Name: Health Assessment A2 (FINAL)
Uploaded: 2022-05-09
Duration: 7 min 27 s
Description: . . IN] WSSISSV. Health assessment a2. Lee Guo Hong (20724144) & Nicholas Bay (20735900).

. . IN] WSSISSV. Health assessment a2. Lee Guo Hong (20724144) & Nicholas Bay (20735900). 

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Lee Guo Hong (20724144) & Nicholas Bay (20735900)

. . TABLE OF CONTENTS. Overview of Scenario. Data Gaps
Health History. 

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. . Overview of scenario. 3. Sick and queasy feeling. 

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●
Unable to remember the names of tablet

Swallowing ability getting worse; worsening left sided tremor,

unsteady gait, unable to take medications properly

. . Data gaps. ⊹
Data gaps identify possible inefficiencies. 

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⊹
Data gaps identify possible inefficiencies

⊹
Affects quality of health assessment as 
unable to prepare a holistic care plan 
(Alberti, 2015)

⊹
Issue of data gaps applies to this scenario, 
as patient and wife may not be a good 
historian
×
Inaccurate and incomplete data 
obtained can lead to wrong diagnosis 
and treatment

. . HEALTH HISTORY (SD). Parkinson disease and swallowing related. 

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2.
Any other stroke like symptoms such as numbness, 
sudden confusion etc.?

6.
What is the consistency of the food he is 
eating/drinking which makes it difficult for him to 
swallow?

7.
Is he given any texture diet beforehand?

9.
Does he swallow before eating another mouth?

1.
Any lightheaded or feel tension for the past few 
weeks?

1.
Is  the heartburn relieved after 
taking Myanta Liquid?

2.
Did the constipation occur 
after he started drinking the 
Mylanta liquid ?

4.
Any other symptoms associated 
with the heartburn, eg. 
Numbness over left hand, neck 
tightness?

6.
Heartburn occurred before or 
after consumption of 
“medication for high blood 
pressure?”

. . 6. Health History:. ⊹
States the accompanying symptoms of feeling sick and queasy in the stomach. Denies vomiting.. 

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⊹
States the accompanying symptoms of 
feeling sick and queasy in the stomach. 
Denies vomiting.

⊹
Description of nature of discomfort, relief 
method, frequency of symptoms is not 
given. Familial history not known.

⊹
States that there is difficulty swallowing. 
Choking and coughing is involved.

⊹
Description of food consistency, speed of 
eating is not known. Onset of symptoms is 
not given.

⊹
States that he got heartburn, takes Mylanta 
liquid for relief. Denies alerting doctor for this 
condition.

⊹
Description of onset, duration, frequency, 
associated symptoms not known. Did not 
state any scan done before, accompanying 
medical history.

. . Nanda 1 - risk of aspiration evidenced by dysphagia. 

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Nanda 1 - risk of aspiration evidenced by 
dysphagia

●
Swallowing 
difficulty, Coughing 
& Choking

. . Nanda 2 -Impaired physical mobility related to parkinson as evidenced by left sided tremors. 

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Nanda 2 -Impaired physical mobility related 
to parkinson as evidenced by left sided 
tremors

. . Collaborative Problem 1. 9. . 1. Nursing Diagnosis. 

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. . Collaborative Problem 2. 10. . 1. Nursing Diagnosis. 

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*A study by Kolber (2014) shown  that an individual will  have 60% to 75% higher risk of CVD if their parents

. . Nurses leading, communicating, managing and collaborating. 

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Nurses leading, communicating, managing 
and collaborating

to eat well provides an 
opportunity to improve

patient well-being      
(Baute et al, 2018)

incidence of aspiration 
pneumonia by giving

suitable diet consistency, 
and promote quicker oral

Effective engagement 
of communities health, 
aids in chronic disease 
prevention and aligns

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(University of California San Francisco, 2022)

Medical Social Worker includes 
financial and practical assistance,

. . References. Alberti P. (2015). Community health needs assessments: Filling data gaps for population health research and management. EGEMS (Washington, DC), 2(4), 1174. https://doi.org/10.13063/2327-9214.1174. 

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Alberti P. (2015). Community health needs assessments: Filling data gaps for population health research 
and management. EGEMS (Washington, DC), 2(4), 1174. https://doi.org/10.13063/2327-9214.1174

Armstrong, M. J., & Okun, M. S. (2020). Diagnosis and treatment of Parkinson Disease: A review. JAMA, 
323(6), 548–560. https://doi.org/10.1001/jama.2019.22360

Baute, V., Sampath-Kumar, R., Nelson, S., & Basil, B. (2018). Nutrition education for the health-care 
provider improves patient outcomes. Global Advances in Health and Medicine, 7, 2164956118795995. 
https://doi.org/10.1177/2164956118795995

Feng, L., Chong, M. S., Lim, W. S., & Ng, T. P. (2012). The modified mini-mental state examination test: 
Normative data for Singapore Chinese older adults and its performance in detecting early cognitive 
impairment. Singapore Medical Journal.. Retrieved May 6, 2022, from 
http://www.smj.org.sg/article/modified-mini-mental-state-examination-test-normative-data-singapore-
chinese-older-adults

Herdman, T. H.; Kamitsuru, S.; Lopes, C. (Eds.)(2021). NANDA International Nursing diagnoses: Definitions 
and classification 2021-23. Wiley-Blackwell.
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. . References. Kolber, M. R., & Scrimshaw, C. (2014). Family history of cardiovascular disease. Canadian Family Physician Medecin de Famille Canadien, 60(11), 1016.. 

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Kolber, M. R., & Scrimshaw, C. (2014). Family history of cardiovascular disease. Canadian Family Physician 
Medecin de Famille Canadien, 60(11), 1016.

Nakazora, T., Maeda, J., Iwamoto, K., Hanashiro, S., Nakamura, Y., Kiyozuka, T., & Domen, K. (2017). 
Intervention by speech therapists to promote oral intake of patients with acute stroke: A retrospective 
cohort study. Journal of Stroke and Cerebrovascular Diseases: The Official Journal of National Stroke 
Association, 26(3), 480–487. https://doi.org/10.1016/j.jstrokecerebrovasdis.2016.12.007

Pagano, G., Tan, E. E., Haider, J. M., Bautista, A., & Tagliati, M. (2015). Constipation is reduced by beta-
blockers and increased by dopaminergic medications in Parkinson's disease. Parkinsonism & Related 
Disorders, 21(2), 120–125. https://doi.org/10.1016/j.parkreldis.2014.11.015

Plumb, J.; Weinsten, L. C.; Brawer, R.; Scott, K. (2012). Community-Based partnerships for improving 
chronic disease management. Department of Family & Community Medicine Faculty Papers. 9.

. . References. Singhealth (2022, April 23), Medical Social Services. Retrieved from https://www.singhealth.com.sg/SCH/patients-visitors/specialties-services/medical-social-services. 

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Singhealth (2022, April 23), Medical Social Services. Retrieved from 
https://www.singhealth.com.sg/SCH/patients-visitors/specialties-services/medical-social-services

Ueki, T., & Nakashima, M. (2019). Relationship Between Constipation and Medication. Journal of UOEH, 
41(2), 145–151. https://doi.org/10.7888/juoeh.41.145

University of California San Francisco. (2022, April 28). Parkinson’s Disease Dementia. Retrieved from 
https://memory.ucsf.edu/dementia/parkinsons/parkinson-disease-dementia

Weber, J.; Kelly, J. (2021). Health Assessment in Nursing (7th ed.). Wolters Kulwer.

Health Assessment A2 (FINAL)

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