the information provided. This requires you to:
• Specify four (4) nursing diagnoses or risk factors associated with the client's health variations
• Record at least two (2) nursing interventions that could be applied for each diagnosis
• Clarify how your planned intervention reflect the client's interests and physical, emotional and psychosocial needs
• Note at least one (1) expected outcomes that you would hope for as a result of each intervention. (consider SMART goals when discussing outcomes)

Question 3. Yu Yan has confided that she is having trouble adjusting to her body image now that she is no longer fertile. For this question, review the stages of adulthood and;
a) Specify what developmental stage of adulthood Yu Yan is going through after her surgery, and list two (2) physiological/psychological changes people may go through at that stage.
b) List two (2) other stages of adulthood and for each, specify two (2) psychosocial or physiological changes that might be experienced by people going through the stage listed.

Question 4. Yu Yan has expressed embarrassment at needing assistance with her ADL's (Activities of daily living) due to her poor self-image. This implies she may need support emotionally as well as physically.
a) Outline the seven (7) areas of wellness and explain your understanding of each one.
b) Explain which areas of wellness Yu Yan is having difficulty with given her current anxieties
c) Provide two (2) nursing interventions you could provide to assist Yu Yan with her feelings of embarrassment.
d) And, provide one (1) community support agency that may be able to assist you to facilitate a wellness approach to care

Question 5. Yu Yan's situation is common amongst many women her age. Additionally, it may also be influenced by how she has grown and developed, and what her genes are.
• Specify four (4) stages of human growth and development
• In 20 - 50 words, explain how genetics and environment may impact a person's own development

Question 6. As soon as clients present to and are admitted into a healthcare facility, the healthcare team starts planning discharge requirements. List six (6) possible requirements Yu Yan may need to be arranged/ discussed before she is discharged, and explain why they are needed. Use 10 words for each.

Question 7. Yu Yan has 3-year-old twins at home, whose developmental needs differ from hers greatly. It is important that you understand these needs when considering the type of care that Yu Yan could be provided after discharge, as her wellbeing will affect theirs. Describe the developmental stages of childhood by addressing each point below:
a) Complete the table provided by listing the physical growth, psychosocial, cognitive and motor development needs of infants, toddlers and pre-school and school aged children
b) Explain in 20 words, the role of play in a child's development
c) Explain in 20 words, the impact that hospitalisation of a child can have on the child and family

Question 8. Yu Yan also has a 17-year-old son, Jason. His stage of development is different from both hers and the twins. In 30 words, describe the developmental stages of adolescence and list four (4) common health issues or psychological concerns that adolescents face.

Question 9. From the information provided in the scenario above, document an ISBAR handover for Fei Hong, on the template provided below, using appropriate medical terminology. Ensure the documentation meets legal requirements.

Question 10. Another Nurse has drafted a plan of care for Fei Hong. Respond to the questions below based on the scope of your work as an enrolled nurse, using 20 words for each:
a) How would you confirm that this plan reflects the needs of Fei Hong and her family?
b) If this care plan seems to conflict with the client's needs and requirements, who would you speak with and how would you justify your assumption?
c) If Fei Hong's situation deteriorated after admission, who would you communicate this to, and when and how should that be done?

Question 11. You have been asked by the RN to complete a physical assessment of Fei Hong. Using your understanding from your readings in Module 4.2, in 20 - 50 words;
a) Describe your understanding of the assessment techniques of inspection, palpation, percussion and auscultation
b) Provide an example of what body system/ vital sign you could use each technique for.

Question 12. After reviewing your readings in module 4.2, provide two (2) examples of what assessment can be conducted for each body system listed below and what assessment technique (as discussed in Q10) you could use as.

Question 13. As humans move through the stages of adulthood, like Fei Hong is doing, they experience changes in their body systems, which can affect moods, functions and perspectives. These can also be amplified when they are admitted to hospital. List six (6) risk factors older people face in hospital, based on their developmental changes.

Question 14. Consider the NMBA Code of Conduct principles 3.2 and 3.3, discuss three (3) considerations you would apply when gathering information from Fei Hong or her family during admission, planning for discharge or conducting an assessment.

Question 15. Yu Yan and Fei Hong have a complex family. Fei Hong lives with her daughter and her family and Yu Yan is very involved in the care of her mother. In 50 words, explain why it is important to include Yu Yan in the planning of her mother's care and describe two (2)
techniques nurses can use to increase a family's involvement in the care of their loved
one during hospitalisation.

Question 16. Disease and illness can be triggered by a number of causes, no matter the age of a person. These conditions can impact people in different ways. For each cause listed below, specify at least one (1)
• Condition/ disorder triggered by the identified cause.
• physical impact it may have on the client,
• emotional and mental impact on the client

Question 17. Cellular adaptation refers to changes made by a cell in response to adverse environmental changes. List the five (5) major types of cellular adaptation, and write one sentence for each, explaining what it is.

Question 18. Explain each of the life processes listed below, in less than 100 words each.
• Metabolism
• Nutrition
• Body temperature regulation
• Biological maturation
• Inheritance and ageing

Question 19. On examination of Fei Hong, you note that she is Edentulous (has no-natural teeth). Outline two (2) nursing interventions that may assist you to care for Fei Hong relating to this situation.