Scenario 1 Alma jones

Angela Heng
Mind Map by Angela Heng, updated more than 1 year ago
Angela Heng
Created by Angela Heng almost 5 years ago
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Mindmap for SC and EC
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Scenario 1 Alma jones

Annotations:

  • Issues: 60yo, female, visits orthopaedic clinic, lives alone, polypharmacy Underlying osteoporosis Carpal tunnel syndrome Preventing future fractures
1 Social & cultural aspects

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  • Elderly specific
1.1 Ecological model of health

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  • Essay question, describing the factors relating to Alma's risk and management of osteoporosis
1.1.1 Australian public health for osteoporosis

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  • Describe the primary secondary and tertiary approaches to osteoporosis related fractures in Australia. For each preventive level, identify any healthcare professionals you would refer the patient to. Answers: https://www.google.com.sg/url?sa=t&rct=j&q=&esrc=s&source=web&cd=9&cad=rja&uact=8&ved=0CDYQFjAIahUKEwjOoeGt6KDIAhXQSo4KHRyxBGI&url=http%3A%2F%2Fwww.aihw.gov.au%2FWorkArea%2FDownloadAsset.aspx%3Fid%3D10737418747&usg=AFQjCNHz5lF2pBO22-gzZII2a_xCOmAZAg&sig2=_LKMhBBbaFKwvrMndEEVUw http://www.aihw.gov.au/publication-detail/?id=6442468121 http://www.osteoporosis.org.au/exercise
1.1.1.1 Definition of primary secondary and tertiary
1.1.1.2 Primary: education
1.1.1.3 Secondary: screening & lifestyle changes
1.1.1.4 Tertiary: management
1.1.1.5 Impact
1.1.2 Individual

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  • Genetics, lifestyle (not much exercise), elderly (age,biology of normal ageing), female (post menopausal), polypharmacy (associated chronic conditions)
1.1.3 Social

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  • Husband to help with chores, neighbors that attended to her, availability of seniors centres http://www.nationalseniors.com.au/be-informed/research/productive-ageing-centre http://jos.sagepub.com/content/early/2013/01/24/1440783312474083
1.1.4 Environmental

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  • polypharmacy, stairs
1.1.5 psychological

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  • Senile, anti depressants, proprioception
2 Effective communication

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  • Explores px's views that maybe detrimental to health Develops appropriate health promoting message to appropriate target group Understands good communication principles
2.1 examination of the hands and wrists

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  • Link http://www.physio-pedia.com/Wrist_and_Hand_Examination#Functional_Tests
2.1.1 insert video for physical examination
2.1.2 Functionality

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  • Which tests are used to collectively assess the strength of hands and wrists? 1. Pincer test 2. opposition test 3. Flexion and extension of wrist 4. Lifting a cup 5. Turning a door knob
2.1.3 Neurological assessment

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  • Which dermatomes supply the upper limbs?  Which is the best method to assess carpal tunnel syndrome? (Based on sensitivity and specificity) 1.Compression test http://www.thestudentphysicaltherapist.com/phalens-test.html 2.Phalen's test 3.Tinel's test 4.Upper nerve extremity palpation
2.2 Health promotion for preventing osteoporosis

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  • What are the principles underlying prevention and treatment of osteoporosis? Give an example of each
2.2.1 Principles of prevention

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  • 1.Maximise peak bone mass 2.Prevent bone and architecture loss 3.Restore bone mass and architecture
2.2.2 Goals of tx

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  • 1.Slow progression 2.Minimise risk of complications 3.Healthy diet and exercise 4.Manage mobility and safety issues
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