Question

Case study Teija Kovalainen is a 64-year-old lady who works as a clerk in bank in the City of London. She lives at home in a flat on the 8th floor with her husband and her recently divorced daughter She was a fully independent lady with no significant past medical history, both he parents died about 20 years ago, her father had a myocardial infarction and her mother died as a result of cancer of the stomach. Teija was admitted to the A&E department. Teija's daughter Riitta heard er call for help from itta noted Teija the bathroom and Teija was found on the floor, pale and sweating. In the toile a foul, smelly, black-like diarrhoea as well as some blood, and she was recently diagnosed with gastroenteritis and was prescribed antibiotics arat the pharmacy t bowl ulance. T called for an amb biotics and an anti-emetic pain, she had and she did not by her GP and she purchased an anti-diarrhoeal medication over the counter at three weeks ago. Previously Teija had been experiencing excruciating abdom lost some weight and was having bloody diarrhoeal stools 4-5 times a dayshe increasingly tired at work, was having alternating constipation and diarrhoea, a share these issues with anyone.

Answer 1

1, control her abdomen pain and correct the dehydration level is the most immediate needs. pain medication can treat patient pain. the patient should be diagnosed first for the chance of stomach cancer, because of her family history
2, She looks pale and her extremity was cold and she is having severe diarrhea. Her systolic BP reduced up to 90. she is hypothermic and having drowsiness. It should be corrected immediately. check patient serum electrolyte level and start immediate intravenous sodium chloride infusion. Administer immediate antiemetic drugs and antibiotics as per doctor order to prevent further diarrhea and nauseatic symptoms.
3, -The patient will be in stress and anxiety related to her illness and may have fear and suspect about her family history followup.
-provide interpersonal communication with the patient and provide supportive care to meet their physical, and emotional needs.
-individual counseling can help cope with emotional illness
-apply coping strategies to deal with psychological illness.