Saturday, May 11, 2019
ALTERED HEALTH STATUS AND HEALTH PROMOTION IN MENTAL HEALTH NURSING Essay
ALTERED wellness STATUS AND HEALTH PROMOTION IN MENTAL HEALTH NURSING - Essay ExampleHis unusual behaviours included the following. He entered without a licence and pointed a sub at a shop assistant. He stabbed a friend during an unprovoked argument. Also, he committed the criminal offence of burglary, and his fingerprints were found at the scene of the crime. Mr. Abouja was imprisoned and then later transferred to a forensic ward imputable to mental illness. While in the forensic unit, Mr. Abouja suffered a cardiac arrest secondary to a bi-lateral extensive pulmonary embolism. After having suffered a pulmonary embolism, Mr. Abouja should be assessed for further risk in the near future. tick of pulmonary embolism (PE) must be followed by risk st wood pussyification in order to achieve information on short-term prognosis and determine the need for more aggressive therapy such as thrombolysis or surgical interventional embolectomy (Konstantinides, pp. 69). The medication Mr. Abouj a has been placed on is Warfarin, also commonly know as rat poison. The levels of Warfarin have to be carefully evaluated, to ensure that the patient is not poisoned himself. Basically, Warfarin is most probable going to be used for a lengthier amount of time in order to treat Mr. Aboujas illness. A vitamin K antagonist such as warfarin should be considered for long-term treatment (Stein, 2007, pp. 129). in that respect is a timetable for how long the Warfarin should be used. Initial treatment with Warfarin is usually for a minimum of trinity to six months (James, Ortel, & Tapson, 2007, pp. 42). However, the nurse should make sure In healthy subjects, sildenafil alone or in combination with warfarin or aspirin did not affect bleeding time or prothrombin time. However, in a recent study, a transient prolongation of bleeding time 1 instant after administration of 100 mg of sildenafil was demonstrated (Broderick, 2005, pp. 215). Therefore, bleeding complications are possible when victorious Warfarin. Generally, Warfarin is used in these types of situations such as the one in which Mr. Abouja found himself in. Warfarin, also known as Coumadin, is used to prevent the formation of blood clots in the heart and to prevent stroke in patients with conditions such as atrial fibrillation and atrial flutterusage must be carefully monitored by a regularly-administered blood test (Cohen, 2010, pp. 196). Mr. Abouja was given Warfarin for the Pulmonary Embolism. He is being given 3 mg of Risperdal (Risperidone) on a daily basis, a commonly-used antipsychotic. Some of the side effects Mr. Abouja is suffering, among others, are muscle impuissance and sexual dysfunction. Mr. Aboujas mother had a history of heart disease or PE his father refused to be in touch due to his offences. Mr. Abouja was born in Angola. 2. Identify appropriate assessment tool/ simulation and provide rationale for ?your choice of tool/framework. (200 words) The assessment measures which would be appro priate to use as a framework for care would be 1) a physical assessment 2) a psychological assessment and 3) a emotional assessment. The patient had a physical assessment completed upon him. This physical assessment is rationalised by the point that he needs to have an intervention for any physical problems that may come up since he has just had a major health issue with the cardiac arrest. Interestingly enough, Mr. Abouja had no pain in his upper left arm, which is recognizant of having heart problemsnamely, risk of cardiac arrest. The physical assessme
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