Mr Ding Case Study
Mr Yun Ding is a 79 year old Asian gentleman who presented to the Emergency Department with new onset left-sided facial droop, left-sided arm and leg weakness, slurred speech and a sudden onset of a severe headache seven (7) days ago.
Mr Ding has a past medical history of transient ischaemic attacks (TIAs) x 2 in the past year. Risk factors include:
Hypertension
Obesity
High salt, high fat diet
Sedentary lifestyle
A CT scan revealed a right-sided thrombotic cerebrovascular accident (CVA) that was treated with tissue plasminogen activator (tPA).
Post the CVA, Mr Ding has been admitted to the rehabilitation ward that you are working on.
Mr Ding has the following issues:
Left sided hemiplegia and neglect
Impulsive issues (easily frustrated, undresses in front of people)
Impaired judgement (short term memory issues, forgets instructions)
Rehabilitation plan:
Discharge home with services
Mr Ding’s wife, Mayvera, will be his primary carer. His son, Chris lives with them and works full-time.
Question 1:
“A risk assessment is a way of assessing the potential impact of a hazard on the health of a person….” (https://www.health.vic.gov.au/environmental-health/human-health-risk-assessments)
Using information from the Mr Ding Case Study:
Describe two (2) risk assessments that you would perform on Mr Ding.
For each risk assessment, provide one (1) reason why the assessment would be completed.
Answer:
Risk Assessment
Description
Reason for assessment
Reference/s:
Question 2:
Complete the table below
a. Select one (1) activity of daily living (ADL).
Identify one (1) side effect/ issue after the CVA that may make this ADL difficult for Mr Ding.
c. Explain why this side effect/ issue may make ADL’s difficult for Mr Ding.
Answer:
ADL
Issue
Why this side effect/ issue may make ADL’s difficult
Reference/s:
Question 3:
a. Using the side effect/ issue described in Question 2, describe two (2) nursing actions that may assist Mr Ding to meet the identified ADL.
b. Identify one (1) assisted living aid that an allied health professional could prescribe to help Mr Ding meet this activity of daily living need.
Answer:
Action 1:
Action 2:
b. Prescribed Aid to assist ADL:
Reference/s:
Question 4:
You are required to perform a health assessment on Mr. Ding.
Describe two (2) principles that you will follow when performing a health assessment.
Provide the principle’s references in your response.
Answer:
Principle
Reference/s
1.
2.
Question 5:
A wellness approach to health may be described as person-centred, holistic (whole person) care to meet physical, physiological and psychosocial needs.
Using information from the Mr Ding Case Study, select two (2) body systems that have been impacted by Mr Ding’s CVA.
For each body system, explain with one (1) example how you will ensure Mr Ding’s physical needs have been met.
Answer:
Body System
Explanation and example of how to meet PHYSICAL needs of Mr. Ding
Reference/s
1.
2.
Question 6:
A wellness approach to health maybe described as person-centred, holistic (whole person) care to meet physical, physiological and psychosocial needs.
Using information from the Case Study above, select two (2) body systems that have been impacted by Mr Ding’s CVA.
For each body system, explain with one (1) example how you will ensure Mr Ding’s physiological needs have been met.
Answer:
Body System
Explanation and example of how to meet PHYSIOLOGICAL needs of Mr. Ding
Reference/s
1.
2.
Question 7:
A wellness approach to health maybe described as person-centred, holistic (whole person) care to meet physical, physiological and psychosocial needs.
Using information from the Case Study above, select two (2) body systems that have been impacted by Mr Ding’s CVA.
For each body system, explain with one (1) example how you will ensure Mr Ding’s psychosocial needs have been met.
Answer:
Body System
Explanation and example of how to meet PSYCHOSOCIAL needs of Mr. Ding
Reference/s
1.
2.
Question 8:
Mr Ding’s wife, Mayvera, expresses concern to you about her ability to care for Mr Ding at home.
Identify two (2) referrals you could make to assist her in her husband’s care and provide rationale for your choice.
Answer:
Referral
Rationale
1.
2.
Reference/s:
Question 9:
Identify and describe one (1) support service available for Mrs Ding to support her in her role as a primary care giver.
Answer:
Reference/s:
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