Diagnosis and Management of Community †MyAssignmenthelp.com

Question: Discuss about the Diagnosis and Management of Community. Answer: Introduction: The case study under review is for patient John aged 20 years, with clinical presentation of pneumonia. Physical exams reveal the patient is dry and pale, signs of dehydration. The origin background of the patient is that she is Chinese female student. Studying at the university of Tasmania, Sydney, a second year student and lives in Inverk apartments. Her original home is Shanghai China. She apparently arrived in Sydney few days ago before developing the medical condition symptoms that are currently facing her. Upon admission she was complaining of having chest pain, cough and the feeling of tiredness, (Son , Yoo Kim, 2014). The patient has a history of hypertension for a period of 2 years and he is undergoing medication. Current drugs for hypertension are aspirin. The pressure measurement upon arrival are at 140/80mmHg. Her symptoms reveal that she has episodes of vomiting and shaking chills during the night time. Upon admission at the hospital emergency unit, her vitals measurements reveals that her pressure is at 130/80mmHg. Her pulse rate 110 beats / minute. Her temperature 39 oc respiration rate is at 24 beats per minute, barely 2 hours later her vitals are; blood pressure is at 140/70 mmHg, pulse rate is at 70 beats / minute and her temperature level s at 70 beats/ minute. Pneumonia is often an infection of those results from the inflammation of sacs of air in the lungs. The sacs may be filled with fluid, causing cough, caused by bacteria, viruses and fungi, (Eccles, Pincus, Higgins Woodhead, 2014). The changes in the vitals signs is an indicative of pneumonia, blood pressure are usually low with high pulse rate as seen from the impression observed from the assessment of the vitals and is usually accompanied by low oxygen saturation,(Nair, 2011). There is higher respiratory rate above the normal levels seen earlier on before manifestation of other clinical symptoms, (Postma et al., 2015). Chest exam exams show normal however there is little expansion on the left side. Breathing sounds may be harsh due to the cough and the larger air ways that is transported via the larger inflamed lung and can be physically distinguished through auscultation with the use of stethoscope, (Murray Nabel, 2010). When coughing crackles may be evident. There is the occurre nce of percussion in the lungs. The change in the voice is a clear indication for distinction between pneumonia and pleural effusion. Processing the information The pneumonia disease is can portray fatal conditions which is characterised by infection and inflammation in the lungs and the lower respiratory tract, it can be caused by bacteria and viruses, usually streptococcus or pneumonia, (Huijskens et al., 2014). The disease is frequently characterised by high fever which is associated with shortness of breath,. With rapid breathing, chest pains which are sharp and cough characterised with phlegm. Pneumonia that arises from outside the hospital like for this case is referred to as community acquired pneumonia, (Wyrwich et al., 2013). Pneumonia develops within 48 hours or later after admission to the hospital. The goal of treatment is to cure the infection of the diseases. The patient is having symptoms which are the clinical symptoms are persist not dry cough which the patient is having is like however the low grade fever her displayed, the patient is having high temperature. Fatigue and tiredness and the chest pains and the cough she is experiencing often characterised loss of appetite. For this case the pneumonia displayed is high. The occurrence of difficulty in breathing, exercise sweating and rapid breathing with increased rapid rate of the heart as displayed from the vital signs. The temperature values are high than normal typical of high fever for these diseases. The blood pressure is high above the normal values. This is observed form the high rate of respiration and heart beats. My assessment with the patient is that she is feeling weak on and the vitals keep changing on time basis, there is need for close monitoring of the patient. And to manage clinically the symptom she is facing. My assessment interaction with patient is that, measuring her vitals was paramount; getting the confidence and experience to do so is courage of good act which must be utilised effectively. The patient is so much worried on the progress of her diseases which she seems to deteriorate so much. In my measuring her vitals , the usage of the equipment are useful in the assessment, as poor use leads to lack of valid results test which reflect eventually on diagnosis as demonstrated by Shepherd , (2006). One thing which I didnt not manage effectively to do is the measurement of the pulse rate and respiration rates, having gotten the necessary theoretical procedure of doing it, it was not significant to be helpful in delivering the right results for the patient which are important in the assessment. The theoretical aspect in my class learning activities received in class were not application of knowledge to effectively handle the assessment effectively .If given the results nest time the approach will be to effectively get the basic concepts of relaxing the patient so as to get the ample time to measure. Also I will conduct the assessment in the morning just after the patient wakes up and before going out of bed for resting pulse assessment. The right procedure learnt in class will be applicable in this case, which is counting the beats in a set period of 20 seconds and multiplying the number to get the number in beats per minute. Thus in my future assessments I will be keen to manage external factors which influence my patient assessment effectively and take into consideration as valid results are obtained when done validly. References Eccles, S., Pincus, C., Higgins, B. and Woodhead, M., 2014. Diagnosis and management of community and hospital acquired pneumonia in adults: summary of NICE guidance. BMJ: British Medical Journal, 349. Huijskens, E.G., Koopmans, M., Palmen, F.M., van Erkel, A.J., Mulder, P.G. and Rossen, J.W., 2014. The value of signs and symptoms in differentiating between bacterial, viral and mixed aetiology in patients with community-acquired pneumonia. Journal of medical microbiology, 63(3), pp.441-452. Nair, GB; Niederman, MS (November 2011). "Community-acquired pneumonia: an unfinished battle". The Medical clinics of North America. 95 (6): 114361. doi:10.1016/j.mcna.2011.08.007. PMID22032432. Postma, D.F., Van Werkhoven, C.H., Van Elden, L.J., Thijsen, S.F., Hoepelman, A.I., Kluytmans, J.A., Boersma, W.G., Compaijen, C.J., Van Der Wall, E., Prins, J.M. and Oosterheert, J.J., 2015. Antibiotic treatment strategies for community-acquired pneumonia in adults. New England Journal of Medicine, 372(14), pp.1312-1323. Shepherd, C., 2006. Reflection on a patients airway management during a ward?based resuscitation. Nursing in critical care, 11(5), pp.218-223. Son, J.S., Oh, J.H., Yoo, J.H. and Kim, J.B., 2014. Acute Respiratory Distress during Impression Taking in a TMJ Dislocation Patient with Pneumonia. Journal of the Korean Dental Society of Anesthesiology, 14(2), pp.119-126. Wyrwich, K.W., Yu, H., Sato, R., Strutton, D. and Powers, J.H., 2013. Community-acquired pneumonia: symptoms and burden of illness at diagnosis among US adults aged 50 years and older. The Patient-Patient-Centered Outcomes Research, 6(2), pp.125-134.