Can anybody give advices for my casestudy?

feelsogood · Apr 4, 2010

:redlight: Help me...!!

itsmejuli · Apr 4, 2010

I suggest you find a med/surg textbook, get Taber's Cyclopedic medical dictionary, and a careplan book.

Take a look through the links at the top of this forum, there are many I'm sure you will find helpful.

Fatmah Jabr · Apr 5, 2010

the assessment type that you will use for this patients is according to what you need to know about the patient, if this patient is newly admitted patient and this is your first time to examine him then use the head to toe examination to maintain a baseline data for this patient, if this patient already known to you ( as you are the care provider for this patient) or the complete physical assessment had been done to him and he had been diagnosed, then you need to use the systemic examination according to the patient condition, let's say in your patient case you need to examine the systemic examination (neurological, respiratory, integumentary system (skin) . to support your findings from the chosen physical assessment it is better to use relevant assessment tools, in your patient's case (adls assessment tool as your patient has limited activity, respiratory assessment tool because your patient on oxygen, and waterlow assessment for the pressure ulcer).

the assessment technique usually referred to the assessment method (inspection, auscultation, palpation, and percussion) according to the part of the body that your examining, for example you will use all of this methods when you examine the respiratory system, and you'll justify your using for this method e.g. inspecting the chest wall is to examine the chest movement, chest configuration ( you may find an abnormal finding of breathing with effort, abnormal chest wall figure which happened with chronic reparatory conditions patients like asthmatic).

the critical evaluation is the abnormal finding from your examination (as the example of abnormal chest wall figure) you need to mention all of the abnormal results and justify with the normal range in this area.

"clinical" manifestations of a disease mean those that can be determined by history (talking to the patient) and examination (observing the patient, including with some simple tools like a stethoscope or thermometer).

for example, you might diagnose pneumonia clinically by talking to the patient and finding they have got sick quickly, feel hot one minute and cold the next, have trouble walking up stairs and are coughing a lot of discoloured phlegm. on clinical examination they have a fever, are breathing rapidly and have lung sounds consistent with consolidation. you deduce or diagnose clinically that they have pneumonia.

you might then confirm your "clinical" diagnosis with (non clinical) tests such as a chest xray, sputum culture and blood gases.

determine pathogenesis and predisposing factors: this part needs to write the pathology of this disease how this disease happened and what was the leading factors, am not sure which condition you will talk about in your case since you have multiple conditions.

critical analysis of pathophysiology; you can find a detailed information and analysis about many of the medical conditions in the medical text books.

for the health assessment i recommend for you (jarvis text book for physical examination and health assessment), it is the best i ever used.

i am doing similar assignment these days, i hope my information will help you.

good luck with your assignment :)

feelsogood · Apr 5, 2010

Thank you sooooooooo much. You save me really. :)