Task The written assessment tasks for this subject require you to submit a Case Study Report in which you explore the potential impact of chronic and complex conditions on the patient. In addition to...

Task


The written assessment tasks for this subject require you to submit a Case Study Report in which you explore the potential impact of chronic and complex conditions on the patient.

In addition to a brief introduction and conclusion, PART A of your report should include:
• A discussion of the pathophysiology and related clinical manifestations of COPD and Hypertension


• Explain the concepts of co-morbidity, chronicity and complexity


• A discussion of the chronicity and complexity of the patient's condition, including the identification of two interactions between the patient's arthritis, COPD and hypertension and a discussion of how these conditions will impact the patient and her family. You will need to consider the pathophysiology, clinical manifestations and the medications the patient is taking in this part of the report.


Your report must adhere to academic writing conventions. Sub-headings may be used, but dot points and tables should not be included in this part of the assessment item.


You should support your discussion with a MINIMUM 10 recent (less than 7 years old) and credible sources.  Credible sources include, peer reviewed journal articles, text-books, evidence summaries, best practice guidelines, government documents, health facility clinical guidelines and policies/procedures and websites containing content aimed at health professionals.  Please note that lecture slides will not be considered to be credible sources for this assessment task.

Assignment Task


Case Study for Part A

Angela is a 69 year old lady who was born in England and moved to Australia when she was 14 with her family. She is married and lives with her 74 year old husband, and has three daughters who live close by, and has seven grandchildren that she helps care for when her daughters work.
Angela has a 24 pack per year history of smoking and has been diagnosed with Chronic Obstructive Pulmonary Disease, with an FEV1/FVC ratio of 52%. She quit smoking 6 years ago, but her husband continues to smoke. Her inhalers for COPD include Symbicort 400/12mcg (Budesonide and Eformetorol) and Spiriva 18mcg (tiotropium Bromide). She uses salbutamol via inhaler as required.


Angela worked as a cleaner for many years and has some arthritic changes related to the wear and tear secondary to this work. She takes paracetamol only to manage this. Angela is compliant with all medications and efforts to manage her COPD and arthritis.


On a routine visit with her GP, Angela was noted to be hypertensive with a BP of 164/96. She has been commenced on an angiotensin converting enzyme inhibitor, perindopril arginine, 2.5mg daily, to be reviewed in 4 weeks. Her weight has increased from 64kg to 72kg in the 3 months since her last review and she reports increased discomfort when mobilising, particularly from her spine. This is limiting her ability to exercise and she is now finding she is increasingly breathless when walking any distance, and is finding caring for the grandchildren more difficult.