University : Australian Catholic University UniLearnO is not sponsored or endorsed by this college or university.
Subject Code : NRSG374
Country : Australia
Assignment Task:

Consider the Patient Situation

Fortunato (Frank) Rossi, is a 60 year old male who was born in Italy and Migrated to Australia with his wife in 1952, both he and his 58 year old wife Sofia have dual citizenship in Italy and Australia. Frank and his wife practice a strong catholic faith. Frank has worked as a Secondary School Science and Mathematics teacher at a local Catholic Secondary School for over 20 years and loves his job. He is well respected by his colleagues and students with his very "quick wit and sharp mind with problem solving" that he prides himself on Sofia has been a stay at home mother and carer for their 2 daughters:
• Eldest Daughter: Anna married Phillip have 2 daughters Bella (6) and Emily (3 months)
• Youngest Daughter: Gabriella married Michael have 1 son (18 months old)

Together they have had a wonderful life, with supportive family visiting from Italy and the Rossi family themselves being able to go over to Italy for many family holidays. Both Frank and Sofia are very excited and enjoying being grandparents, they are looking forward to Frank's decision for an early 'self funded retirement' to enjoy more time with the family. Frank has arranged with his school to be able to undertake a small amount of casual teaching if he and his family require some small income once he has retired, although he is very keen to work in his garden and spend time helping to raise the grandchildren and enjoy the many years of hard work that he and Sofia put in to support their family and the "good life" they have created in Australia.

Three months ago

Frank experienced some confusion at work and a seizure "of unknown origin" that was witnessed by his wife and grandchildren. Sofia immediately called 000 and Frank was transported urgently under the care of paramedics to the emergency department (ED) of a major metropolitan hospital as they lived close to the city.

CRC – Step Two

Collect Cues and Information

Frank has now spent some time in a general medical ward at the Tertiary Level City Hospital that he was originally transferred to by ambulance 2 weeks ago. During his admission the following cues and information were collected and a diagnosis made. Prior to his transfer and admission to the palliative care unit in an outer city hospital closer to his family home

Past Medical Hx
• Tonsillectomy as a child
• Ex smoker (quit smoking 25 years ago was a packet a day smoker)
• Diet Controlled type 2 Diabetes
Current History
• Seizures of unknown origin
• Confusion
• Headache
• Blurred vision
• Difficulties with problem solving and decision making
• Gradual onset of speech disturbance
• Muscle Weakness
• Behaviour Changes
• Vomiting
• Sleepiness
• sluggish pupil response to light

 

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  • Posted on : October 15th, 2018
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