Read the scenarios and answer the related questions below. Jamaal…

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Question Answered step-by-step Read the scenarios and answer the related questions below. Jamaal… Read the scenarios and answer the related questions below.Jamaal is a four year old boy who has been attending your service for ten days. His family are refugees from Sudan and speak very little English.Who would you consult and seek assistance from (internally and externally) regarding the language barrier?What strategies could you use to communicate with Jamaal and his family? Social Science Sociology CHILDCARE STUDY CHC50113 Share QuestionEmailCopy link Comments (0)

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Question Supporting document   Patient Details            : Mrs. Miriam Gold, 85 years' oldPresenting Problems  : Fluids overload (dialysis will be ceased due to palliative approach),                                       Pneumonia & metastatic cervical cancerPast history                 : COPD, GORD, CABGsCognitive                     : drowsy and vagueSocial                          : lives home with husband. Patient and family want no further treatmentDiet                             : mild thick fluids (as tolerated)Continence                 : incontinent, pad in situMobility                        : RIBMedications                : patient is receiving medication via a syringe driver: Fentanyl 200 mcg + Midazolam 10 mg (24/24PRN medication: Fentanyl 25-50 mcg (S/C), Midazolam 2.5-5 mg (S/C) Mrs. Gold was admitted to the ward for palliative treatment. Husband and children are not coping at home and she was in a lot of pain due to her malignant wound on her L) groin. The malignant wound on her groin is purulent and it has developed a sinus. The odour coming out from the wound is offensive. The patient requires pain relief before dressing changes and for any pad changes/hygiene care. It was reported that her groin and peri-anal area is red due to bowel incontinence & discharge from her cervical cancer.Mrs Gold is complaining of burning pain in her groin and perianal region.Mrs Gold's history notes state that she has developed a rectovaginal fistula as a result of the disease progress and radiotherapy. Mrs Gold also has a long standing venous ulcer that is not healing.Picture 1: Malignant wound on groin          Picture 2: Venous ulcer QUESTION 1Holistic assessment of the patient including:medical history and examination of the patient and the woundstype of wounds with definition and the causes of wounds -example, injury, fungal infection, micro-organism, viral infection, disease.           any investigation required for the woundwound management principles QUESTION 2Evaluation of the wound including wound bed status (include colour/s) & characteristic:Wound bed status (include colour/s) Wound characteristicsWound measurementsCondition of surrounding skin (example- intact, breaking down) Wound exudate (colour, consistency, odour)Any further assessment - example; Doppler, wound swab.PLEASE INCLUDE REFERENCING  Health Science Science Nursing NURSING 006 Share QuestionEmailCopy link Comments (0)
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