It is likely that Tom’s symptoms are being caused by problems with which body system? Explain the likely pathophysiology of Tom’s chest pain and the swelling to his feet and ankles. What diagnostic procedures could confirm his condition? What is the purpose of each of the above named diagnostic procedures? What health professionals will this client need to access for his condition (name at least 3)? What services would each provide? Mary is a 56 year old woman who has recently been diagnosed with type 2 diabetes. She is morbidly obese and has a body mass index (BMI) of 35. She is visiting a community health clinic for assessment and education for her newly diagnosed condition. 1. Explain 5 potential health issues Mary faces as a result of her obesity. 2. Name two (2) external and (2) internal factors that could be affecting Mary’s health status. 3. What health professionals and allied health staff may be involved in the care of this client? Explain the role of each. 4. What type of health education should nurses give this client to assist her with controlling her condition? 1. Case Study (14 marks) Client A 40 year old male has presented with unstable blood glucose readings which are secondary to his type 1 diabetes. 1. Explain the long term complications that may occur if this patient’s disease progresses. 2. Name 5 specific health care professionals that may be involved in the long term care of a client with type 1 diabetes and briefly explain the role of each. 3. Explain the services and therapies that would be provided as part of long term community care for this client. 2. Case study (14 marks) Client A 24 year old male presents at the emergency department following a motor vehicle accident (MVA). He had an elevated blood alcohol reading and appears to be intoxicated. The client suffered a blow to the forehead in the accident. He is reported to have lost consciousness at the scene. On admission he is incoherent and aggressive. 1. What internal factors are likely to be affecting the client’s physical conditions? 2. What external factors have contributed to this client’s condition? 3. If the client’s level of consciousness declines 6 hours after admission, what may be their diagnosis? When responding, consider the onset, peak and duration of alcohol in the system and factor in your knowledge of brain injuries. 4. What specific diagnostic tests would be required for this client? 5. Name two specific health care professionals who would be involved in the care of a client with an acute head injury and briefly explain the role of each. 3. Case study (14 marks) Client A 79 year old Chinese Buddhist woman has been admitted for palliative care in a respite facility. She has requested that no opiates be given to her as she wishes to die without pharmacological intervention. 1. Referring to the competency standards for Enrolled Nurses, explain the ethical issues that would need to be considered when caring for this client. 2. This client appears to be in increasing pain, and the Enrolled Nurses caring for her understand the importance of her request to have a medication free death, yet they are upset by her discomfort. What are the responsibilities of an Enrolled Nurse in this situation, and who could they seek advice from? 3. What non pharmacological treatment could be provided as pain relief?