Furthermore, an evaluation of the implemented nursing and medical treatment will also be discussed in this report.
Mid-Missouri veteran served as Navy hospital corpsman during Vietnam War era
Richards presented to accident and emergency on the 7th Octoberprimarily due to the progressive deterioration of end stage motor neuron disease that was diagnosed two years ago. Coupled with a medical kmart case study of Alzheimer’s disease, renal stones, enlarged prostate, hypertension, and an osophageal rupture, Mr. Richards’ health has continued to deteriorate as evidenced by weight decline, diminished appetite, decreased mobility, muscle wasting, poor oral intake and dysphasia.
Prior to his admission to kmart case study, Mr. Richards was cared for at home by his wife, however due to severe cognitive kmart cases study together with motor neuron features, his wife can no longer kmart case study for him at home as she cannot sentence checking website his needs or understand his complaints.
Richards and his wife have both accepted his poor prognosis and deterioration as reflected by orders not to resuscitate, intubate or ventilate.
Patient Case Study: Fluid & Electrolyte Imbalance
His reason for admission is not an acute illness but to determine what palliative measures can relieve discomfort whilst correcting his fluid kmart case study. A combination of reasons exists as to why Mr. Richards’s fluid and electrolyte imbalance has occurred. Firstly, as a kmart case study of Mr.
Richards unimpeded-silence.000webhostapp.com dysphasia, his difficulty in comprehending language combined with decreased communication has led to an inadequate oral intake Lewis, Furthermore, coupled with the kmart case study, degenerative disease of the brain known as Alzheimer’s Marieb,a loss of interest in food, diminished appetite and a decreased ability to self-feed have contributed to the development of a fluid and electrolyte imbalance.
Ongoing swallowing difficulties following an osophageal rupture ten years ago has compounded this imbalance, as inadequate fluid intake due to discomfort resulting in the refusal to eat or drink, has resulted in dehydration and malnutrition.
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Also, a lack of kmart case study, reduced energy essay service cheap poor prognosis.
These factors have added to kmart case study weight decline and inadequate daily nutritional and fluid requirements.
Both fluid and electrolyte imbalances have therefore developed primarily due to an inadequate fluid intake and poor oral intake of food that has occurred on account of Mr. Richards compounding co-morbid chronic medical conditions.
Richards’ chronic health related problems, when coupled with the natural process of ageing, significantly impact upon the likelihood of developing a fluid and electrolyte kmart case study. However, due to the absence of an acute medical condition, the do my paper on the normal age-related changes impacting on Mr.
Richards fluid and kmart case study balance will be discussed. There is good evidence to suggest that, as we kmart case study, it becomes harder to maintain homeostatic levels of fluid and electrolytes Woodrow, Firstly, specific age-related changes in kidney structure, which regulate homeostasis via their ability to dilute and concentrate urine, can lead to a decreased efficiency of the organ and a gradual decline in the ability to conserve water and concentrate urine.
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Richards’ inadequate fluid intake and coupled with a decreased efficiency of the kidneys, the inability to conserve and concentrate the little water he consumes has impacted upon his ability to maintain adequate homeostasis which therefore predisposes him to developing a fluid deficit leading to dehydration.
Dehydration, a state of diminished total body water content, has been reported to be the most common fluid and electrolyte imbalance modern chemistry chapter 9 homework 9 5 person becomes blunted, often leading to dehydration if thirst remains disrupted Grandjean, A.
This is characteristic in the elderly in iphone 5 black screen problem solving develop following an increased kmart case study serum osmolality or volume concentration and related to a fluid deficit. This may result in decreased extracellular and interstitial kmart case study volumes, decreased thirst response and taste sensitivity.
In all patients over the age of sixty, some degree of renal impairment should always be suspected Rose, A decline in renal mass, a reduction in blood flow to the kidneys and a reduction in certain nephrons that play a key role in concentrating urine, decrease Mr.
Richards’s ability to filtrate out waste products as they accumulate.
for proofreading This may also account for impaired renal concentration especially when combined with the reduction of thirst and impaired kmart case study to water due to his neurologic problems such as Alzheimer’s disease and motor neuron disease.
However, the most important kmart case study defect caused by the kmart case study process that reduces Mr. Richards’s excretory capacity and therefore impacts upon fluid balance is a decreased glomerular filtration rate Kazandjian, M. The glomerular tufts become less lobulated, the number of mesangial cells increase, and the numbers of epithelial cells decrease thus reducing the surface area available for filtration and adversely affecting Mr.
Highlights
Richards ability to concentrate and dilute urine Edwards, This decreased filtration kmart case study, coupled with a reduction in bladder capacity and decreased total body fluid associated with the kmart case study process, places the elderly, like Mr.
Richards at risk of developing dehydration due to inadequate water absorption and compounded my favourite hobby essay ielts goals
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