Screening of an Adolescent Client.

This health screening took place on October 13th, 2017. Bruce Gerald is the name of the client. Bruce is a 16-year-old male student at Parklands High School who resides in Florida. He was born in Florida on April 4, 2001. The exam provided a lot of health information. Bruce was discovered to be hemophilic during the screening, a trait he is thought to have received from his father. He has also gained a lot of weight in the last two years, which is concerning for obese people. He is suffering respiratory problems, particularly after heavy exertion. In his health history, he has had no complications and has a clean record as his hemophilic condition is kept under check. His family though has had quite a history. His mother has diabetes while his father is hemophilic.


Having done the screening so timely it was easy to carry out complete nursing diagnoses. (Malhi, 2016). This will be included actual, wellness and risk diagnoses. All the determinations were based on the results collected during the screening and also his health history. For the hemophilic condition, Bruce had to undergo actual diagnosis where screening tests and even clotting factor was tested. This was to determine the severity level of his state. It was recommended that DDAVP is infused in his blood to assist in clotting in case of an accident. (McCann, 2016). A risk diagnosis was also undertaken. There was a risk for heart and chronic diseases as evidenced by a lot of weight gain and lack of exercises. Therefore, he was accumulating a lot of fat which is a risk. (Després, 2015). It was recommended that he starts doing activities even if it would mean walking for a little bit long distances. The diet was found to have a lot of junk which is not healthy. Bruce was therefore advised to consume more vegetables and avoid junk foods.


A wellness diagnosis was done where Bruce was made aware of the risks he was facing and advised on how he could meet them. He was also to create awareness to the community about the balanced diet; this was to help other kids that are just like him. (Malekoff, 2015). A wellness plan then followed this. The wellness plan provided that Bruce starts to use DDAVP from that month to boost his clotting ability. (Peate & Dutton, 2014). Attend medical check-ups and canceling with effect to this. Start working out for physical fitness. Keep a look on his diet to ensure the balanced diet and avoid fats.


The screening was a success and following the above observations and treatment plans Bruce Gerald will have a better healthy life.


References


Després, J. P. (2015). Obesity and cardiovascular disease: weight loss is not the only target. Canadian Journal of Cardiology, 31(2), 216-222.


Malekoff, A. (2015). Group work with adolescents: Principles and practice. Guilford Publications.


Malhi, H. (2016). Dysphagia: warning signs and management. British Journal of Nursing, 25(10).


McCann, S. R. (2016). A History of Haematology: From Herodotus to HIV. Oxford University Press.


Peate, I., & Dutton, H. (2014). Acute nursing care: recognising and responding to medical emergencies. Routledge.

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