assessment 2 case study
In this essay, Annie is a 44 year old lady having a female partner (wife) and a 3 year old son. Her partner is working in mines and living away from them. there is no body to help Annie and to take care their son in her absence. Annie is admitted to emergency department complaining of exacerbating pain in her right big toe from last couple of days. she explain that pain is so severe that she could not sleep for last two days as she had to sleep with her right foot on a pillow with no pressure of no covering sheets on it. she had also explain the problem in moving or walking because she cannot weight bear on his right foot and she need to hop to get around. In the further discussion it will focus on her care plan …show more content…
The immune system also raises the blood flow level to that particular tissue. This results into local swelling, warmth, and redness. The enlargement can place strain on nerve endings that can result into pain in the area. Inflammation may occur in joints or extremities. Inflammation may occur with overuse of a body area or with minor injuries. Pain, swelling, redness, and warmth that develop suddenly in a big toe joint may be a symptom of gout.
In the Annie's case we can see that medical officer already diagnosed her provisional disease is "Gout". so we can discuss more about gout and its few types. The natural history of articular gout is typically composed of three periods: asymptomatic hyper uricaemia, episodes of acute attacks of gout with asymptomatic intervals, and chronic gouty arthritis. Chronic hyper uricaemia is the most important risk factor for gout. Risk of acute gout rises with urate …show more content…
Diet: Appetite, likes and dislikes, restrictions, written dairy of food intake •Skin, hair, and nails: rash or eruption, itching, color or texture change, excessive sweating, abnormal nail or hair growth. Musculoskeletal: Joint stiffness, pain, restricted motion, swelling, redness, heat, deformity. a normal physical assessment should be done to keep a check on objective(vital signs) and subjective data and also to observed symptoms such as nausea or vomiting .one of the main important assessment is pain assessment as she is in pain because of her toe. in our pain assessment we can ask her to choose a number between 1-10 where 0 is no pain and 10 is a mark for worst. in this way we can start a pain assessment and we can keep asking her before and after having medication to check whether the prescribed painkiller is sufficient to relieve her pain or not or either the prescription need to be changed. we will also perform a musculoskeletal assessment in which we can conclude musculoskeletal history, all kinds of examinations, principles and investigations. through this we can identify any significant abnormality or assess the images of bone and joints, blood tests and synovial fluid analysis to clarify about any joint's problem in patients. we can also go with the psychological and social assessment as she is dealing with her problem by herself and her partner is
In this essay, Annie is a 44 year old lady having a female partner (wife) and a 3 year old son. Her partner is working in mines and living away from them. there is no body to help Annie and to take care their son in her absence. Annie is admitted to emergency department complaining of exacerbating pain in her right big toe from last couple of days. she explain that pain is so severe that she could not sleep for last two days as she had to sleep with her right foot on a pillow with no pressure of no covering sheets on it. she had also explain the problem in moving or walking because she cannot weight bear on his right foot and she need to hop to get around. In the further discussion it will focus on her care plan …show more content…
The immune system also raises the blood flow level to that particular tissue. This results into local swelling, warmth, and redness. The enlargement can place strain on nerve endings that can result into pain in the area. Inflammation may occur in joints or extremities. Inflammation may occur with overuse of a body area or with minor injuries. Pain, swelling, redness, and warmth that develop suddenly in a big toe joint may be a symptom of gout.
In the Annie's case we can see that medical officer already diagnosed her provisional disease is "Gout". so we can discuss more about gout and its few types. The natural history of articular gout is typically composed of three periods: asymptomatic hyper uricaemia, episodes of acute attacks of gout with asymptomatic intervals, and chronic gouty arthritis. Chronic hyper uricaemia is the most important risk factor for gout. Risk of acute gout rises with urate …show more content…
Diet: Appetite, likes and dislikes, restrictions, written dairy of food intake •Skin, hair, and nails: rash or eruption, itching, color or texture change, excessive sweating, abnormal nail or hair growth. Musculoskeletal: Joint stiffness, pain, restricted motion, swelling, redness, heat, deformity. a normal physical assessment should be done to keep a check on objective(vital signs) and subjective data and also to observed symptoms such as nausea or vomiting .one of the main important assessment is pain assessment as she is in pain because of her toe. in our pain assessment we can ask her to choose a number between 1-10 where 0 is no pain and 10 is a mark for worst. in this way we can start a pain assessment and we can keep asking her before and after having medication to check whether the prescribed painkiller is sufficient to relieve her pain or not or either the prescription need to be changed. we will also perform a musculoskeletal assessment in which we can conclude musculoskeletal history, all kinds of examinations, principles and investigations. through this we can identify any significant abnormality or assess the images of bone and joints, blood tests and synovial fluid analysis to clarify about any joint's problem in patients. we can also go with the psychological and social assessment as she is dealing with her problem by herself and her partner is