1.Apply nursing practice in primary health care setting
CASE study 4
You are an enrolled nurse working at a busy medical clinic.
A 35 year old man, James, presents to the clinic.
He is married with 2 children who are 5 and 3 years old. He is a computer technician who works long hours, is on call and often works into the early hours of the morning.
He averages 4 hours a night of sleep and eats when he can. He states he drinks at least 2liters of soft drink every day, rarely exercises and his hobbies include playing Xbox with his children.
He is an Australian Muslim, his father is Pakistani and his mother is Irish. They lived in Germany for the first 10 years of his life so he was educated in Germany before coming to Australia. All three of them are now Australian Nationals. The religion he follows is Islam.
He is 185cm tall and weighs 120kg. His body mx index is 35.
His wife, who is Anglo Australian is concerned about his health and has persistently asked him to go the Doctor for the last year.
He has decided to visit your community health center today because he is experiencing the following symptoms:
• Shortness of breath on exertion
• Fatigue
• Sweating
• Frequency of urination
• Unquenchable thirst
• Complaining of extreme hunger
These signs and symptoms have only been persisted over the last 2 months or so.
His vital signs are: Pulse 80 beats per minute, respirations 20 breaths per minute, temp.37C, BP 120/80mmHg, BGL 15mmols/L
You access his medical history to review previous visits.
QUESTIONS:
1. Perform a patient assessment (50 words)
2. Formulate a nursing diagnosis for the given case scenario (100 words)
3. Appropriately apply first aid interventions (50 words)
4. Document and report thoroughly and accurately to the registered nurse(50words)
5. Engage in a discussion with the client about the physical, psychological and social impact of their health issue on their abilities to perform ADLs (100words)
6. Refer your patient to appropriate outside allied health services (50 words)
7. Would his health deteriorate? why
2.Analysis on risk-free rate
You work for a firm that is trying to decide whether they want to expand their operations by buying another company that caters to a different industry. The company thinks that with the resulting synergies between the two firms, there will be enough cost savings and economies of scale to make the new venture extremely profitable. The company’s current revenue stream is $50MM with negligible costs. Let us assume that the costs are zero. If they bought the company, it would initially cost them $4MM with annual ongoing costs of $1MM.
The president of the firm asked you to conduct an analysis. The time period that you are looking at is one year with six month increments. The current risk-free rate is 4.00%. Your current research has shown that the standard deviation of the revenues is 55%. Does it makes sense for your firm to buy the company?