1174-Tutorial 19(Sleeping).pptx

7/25/2019 1174-Tutorial 19(Sleeping).pptx

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Tutorial 19 :Sleeping

SUB GROUP 4 :

CELESTE , HID!H , "ELL! , #BILH , SSI , $IO HUI, !U $I#G


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CSE STUD!

%r& E''a Si' i& a 4()*ear)ol+ o'an -o -a& r-e

art-riti&, i& a+'itte+ to *our ar+ +ue to pain an+ &.oint& o/er -er -an+& an+ 0eet T-e pain in t-e .ointa2e3ting -er ailit* to &leep at nig-t it- 0re5uentaa6ening& S-e -a& noti3e+ t-at &-e -a& lo&t eigt-e la&t *ear an+ 0eel& tire+

%+' Si' i&'arrie+ an+ li/e& it- -er -u&an+ an&on&, age+ 17 8 1 S-e or6& a& a &e3retar*in a lan+ e;perien3e& pain o/er -er -an+& -en &-e t*pe3urrentl* ta6ing a&pirin a& an analge&i3 an+ a non)&inn a&&e&&'ent o0 -er

treat'ent regi'e i& eing 3arrie+ out it- a /ie t


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R-eu'atoi+ rt-riti& i& an autoi'+i&ea&e t-at 3au&e& 3-roni3 in


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Name Mrs Emma Sim

Gen+er @e'ale

++re&& Be+o6 4(14A1

Birt- +ate 19A

Pla3e o0 irt- Singapore

Ra3e C-ine&e

ge 4(

%arital Statu& %arrie+

Pri'ar* Caregi/er Hu&an+

Pro/i+er o0 Hi&tor* Sel0

+'i&&ion Date (1(

Hig-e&t E+u3ational Le/el Un6non

O33upation Se3retar*

Client PatientDe'ograp-i3 Data


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Rea&on& 0or See6ing Healt-

CareReasons for coming tohospital/clinic

Pain & swollen jointsher hands and feet

C-ie0 3o'plaint LO, pain in t-e .oint&,troule+ &leeping

Diagno&i& R-eu'atoi+ rt-riti&


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Onset Pain and swollen joints

Lo3ation oint& o0 -an+& 8 0eet

Duration ggra/ate+ o/er t-e pa&t*ear

C-ara3teri&ti3&,Se/erit*

LO, troule &leeping atnig-t

ggra/ating @a3tor& T*ping on 3o'puter,-ou&eor6

Relie/ing @a3tor& #IL

Treat'ent &pirin, #SIDS

E;ploring C-ie0 Co'plaint u&ingOLDCRT


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Current Medication spirin! NS"#S

Pa&t 'e+i3al&urgi3al-i&tor* Hi&tor* o0 rt-riti&

@a'il* Hi&tor* #IL

So3ial Hi&tor* %arrie+ it- &on&

Li0e&t*le an+ Healt-Pra3ti3e&

Bu&* =or6& a& a&e3retar*, 'ot-er>In+epen+ent li0e&t*le


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3ti/itie& o0 +ail* li/ing =DL>

O$jective #ata Su$jective #ata

&&e&& i0 Patient -a& e;i&ting&leeping prole'& e0ore eing+iagno&e+ R-eu'atoi+ rt-riti&

-at i& -er pre/iou& nor'al&leeping pattern li6eF =-our&,5ualit*>

Ho 'an* ti'e& +oe& &-e a6eup in one nig-t 0ro' painF

&&e&& Patient& li0e&t*le -at ti'e +oe& patient a6e uor &leepF

&&e&& i0 Patient -a& &ee6 -elp0or -er &leeping prole'

Doe& patient ta6e& an*'e+i3ation to ai+ &leepingF

&&e&& Patient& p&*3-ologi3alelleing

n* e'otional 0a3tor a2e3tingpatient& &leepingF =eg &tre&&o/er 3-il+ren& re&ult&>

&&e&& Patient& &leepingen/iron'ent

-at a6e& t-e patient upF

Patient loo6& tire+ I& -er tire+ne&& +ue to t-e la36o0 &lee F

S%EEP"N


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'OR("N & P%)"N

O$jective #ata Su$jective #ata

oint& o0 -er -an+& -ere +oe& t-e Patiente;perien3e pain -ileor6ingF

&&e&& i0 t-e pre&3rie+analge&i3 'e+i3ation i&e2e3ti/e 0or -er

Doe& Patient re5uire+ 'ore'e+i3ation to ai+ it- -erpainF


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S/N PRO*%EM #+E"#EN+","E#

#+ERESO%-E#

1 C-roni3 Pain

Troule &leeping 1 *earago

7 Lo&& o0 eig-t=LO>

4 "nole+geDe3it

Patient pro$lem . Chronic Pain


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Patient pro$lem . Chronic Pain

ssessment oal &E0pectedOutcomes 1EO2

"nterventions Rationale

&&e&& pain

&3ore an+ i0'e+i3ation i&e2e3ti/e ino/er3o'ing -erpain

Pain i& re+u3e+ Ta6e +on pain

&3ore =A)1A>#ote #on/eralCue&

To ai+ in +eter'ining

pain 'anage'ent ane2e3ti/ene&& o0 3areplan

&&e&& -er&leeping -ait&

le to &leep atnig-t it- le&&

0re5uentaa6ening&

Deter'ine -ataggra/ate t-e

pain =egrea3-ing 0or a3up o0 ater atnig-t>

&&e&& i0 t-ereare ot-er'et-o+& too/er3o'e -er

pain

Pain i& re+u3e+ Re3o''en+ t-atpatient ta6ear' at- or&-oer ppl*

ar', 'oi&t

Heat pro'ote& 'u&3rela;ation an+ 'oili+e3rea&e& pain, an+relie/e& 'orning

&ti2ne&&

P ti t $l 3 + $l Sl i


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ssessment oal &E0pectedOutcomes 1EO2


&&e&& patient&&leepingen/iron'ent

le to &leep atnig-t it- le&&0re5uentaa6ening&

Re3o''en+ orpro/i+e r''attre&& 8&'all pillo&

So0t an+ &agging'attre&&, largepillo& pre/ent'aintenan3e o0proper o+*align'ent, pla3ing&tre&& on a2e3te+.oint&

&&e&& pain

&3ore o0 patient-en &leeping

Pain i& le&&ene+

to pain &3ore o01)7

Treat t-e

&ollen .oint&a33or+ing to+o3tor& or+erEg appl*oint'ent on t-ea2e3te+ area

To re+u3e pain &o t-a

patient i& ale to &lee'ore pea3e0ull*

&&e&& patient&leeping -ait

Le&&a6ing upat nig-t

Con+u3t &leep&tu+* on patient

To anal*&e -o ell&-e &leep& an+ -o

-er o+* re&pon+& to

Patient pro$lem 3 +rou$le Sleepin


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ssessment oal &

E0pectedOutcomes 1EO2


&&e&& patientailit* to 0ee+-er&el0

En&ure t-atpatient ale toeat ell

@ee+ patient-en ne3e&&ar*

Due to -er pain in -&ollen .oint& &-e i&unale to 0ee+ -er &

&&e&& -er +ail*+iet

T-e +iet i&nutritional

Di&3u&& it-+ietitian

To 6eep -er ellnouri&-e+

&&e&& -ereig-t To gain aout )76g in a 'ont- eig- -er on3ee/er* to ee6& To 'aintain B%Iit-in nor'al range

Patient pro$lem 4 %O'


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ssessment oal &E0pected

Outcomes 1EO2


&&e&&patient0a'il*'e'er&6nole+ge on-er illne&&

Patient0a'il*'e'er 6no&-o to re+u3e-er pain -enne3e&&ar*

E+u3ate t-e'on -o tore+u3e pain

T-i& i& to -elp patienre+u3e t-e pain at-o'e in+epen+entl*

&&e&& relati/e&

un+er&tan+ingo0 t-e treat'ent* t-e +o3tor&

To en&ure t-e

treat'ent i&a33urate

&6 t-e' to

per0or' return+e'o ore;planation

To eli'inate

6nole+ge +e3it&

Pro$lem 5 (nowledge #e6cits

Documents

1174-Tutorial 19(Sleeping).pptx