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Discuss and analyse the way in which Altered body image (post surgery) symptom encountered in scenario 4 experience may be MANAGED using a person centred approach relevant to the context of the scenario. Scenario 4 Assessment and Management of Gastrointestinal Symptoms Mr Peter Smith Aim: The aim of this two part scenario is to undertake a holistic, person-centred assessment prioritising symptom management and establishing a plan of care for Mr Peter Smith. Learning Outcomes Explore the impact of living with long term symptoms and losing control of elimination using current research-based evidence. Utilising knowledge of the gastrointestinal system, discuss the assessment, causation and management of the symptoms of nausea & vomiting, difficulty in swallowing, and constipation & diarrhoea and alteration in body image in relation to gastrointestinal surgery. Explore the impact of using research skills to find and further explore patient and family experiences of living with these symptoms. Discuss the factors that impact on the decisions of when to utilise different techniques in managing symptoms according to the severity or stage of the patients’ disease and general health status. Using this evidence and the outcomes of the assessment to develop a patient centred plan of care. Develop the knowledge and skills required to maintain meaningful documentation that includes a plan for evaluation of care. Practice the skills of having difficult conversations where appropriate. Analyse how working in partnership with teams & promoting shared decision-making results in more effective symptom management. Mr Peter Smith is 26 years old. He is British of African descent. He was born in Manchester. He is currently studying Sports and Exercise Science at university. Lives in London in student accommodation. He is currently working part time at a boutique London gym at the reception and coffee shop. While at the gym, Peter has the opportunity to exercise. He wants to become a Personal Trainer. He is in a relationship with a girl named Alia. She is also a student at the same university. He has two younger sisters. His parents and two younger sisters all live in Manchester. His parents are originally from Burkina Faso; they moved to Manchester 30 years ago. Spiritual beliefs: Muslim. Peter his family and Alia attend Mosque on Friday’s. Past Medical History (PMhx) IBD – Crohn’s disease diagnosed 10 years ago Fit and well Medication History (DHx) Azathioprine 150mg OD for maintenance of remission NKDA

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