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Health Assessment
Perform a health history on an older adult.
John is 74 years old. He runs his own business with his wife Pam. They have three children i.e. Susan, Debbie and Henry. In the last thirty years, John has been dealing with major health issues to include: colitis, having his gallbladder removed and two separate liver transplants. When John was in his 40s, he was sent to the hospital with an infection related to colitis. Two years after he was released, John's skinned turned yellow and he experienced jaundice. The doctors determined that his bile was backing up into his gallbladder. They removed it and created ducts which go directly to the liver. Ten years later, John began to experience jaundice again and was informed that he had sclerosis of the liver. He was placed on the organ transplant list and received a new liver two years later. However, after the surgery he was still experiencing complications and had his new liver failed within five years. John spent the next two years going back and forth onto the transplant list and waiting for a new liver. Nearly, 10 years after receiving his first liver, he was given a second transplant. Since this time, John's health improved and he is now following the most appropriate lifestyle and dietary choices. (Juall, 2006)
Complete a physical examination of the client using the "Individual Health History and Examination Assignment" resource. Use the "Functional Health Pattern Assessment" resource as...
He follows a daily regimen that is focused on having a balanced diet, exercise and following the prescribe therapy protocol. For anyone who has an organ transplant, they will have to take drugs to suppress their immune system. This means that they are easily susceptible to diseases such as the common cold. The routine practices he follows are designed to maintain physical conditioning through running, walking, biking, lifting weights, practicing martial arts and playing golf. This takes place for a minimum of 30 minutes every day over the course of four days each week. His diet consists of a mixture of fruits, vegetables, nuts and limited amounts of fat. John follows the Mayo Clinic's Pyramid Triangle. He has no other conditions and is classified to be excellent health. His second transplant is a success and he made a full recovery. He takes a positive attitude about himself and his family. This is something he has utilized to go from being a TV repairman to owning his own electronics store with nothing more than a high school education. John has the appearance of someone who is confident and in control. He believes his transplants are something which gave him more perspective about his life and the direction he wants it to go. These areas help John to effectively channel his stress. Over the course of time, this has…
References
Nutrition and Healthy Eating. (2014). Mayo Clinic. Retrieved from: http://www.mayoclinic.org/healthy-living/nutrition-and-healthy-eating/in-depth/healthy-weight- pyramid/art-20045416
Juall, L. (2006). Handbook of Nursing Diagnosis. Philadelphia, PA: Lippencott.
Yang, Shan, Saxena and Morris (2014) provide a review of liver transplantation in their study for Liver International. The researchers are from Melbourne Medical School and the Department of Surgery in South Eastern Sydney, Australia. The article is entitled "Liver transplantation: a systematic review of long-term quality of life." It focuses on how liver transplants are the only way to cure terminal liver disease because no other intervention works.
Tummy-Ache Debate A woman complains of abdominal pain and is rushed to the hospital. After an examination, the physician informs the woman that she needs a kidney transplant. However, based on the managed care organization's utilization management review, a nurse practitioner decides to deny the procedure for this patient. The woman eventually dies as a result of not having the transplant. I personally feel that managed care organizations should provide the
In theory, such evaluations could be useful, but as is, they are fairly useless. Plus, the validity and necessity of evaluations are up for debate themselves, besides the actual results from the evaluations being up for debate. Thus, the bioethical dilemma in those who abuse their bodies before and after receiving organ transplants lies not necessarily just with the recipients, but also with society, and with the medical field with
They also reject the argument that public support for transplantation will endure something bad if it becomes known that donated organs are being used for alcoholics. There is an extensive reluctance to consider people with alcoholic cirrhosis for liver transplantation. The authors of this article do a good job of presenting both sides of the argument about whether alcoholics should be eligible for liver transplants. They present both a moral
Introduction Women without functioning uteruses now have a real chance of making their motherhood dreams come true with a radical new surgical procedure that involves a uterus transplant. Mats Brannstrom, the Swedish doctor who was the first in the world to deliver babies from transplanted uteruses, has successfully delivered about half a dozen babies from transplanted uteruses so far (“First baby from a uterus transplant in the U.S. born in Dallas,”
Based on etiologic differences, male-to-female ratio is 1.5-3:1. Primary biliary cirrhosis accounting for only 1.5% of deaths from cirrhosis is mostly found in females and ethanol-related cirrhosis is greatly found in males. Age-specific death rates in the United States tend to be greatest in the older age groups, topping at 49 per 100,000 males aged from 65-74 years and at 26.7 per 100,000 women of the age group from