B740 Adult Nursing : Assessment Answer

Task:

Adnan is a 62-year-old man who is married to Sangita. They have four children: Zayne, 16, Lina, 12, and 6-year-old twin boys, Kadir and Ahad. Adnan is employed as a bus driver and required to works shifts. He smokes approximately 20 cigarettes a day and has a BMI of 31.

The family live in a three bedroomed terraced house in the West End of Newcastle, where there is a high Asian population. Adnan’s father Ali has recently come to live with them following the death of his wife. Ali has COPD and is in the early stages of dementia. Because of the limited number of bedrooms in the home, they had their dining room converted into a bedroom for Ali. Adnan has found the cramped living at home quite stressful especially when he has been working late into the night and feels tired.

He has also been worried about his father’s deteriorating health.
One week ago, when Adnan was due to finish his shift at 10pm he had arrived back into the depot unexpectedly at 6pm, explaining to the supervisor that he had a very severe headache and felt he was unable to focus his eyesight properly to drive the bus safely. The supervisor noticed straight away that Adnan’s face appeared asymmetrical and although he was clearly trying to tell her something his speech was slurred, and she couldn’t really understand what he was trying to say. He also appeared unsteady on his feet. She immediately guided him to a seat and called 999.

The paramedics arrived and confirmed the supervisor’s concerns that he may have suffered a Stroke.

They took him to the accident and emergency department at the RVI. Here the diagnosis of a stroke was confirmed and Adnan was admitted to the stroke unit for treatment and nursing care.

Following the Stroke Adnan has aphasia, dysphagia and a right hemiparesis.
Using the ADL framework devise a plan of care for Adnan’s holistic care needs.
Seminar 3 - assessment and planning
Seminar 4 – interventions and evaluation

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