Chronic Health

Community and Support Groups in my area that could help Mrs. Yong are

    • The community health nurses.
    • The professional students in their attachment terms.
    • Herbal gardening and horticulture group

Define "Activities of Daily Living".

Mrs. Yong would have to help Mr. Yong with his activities of daily living. The activities are washing clothes and utensils, managing farm work and workers.(Gold Coast Stroke Support Group, 2009). These activities include eating, bathing, dressing, toileting, walking and self-discipline. (Walton & Marriot, 2008).

This colleague is exhibiting two examples of "racist" internalised racism and unintentional racism. The terms overlooking of Chinese means administering care without considering the western way of caring. It has the traditional way of taking care of patient with chronic health versus the modern thinking or perspective way of care.

The common signs and symptoms of a CVA are:

        • Difficult in seeing
        • Hard in talking
        • One feels lazy and tired
        • Having no strength to walk
        • Headache

The physiology behind the symptoms is that a CVA takes place when arteries which moves oxygen rich blood gets blocked causing inadequate flow of blood. This will lead to discontinuous blood supply resulting to death of brain cells because the cells are weaken by the blood with oxygen.

          • Four goals of rehabilitating a stroke patient are:
            • Assist the patient to regain back to working ability.
            • To Change the patients state of perseverance, movement and walking.
            • To help change the moods and effects that usually comes with stroke
          • The teaching strategy that will help Mr. Yong is by Mrs. Young availing teaching material which consists charts meant for health education, patient workbook modules detailing COPD management in all characteristics of the disease; inhalation technique sheets; and a plan of action (Walton & Marriot, 2008). This will execute a lot of confidence to Mr. Young to have a positive thinking about life

The early warning signs/symptoms for the cancers are following:

          • Ovariancancer Frequent urination
          • Abdominal pain
          • Lack of appetite
          • The ovary develops abnormal increase or swelling
          • Bladder-Painful while urinating
          • Frequent urination
          • Urine can contain blood
          • Lungcancer
          • Persistent coughing
          • Blood can be seen in the coughs or saliva
          • Difficulties in breathing
          • Pain can be felt in the chest
          • Lose of weight
          • Headache
          • Prostatecancer
          • Difficult while passing out urine
          • Pain during urination
          • Blood in urine
          • Chronic constipation
          • Presence of blood in semen
          • Difficulty in erection
          • Breastcancer
          • Persistent pain in one area of the breast
          • Change in breast shape and size
          • Hard lamp in the breast
          • Dimpling of the skin

What causes Angina?

Angina is caused by damages in the inner layers of the coronary arteries which might have happened as a result of high blood pressure, smoking, and high contents of sugar in the blood (Walton & Marriot, 2008). The pathophysiology of this condition is that enough blood does not flow to the heart muscle hence developing pain in the chest. This will result to pressure in which one can collapse (Sandford, 2008). The pathophysiology is caused by how we live. Taking heavy meals leads to gaining a lot of weight. Excessive smoking contributes to this problem, as well. The angina symptoms are brought by the narrowing of the heart (National Stroke Foundation, 2009). High blood pressure contributes to angina, one need to check on the types of food and fats used: too much cholesterol leads to this.

In the treatment of Angina, Sub lingual Glyceryl Trinitrate Tablets and Beta Blocker medications are used.

On discharge, the Enrolled Nurse must give the cardiac patient the relevant information on these medications. The information are name of the dosage to be used, time when the drugs are to be taken, frequency and duration when the drug is to be administered (National Stroke Foundation, 2009).

When a patient has an angina attack, it is important to assess his/her pain.

As a nurse, I will do this carrying out blood tests to know the amount of cholesterol and glucose in case the patient is diabetic and also to know if the liver is in proper working condition. Measuring waist size and the weight. Lastly take urine test to determine the working condition of the kidneys. (Walton & Marriot, 2008).

Three clinical manifestations that characterize Chronic Heart Failure include:

  • Abrupt weakness of the face, arm, or leg particularly on one side of the body. (Gold Coast Stroke Support Group, 2009).
  • Difficulty in seeing with one or both eyes
  • Abrupt severe headache with no known cause.

The COPD stands for Chronic Obstructive Pulmonary Disease.

The clinical manifestation of COPD.

Coughing is one of the manifestations of COPD. Coughing is a normal response of air channels of eliminating mucus. It can be controlled by taking in fluids to loosen the secretion. The latter needs medical attention from the doctor regularly. Controlling the cough lessens the act of emptying the vessels (Crisp & Taylor, 2009). Breathlessness is the change of lungs from their normal way of working. Pulmonary rehabilitation is useful in helping people to lessen the breathlessness (Cancer Council of Australia, 2011). Fatigue is another symptom of COPD meaning loss of energy. This can be controlled by doing exercise always, taking medicines as per the direction of the nurse. The clinical manifestation is aimed at improving patient's outcomes.

Discuss two possible triggers that could start an asthma attack.

Allergy-Release of chemicals and pollutant could start an asthma attack. This can happen in a way that some people are allergic to environmental disposal; they do not enjoy a place with chemicals or chlorine gas, wood preservatives. These are environmental allergies. Extreme temperature changes also contribute to asthma attack, both cold and hot weather conditions must be observed (Diabetes Queensland, 2011).

How chronic kidney disease affects haematological system.

The haemoglobin concentration and hematocrit comes down in chronic renal failure victims. They give a perfect view to which red cell is lessening (Carers Queensland, 2010).

    • Secretion leads to the high rate of destroying red blood cell count. This reduces the haemoglobin and hematocrit concentration.
    • Cardiovascular system Kidney function is to remove wastes and extra water in blood when it fails to urea in the blood goes up (Brown & Edwards, 2008).

This urea is harmful and can affect the vital organs, mainly the brain. If kidney fails signs emerges causing disorder of perception, emotions, thought and memory. During dialysis urea are eliminated and some fluids go to the brain causing headache, tremors, and vomiting. Aluminium placed into the brains of patients with the dialysis dementia ailment. This is as results of patients on a longer period of haemodialysis (Alzheimer, 2010). To curb the difficulties, water used during dialysis is made clean once again by reverse osmosis.

How to carry out the Basic Life Support

The first step I would take is to see if the person is alert by speaking loudly into his or her ears. I will do this very carefully without squeezing the person to avoid deeper injuries which might have gotten after falling.

Secondly place the arm on the chest to check if the heart beat is normal and breathing well. In case the patient is not breathing i will seek for the emergency assistance.

The next step would be to try to rescue the breath by tilting the head backwards, closing the nostrils, and putting my full breath into his or her mouth. If after two rescue breaths, the person does not breathe, I would do some chest compressions. After the compressions, I would continue performing rescue breaths and compressions until help arrives or the person starts breathing on him or herself. (Alzheimer, 2011).