Saturday, May 14, 2011

case study #29 to 35

#29. A 46 year old man suffering from Loeffler’s Enocarditis, a very rare disease in Canada. The man has a hole in his heart, with heart failure. After he stands up, he has to wait for a minute before moving as his heart has to catch up. He has a brain tumor and is almost totally blind. He can see some outlines with his right eye. His kidneys are functioning at 20%. He also has liver disease, suffers from *TIAs and has a brain aneurysm. His condition is palliative. His wife works.

#30. A 76 year old male client in a rural area. His health concerns are chronic pancreatitis, COPD (see info below), insulin dependent diabetes, deteriorated discs in his spine, and pain. He was recently hospitalized due to problems with his digestive system, issues have not been diagnosed. He is very frail, especially since his hospitalization, and uses a walker/cane. He is living with his adult children, and spends most of his days alone as his children work.
Heart & Stroke

#31. A very frail 92 year old female, she is having frequent TIAs (*mini-strokes). She is bedridden. She is still getting up in a chair for up to a half hour. She is incontinent and lacks an appetite. Her son is in much need of respite to do work on the farm, as he is helping his brother with dementia.

#32. A male is 92 years old in hospital. He is at end-of-life. He has had strokes. His body is starting to shut down. He has recently been taken off all his medications and moved to a private room. He is in no pain. He is a veteran. His wife has been staying overnight in his room and desperately needs a break.

#33. In hospital, 92 year old female is suffering from recurrent TIAs. She is much better since her IV treatments. She may have been dehydrated. She is expected to be in the hospital for a few days. She is in need of companionship.

#34. A 90 year old female in a retirement home. She has dementia and some confusion. She is a delightful person, but has rheumatoid arthritis, osteoporosis and hypertension. She moved from her home last fall and had to give up her car. She uses a walker to get around. She is at a high risk for falls. She receives help with her balcony garden. She was an avid gardener at her home.

mechanical lift my late father required
#35. A 96 year old male is very thin and very frail and confined to a reclining wheel chair or his bed. Staff require a mechanical lift to get him in and out of bed. The lift is now broken and he must be fed in bed.  He has multiple health concerns including vision impairment due to cataracts, respiratory difficulties and often coughs as he has fluids in his lungs. He is unable to chew, as many of his teeth are missing, and is eating minced food. The loss of vision is very difficult for him. This senior was an air force pilot in WW II. He is too frail to feed himself. He waits for staff to feed the rest of the residents until he can be fed.

Chronic obstructive pulmonary disease (COPD)

Chronic obstructive pulmonary disease (COPD) is one of the most common lung diseases. It makes it difficult to breathe. There are two main forms of COPD:Chronic bronchitis, defined by a long-term cough with mucus; Emphysema.

*Transient ischemic attack (TIA)

Plaque builds up in the artery
TIAs happen when a blood clot blocks the artery,
blood leaks into brain cells.
A transient ischemic attack (TIA) is an episode in which a person has stroke -like symptoms for up to 1-2 hours. A TIA is often considered a warning sign that a true stroke may happen in the future if something is not done.

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