Case Study Mr James Saunders a 36 year old single male has been admitted to your ward with exacerbation of his asthma. His hearing is also moderately impaired and he wears hearing aids in both ears. After introducing yourself, you notice that his respiratory rate appears moderately fast at 28 breaths per minute. He tells you that he’s always struggled with the disease since a child, but during the early spring he tends to get worse, especially on windy days. He reports not feeling ‘too bad’ at present and that this degree of shortness of breath is ‘pretty usual’ for him. He denies coughing up any sputum, or any chest pain. He appears flushed, and is speaking in short sentences. You take his vital signs and note a BP of 140/70 and his oxygen saturation is 90% on room air. When you inspect Mr Saunders chest your note moderate use of accessory muscles and on auscultation there is wide spread respiratory wheeze. Describe a detailed focused health assessment of Mr Saunders carried out to address his current presentation of asthma. The essay should address the following points in your discussion. • Describe the area of focused assessment to be considered for Mr Saunders stating the rational for such a choice. • Describe the normal assessment parameters of the assessment identified in the previous question • Describe how Mr Saunders’s presentation deviates from these normal assessment parameters explaining the pathophysiological developments associated with each relevant symptom presented in the above case study. • Mr Saunders presents with a history of asthma, from your research on asthma identify any further areas to be investigated and what further assessment needs to be conducted to collect more data. • Explain the relationships that may exist between individual pieces of assessment data that enables you to identify a specific problem area • Identify potential risk factors that could contribute to Mr Saunders experiencing asthma in the future.
Purpose: To demonstrate an advanced understanding of health assessment in particular the use of focused assessment skills and considerations relating to the provided case study. There is a clear introduction that outlines the topic, and profiles the scope, content and the sequence of the essay topic. The content in the essay matches the outline presented in the introductory paragraph. Most paragraphs are organised in a logical manner so that content flows from one paragraph to the next, and the essay ends with a rational conclusion. There is a concluding paragraph which restates the topic, provides a summary of all of the key points, and presents an overall conclusion. The content is relevant to the topic. Appropriate evidence and examples are presented. The language is appropriate for the target audience, and suits the purpose for which the essay is intended.
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