The Patient Situation

This assessment task requires you to refer to the case study provided on the subject
Interact2 site and address each of the following points:
 Describe – consider the patient situation (approx. 100 words). 
 Collect Cues – enter relevant assessment data into the collecting cues section of the
template and identify additional assessment data that is required. You should use the
primary/secondary survey framework to undertake this activity. Identify and provide
an overview of the pathophysiology of the main health challenge evident in the case
study (approx. 200 words).
 Process information – compare any abnormal assessment findings with normal or
expected findings and identify information that is not relevant to the scenario (approx.
200 words).
 Synthesise – making sense of the data, understanding the clinical manifestations
(approx. 300 words).
 Establish goals -identify one main goal for the outcome for this patient using the
SMART goal framework (approx. 300 words).
 Select a course of action – outline 1 nursing interventions that will assist the patient
to meet the desired outcomes and provide basic evidence-based rationales for each.
The intervention should be selected based on priority and urgency ( approx. 200
words).
 Evaluate – explain the process for evaluating the desired outcomes in this scenario
(approx. 200 words).
 Contemplate – reflect on process and new learning (approx 100 words).

The Patient Situation

The patient is afflicted with a broad variety of pains and problems that are underlying to the body.

The primary areas of pain are their knees, feet, as well as the back. This implies that the spinal cord is the primary cause of pain.

and bones are the main problems that patients face. In addition, the patient is suffering from insomnia, as well as

fatigue, which suggests a lack of energy and calories inside the body. The lack of energy and calories in the body.

The breath of a patient indicates an indication of hypertension with underlying causes, which can be fatal to the health.

Harry was diagnosed based on his diet that he follows (Mills and co. in 2020). The patient’s limbs are swelling,

and blurred vision. These symptoms signal the presence of various and underlying

conditions.

Collection of Cues

Assessment of the Cardiovascular Assessment Additional Information

Do a thorough study on peripheral and cardiovascular conditions that affect the vascular system.

Ask questions pertinent to leg pain, skin changes or swelling of the legs, previous medical issues, history of injuries, diabetes and chest pain or shortness in breathing (dyspnoea).

Cyanosis on the cheeks lips and eardrums

Examine the chest for any scars or other irregularities.

Note CWMS Enema and the color of the nail ingrown, and the color of the capillary refills on

the hands and arms of the bilateral hand (Umemura and Co. 2019, 2019).

The bilateral leg, the CWMS swelling of the lower legs and feet and feet, the color of nail ingrown, and the capillary refill size/pain in the calf are all indicators of DVT.