Struggled Financially Moved To Australia †Myassignmenthelp.Com

Question: Discuss About The Struggled Financially Moved To Australia? Answer: Introducation This case study is about Mrs. Amari who is a fifty-nine (59) year old New Zealand Maori woman. She was born in Auckland, New Zealand and lived in New Zealand until 3 years ago. After the loss of her husband, she struggled financially and moved to Australia to live with her son. She has been suffering from hypertension and hypercholesterolemia. She has been taking tobacco since 25 years and quit it ten years ago. She has a positive family history of heart disease. She does not follow proper exercise regimen but, occasionally takes walks in the neighbourhood. Her son Niko married an Australian girl, and moved to Australia 6 yrs ago. Together they have two daughters and Mrs. Amari enjoys helping out with her grandchildren and plays an important role in taking care of them as both are working parents. One day Niko noticed that all of a sudden his mother was slurring in her speech and her face was drooping on one side. Mrs. Amari told her son that she was feeling some numbness on the right side of her face and in her right arm. Niko got scared that his mother was having a stroke so he brought her to the hospital. She did not experience any significant weakness, had a steady gait, and was able to swallow food without any difficulty. She was able to move all of her extremities and follow commands in a proper manner. Her pupils were round, equal and reactive to light (4mm to 2mm). There was no nystagmus noted. Mrs. Amari did not have a headache and there were no symptoms of nausea, vomiting, chest pain, diaphoresis, or visual complaints. Her current medical test report showed that her body temperature was normal that is 36.7C, blood pressure was 148/97 that showed that she had a high systolic pressure. She recorded a higher pulse of 81 and the reported respiratory rate was 14 that is in the normal range. The Oxygen saturation level (SpO2) was also in the normal range of 94%. Mrs. Amaris Glasgow Coma Scale (GCS) was in the normal range of 15. She had a normal blood glucose level of 6.6mmol/L .A head computed tomography (CT) scan showed no acute intracranial change and magnetic resonance imagery (MRI) was within normal limits. Mrs. Amari was transferred from the emergency department to the stroke unit under the care of a neurologist with a diagnosis of a mini stroke that is a transient ischaemic attack (TIA). Mrs. Amari was on the stroke ward for 24hrs. Her symptoms were resolved. There was no facial asymmetry and her complaint of numbness also subsided. But it was found that her clinical situation was changed. Her speech was slurred again and the right side of her mouth started drooping again. She was again examined for several parameters. Her body temperature slightly increased to 36.8C and the blood pressure rose to 175/105.This showed that she had a high systolic and a diastolic pressure as well. She recorded a higher pulse of 90 and the reported respiratory rate decrease to 13. The Oxygen saturation level (SpO2) also decreased to 92%. Mrs. Amari had a normal blood glucose level of 6.6mmol/L. According to her symptoms of slurring speech and the right side of the face drooping again she is suffering from dysarthria which is a neurological disorder and leads to facial paralysis and muscle weakness of the throat (Solomon et al.2017). The reason of this disease in Mrs. Amari is ischemic stroke, but there are other reasons as well such as tumor in the brain and cerebral palsy. Dysarthria leads to loneliness and depression in individuals. Mrs. Amari should be given proper speech and language therapy that would help in improving her speech and communication with her family members. Speech therapy also plays an important role in improving the strength of muscles and breathe support (Miller and Bloch 2017). Nursing interventions and family support can also help her in the prevention of disease and other psychological symptoms associated with it. It should be given to her in an efficient way which would help her to get rid from physical pain and stress. She should be given palliative care which involves the collaborative efforts of several clinicians, nursing staff to help the patient in getting well soon and improve their health (Pratt and Wood 2015).She should be prohibited from smoking again and which may result in several health issues such as cardiovascular problems including heart stroke, heart attack and ultimately death should be empowered and provided care by understanding her needs and demands.She should also be provided psychosocial care that will help her to get rid of depressive symptoms, pain and anxiety.(Niemela and Kim 2014).The nurses should follow the principles proposed by The Code of Professional Conduct for Nurses which aims to provide to provide guidance to the nurs ing professionals about their roles and responsibilities to provide care to the patients in an ethical and effective manner. It includes various values such as the nurses should maintain their dignity and their patients as well to listen to their patient (Carland et al. 2017). Mrs. Amari should be counseled and guided properly to take appropriate rest and several precautions to improve the condition of her health. She should be advised to follow the principles of self- actualization which is known to lead to a healthy mental state and will foster to improve her positive attributes and do not focus on their negative attributes. It will help her in becoming self-determined and have a high self esteem.She should discuss her problems with family members and friends since she is also suffering from hypertension and hypercholesterolemia (Weber et. al.2015). The normal range of neurological assessments done for Mrs. Amari are body temperature 37C and normal blood pressure is 120/80 .The normal pulse in the human body is 72 and normal respiratory rate ranges between 12-20.The normal oxygen saturation level (SpO2) ranges between 95-100% and the normal blood glucose level is 4.0 to 6.6 mmol/L during fasting and up to 7.8mmol/L after 2 hours of eating (Crane et al.2013). According to the current situation her body was 36.8C and the blood pressure rose to 175/105.This means that she had a high systolic and a diastolic pressure as well. Her pulse rate of 90 and the reported respiratory rate was 13.The Oxygen saturation level (SpO2) also decreased to 92% but she had a normal blood glucose level of 6.6mmol/L. A high blood pressure leads to a risk of heart stroke and heart attack (Dresser et al.2013). Since Mrs. Amari already suffered from a mini stroke that is a Transient ischemic heart attack (TIA) which blocks the flow of blood to the brain due to a clot or blockage (Sposato, et al.2015).Hence, it is a risky situation for her and may lead to a disability or death. She had an increased pulse rate of 90 which occurs due to the shortness of breath or tiredness. It may also result in cardiac arrest in Mrs. Amari. The Oxygen saturation level (SpO2) of Mrs. Amari was also low which means that she had a reduced level of oxygen in the arteries which may lead to breathing problems (Enocson, et. al.2016). Hence, it can be concluded that the reports of Mrs. Amari is not normal and it can lead to a heart attack. References Carland Jr, J.W., Carland, J.A.C. and Carland III, J.W.T., 2015. Self-actualization: The zenith of entrepreneurship.Journal of Small Business Strategy,6(1), pp.53-66. 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