Assessment 1: Short answer questions
For this assessment, you must watch the case study video, review the scenario provided and respond to the questions below. Some of the information you need will be in the video and some will be in this overview, while the majority of the knowledge you will need to answer these questions, will come from what you have learnt in modules 1 – 3 of this subject.

Scenario – Mr George McFarlane
I: Mr George McFarlane is a 53year old Male.
S: George has presented to hospital today as his BGL is higher than normal at 15mmol/L. He has a headache, feels lethargic, is passing an increased volume of urine and has increased thirst. He is also short of breath when walking and exercising. On admission, a set of vital signs and a urinalysis has been taken.
B: George’s past Medical History (PMHx) include:

  • Type ll Diabetes needing close management. Records BGL daily
  • Osteoarthritis in L) Knee
  • Allergy to Penicillin

Social History (SHx):

  • Married for 5 years to Yu Yan, who is of Chinese heritage, she speaks English well
  • Has a 26 year old son from a previous marriage, who has depression and uses illicit drugs. He visits occasionally.
  • Lives with his wife and 3 year old twins, from his current marriage. One twin has a developmental disorder. His 17 year old step son also lives with the family.
  • Occupation: Long Haul truck driver, often isolated from family and friends as on the road and away from home due to work. Speaks to wife daily when away.
  • ETOH (Alcohol) usage on a regular basis
  • Smoker, averages 15 cigarettes per day
  • Often consumes take away/ fast food diet as away from home regularly
  • Sedentary lifestyle, often watches TV to cope with stress. Little to no exercise

A: George is 118kg and 180cm in height. Current vital signs Resp 26, O2 Sats 97% on room air (RA), BP 170/90, HR 110, Temp 37.
R: Admit George to the Med/Surgical ward at 1000hrs. For review by the doctor. Provide regular analgesia

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