Joe Thomas is a 47 year old Indigenous Australian, who was diagnosed with chronic kidney disease two years ago. Joe currently lives alone since separating from his wife. He has not seen his two children since 2006. He is currently receiving a Disability Support Pension.
Joe is 175cm tall and weights 110kg and has a 9 year history of Type 1 diabetes & long standing hypertension. He also has bilateral diabetic retinopathy and a left leg ulcer. As a result, he is no longer able to drive and is not as independent as he would like to be. In addition, Joe is reluctant to undertake regular BGL monitoring and does not take his insulin at a consistent dose or time.
Joe was working as a travelling sales representative however is now unable to drive as his eyesight has deteriorated over the past 18 months. He is having difficulty walking around as he has very swollen legs, thus has no regular physical activity.
His renal function is currently being monitored by his renal specialist, however this has been deteriorated significantly over the past two weeks and commencement of peritoneal dialysis is likely to occur soon. His current eGFR is approximately 36 mL/min/1.73m2. As a result of fall down the stairs of his unit, he has developed cellulitus in his lower left leg. He is being treated has been prescribed 2 grams cephazolin twice daily for 14 days.
You are administering the IV antibiotics at home via IV infusion and Joe suddenly develops respiratory distress. You complete a set of observations – they are:
• T: 37.2C
• P: 96 (thready)
• R: 24 (shallow with basal crackles)
• BP: 195/120
• SaO2: 91% on room air
• BGL: 7.5 mmol/L
• Most recent HbA1C : 86 mmol/mol (6 weeks ago)
Joe is 175cm tall and weights 110kg and has a 9 year history of Type 1 diabetes & long standing hypertension. He also has bilateral diabetic retinopathy and a left leg ulcer. As a result, he is no longer able to drive and is not as independent as he would like to be. In addition, Joe is reluctant to undertake regular BGL monitoring and does not take his insulin at a consistent dose or time.
Joe was working as a travelling sales representative however is now unable to drive as his eyesight has deteriorated over the past 18 months. He is having difficulty walking around as he has very swollen legs, thus has no regular physical activity.
His renal function is currently being monitored by his renal specialist, however this has been deteriorated significantly over the past two weeks and commencement of peritoneal dialysis is likely to occur soon. His current eGFR is approximately 36 mL/min/1.73m2. As a result of fall down the stairs of his unit, he has developed cellulitus in his lower left leg. He is being treated has been prescribed 2 grams cephazolin twice daily for 14 days.
You are administering the IV antibiotics at home via IV infusion and Joe suddenly develops respiratory distress. You complete a set of observations – they are:
• T: 37.2C
• P: 96 (thready)
• R: 24 (shallow with basal crackles)
• BP: 195/120
• SaO2: 91% on room air
• BGL: 7.5 mmol/L
• Most recent HbA1C : 86 mmol/mol (6 weeks ago)
The purpose of this assessment is to undertake a holistic and comprehensive client assessment, demonstrating your ability to prioritise health issues within a client’s situation.
This assessment consists of a 1400 word written discussion that requires you, to:
• Identify and prioritise the clinical issues identified within the clinical scenario on patient Joe Thomas. (Suggest 300 words)
• Link the issues to care provision by using critical analysis (need to use evidence base references – not information found via data based searched on google). (Suggest 900 words)
• A brief Introduction and Conclusion is required. (Suggest 100 words on each)
• The development of a concept map is also mandatory .
Please use word for creating this concept map
• The development of a concept map is also mandatory .
Please use word for creating this concept map
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