. Discuss changes that could be made to improve the health a

. Discuss changes that could be made to improve the health a

For this assignment you may choose a case from your clinical practice (innegotiation with your topic coordinator) or evaluate the case below and chooseone (1) potential differential diagnosis that relate to PARA2000 topic content.Please de-identify the case – no place or name identifiers. If you have notattended a case or a case you feel comfortable discussing then two cases will beprovided for you to choose from.(You may NOT choose acute coronary syndromes (ACS) as they have beendiscussed in your previous assignment).The case study will provide you with an opportunity to discuss:Key clinical signs of the case·The pathophysiology of your diagnosis·o Related signs and symptoms, assessment and managementincluding:Vital sign interpretation§ECG§Current management practices·o Paramedic Managemento Hospital emergency management (first 24hours only)A critique on the evidence supporting the management practices·You are required to demonstrate a thorough understanding of thepathophysiology and provide rationales for your diagnosis and interventions.It is expected that you research the condition from both text books and currentliterature. At least five journal articles are expected to be part of your literaturesearch (Less than 10 years old). You will also review the clinical practiceguidelines of at least two (2) Australian state clinical practice guidelines. Thegoal is to provide up to date evidence based practice for the management of thepatient’s condition.Higher grades will be awarded for evidence of extensive use of literature and acritical evaluation of the care provided for the patient.1500 word limitPARA2000 Pathophysiology 1 – Cardiovascular 2016Case Scenario 1Situation: You have been called to the home of a 87 year old woman,Chantelle, who has experienced an episode of syncope and chest pain.Background: The patient has a history of has been complaining of feelingincreasingly unwell for the last 24 hours with pain in her chest.PMHx: HT, Angina diagnosed 28 years ago, angioplasty (successful), MIx2, CABG x 2, Asthma, GORD, OAMed’n: Atenolol, ramipril, GTN spray, transiderm-nitro patch,atorvastatin, salbutamol inhaler, symbicort inhaler, pantoprazole, aspirin,Plavix, paracetamol PRN,Allergies: MorphineComm. Diseases – Nil Known, up to date with vaccinationsSocial Hx: Lives with partnerFamily Hx: Father died of CVA, mother died in fatal MVCAlcohol: SocialSmoking: Stopped 20 years ago (30/day)Assessment: When you arrive you find the patient looking distressed.Vital signs: BP 90/60, PR 105, RR 28, SpO2 96%, T35.1°C,Appearance: Pale, cool, clammy, distressedCase Scenario 2Situation: You have been called to a military parade where a soldier has had anunconscious collapse.Background:PMHx: UnknownMed’n: Paracetamol PRN,Allergies: NKDAComm. Diseases – Nil Known, up to date with vaccinationsSocial Hx: Lives with partnerFamily Hx: Parents living, paternal grandfather died suddenly aged 38 –no autopsy, grandmothers both living.Alcohol: SocialSmoking: Non smokerAssessment: When you arrive you find the patient supported by colleagues inthe left lateral position.Vital signs: BP 63/38, PR 135, RR 28, SpO2 91%, T36.9°C,Appearance: Fit looking young man, pale, cool, clammy, fluctuatingconscious stateYou are expected to:outline your potential diagnosis and defend your diagnosis from·pathophysiology.provide an ECG appropriate to your diagnosis and explain why.·PARA2000 Pathophysiology 1 – Cardiovascular 2016outline the paramedic management of your patient, including the vital·signs and defend how these align for your potential diagnosis against theA&P. Please see example for further clarification. (You may outlinetreatment up to the first 24 hours in hospital)
Read MoreThe role of Public Health in Health and Social CarePaper , Order, or Assignment Requirements
1.Explain the roles of World Health Organisation (WHO), Department of health or Explain the role of World Health Organisation (WHO) Department of health or public health England local Authorities (eg Clinical Commission Groups) in identifying levels of health and disease in communities2. Explain using statistical data, the epidemiology of HIV/AIDS and breast cancer in England.3. Evaluate the effectiveness of different approaches and strategies to control the incidence of any infectious disease as mentioned in 1&2.4. Use relevant research to determine current priorities and approaches to the provision of services for people with disease or illness namely HIV/AIDS and Breast cancer.5. Explain the relationship between the prevalence of breast cancer or HIV/AIDS in relation to the requirements of health services to support individuals with the above diseases.6. Analyse the impact of current lifestyle choices(eg diet, exercise and substance use) on the future needs for health and social care services.7. Assess the health and well-being priorities for people living in a London borough (eg Brent, Hackney, and Hounslow).8. Evaluate the effectiveness of strategies, systems and policies in a health and social care setting, namely: provision of services, quality of provision, complaints policies in relation to a particular service.9. Discuss changes that could be made to improve the health and the well-being of individuals in a health or social care setting. This should be linked to 8.10. Evaluate an activity that has been implemented to encourage behaviour change for maximising health for individuals in a health or social care setting. Smoking cessation programme must be discussed in your essay: