DTH107 Analyse And Respond To Client Health Information Assessment 1 Answer

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Question :

Assessment 1 Care Action Plan 
Course HLT54115 Diploma of Nursing 
Subject Title DTH107 Determine Health  
Unit of Competency HLTAAP003 Analyse and respond to client health information 
Title of Assessment Task Assessment 1: Case Study 
Length 1000  words  +/- 10% 

For this assessment, students must view ONE (1) case study  and respond to a care action plan . This action plan requires analysis and care planning and is based on the following diagram.  analysis and care planning figure

Remove surgical interventions 

Care Action Plan: Scenario  

 For this action plan, students must view the following case study  and follow this step to determine how to manage Rob’s issues. His specifications are noted here.  

Name: Rob Carrington 
Gender: Male  
Ethnicity: Caucasian 
Aged:  53 years 
Family Status: Father  
Religion: Anglican  
  • Married 
  • Occupation – Delivery driver 
  • Earns good money  
  • Travels a lot 
  • Overweight 135kg 
  • Likes TV and beer to cope with stress 
  • Has Type II Diabetes needing close management for job 
  • Smoker  
  • Diet preferences are  Convenience foods/ fast food
  • Unknown social support and external interests 
  • Has osteoarthritis in L) knee 

 The steps in the action plan for Rob Carrington are listed on the following pages. At each step, there are a number of questions you must respond to. Questions 1-14 relate to Rob’s situation.  Read these questions and take note of the information or actions that need to be addressed at each step. Then, respond in the spaces provided.

Step 1 Definition of Health Disorder 


Question 1 Rob has presented with a number of issues and symptoms; some of which are acute, some of which are chronic. In the table below, list which items are either chronic or acute. 
Question 2 Of Rob’s issues, which should be dealt with first; acute or chronic? Explain why in 50 words. 
Question 3 List five (5) body systems that are affected by Rob’s situation, and briefly note their purpose or function. 
Step 2 Normal Anatomy and Physiology 

Question 4 For three (3) of the body systems affected by Rob’s acute issues, list two (2) signs or symptoms that might indicate there might be a variation from normal function. Referencing required 
Question 5 The body consists of different levels of structural organisation and complexity. In 100 words, describe how each of the following items combine to make up the human body. In your response, specify what the different types of muscle tissue are and how human body systems are formed at a cellular level. 
Referencing required
  • Atoms, Molecules, Cells, Organs , Muscle tissue ,Human Body systems 


Step 3 Physiology 
Question 6 
For each body system below, describe:  
  • One (1) disorder or disease that may affect it 
  • The pathophysiology of the disease associated with the body system (20 words each system) 
  • The impact of the disease on the body system and their related structures in relation to potential impact of specific health procedures provided (30 words each). 
  • Referencing required

Question 7
ROB  has type 2 diabetes. In 50 words discuss the process of carbohydrate metabolism, including your understanding of anabolism and catabolism. 
Referencing required

Step 4 Diagnostic Tests 


Question 8 List three (3) methods you could  use as an enrolled nurse/ within your scope of practice to  assess Rob’s abnormalities, and briefly describe each one. 
Step 5 Prognosis 
Question 9 

In 150 words,  
9A: Define the acute event that Rob is presenting with.  
9B. The effects it has on the various body systems. Include potential signs and symptoms.   
9C. The impact this could have on wellbeing and Rob’s health. 
Referencing required
Step 6 Conservative Medical Care  
Question 10 Rob may need both conservative medical and surgical treatment. For each intervention (medical and surgical) specify: 
  • What the impact would be to Rob (20 words) 
  • One (1) relevant pharmacological process and one (1) drug action 
  • One (1) potential indication and one (1) potential contraindication  
  • The role of one (1) member of the interdisciplinary team that might be required  
  • One (1) limitation of each member 
  • Referencing required

Step 7 Nursing Care Plan 


Question 11 Based on your analysis of Rob’s health information, you must now prepare a nursing care plan that demonstrates your understanding of appropriate care and consideration of his needs.  
Fill in the template below, noting four (4) issues Rob has and how you will manage each one. Do not complete the final column (Discharge Plan), as it will be clarified in Step 9. 
Referencing maybe required


Step 8 Potential Complications 

Question 12 Describe the effects of biological maturation and ageing processes on the body systems related to Robs presentations (acute/ chronic) as discussed in the case study.  
Referencing required 
Question 13 
Revised question: 
Rob has suffered a cardiac arrest. In 150 words explain: 
13A: The major types of cardiac adaptation  
13B: How does a cardiac event affect the cardiac muscles/ tissues?  
13C: Explain the changes a cardiac event has on the heart?  
13D: How could physical exercise increase the strength of the cardiac muscles?
Referencing required

Step 9 Discharge Planning 

Question 14 Discharge planning should form part of a care plan. For the four (4) issues you specified in Step 7, provide a discharge plan that includes: 
  • The appointments that should be made for the client upon discharge  The information or documentation that should be provided 
  • The healthcare professionals who should be involved.
Do not fill in the greyed out boxes. 
Question 15 In 50 words, describe homeostasis and the relationship between homeostatic imbalance and disease. 
Referencing required

Step 2 Physiology 

Question 16 For each body system below, describe:  
  • One (1) disorder or disease that may affect it 
  • The pathophysiology of the disease associated with the body system (20 words each system) 
  • The impact of the disease on the body system and their related structures in relation to potential impact of specific health procedures provided (30 words each). 
  • Referencing required
Question 17
In 50 words explain the process of osmosis including osmotic and hydrostatic forces. 
Referencing Required   
Question 18  UTI presents with ketones, blood, nitrates and leucocytes
 In 50 words, explain the process of renal acidosis and alkalosis and what effect this has on the pH of the blood.
Referencing required.

Question 19  
For each of the issues below: 
  • Give an example of what the issue could be 
  • Note two (2) body systems that could be affected 
  • Explain the impact on each body system 
  • Referencing required

Question 20  In 20 words, for each response, address the below points: 
  • Explain the difference between molecules and compounds  
  • Describe metabolism and the two processes it involves 
  • What is pH? 
  • How does respiratory acidosis occur? 
  • What is alkalosis and how is it prevented?  
  • Referencing required
Question 21  For each of the body processes described below, specify the type of transport it relates to, using this list. 
  • Passive-Simple diffusion 
  • Active transport 
  • Passive- Facilitated diffusion 
  • Osmosis 
  • Hydrostatic pressure 

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