HLT100 Task 1. Case Study A: Jamie

Jamie is a 53-year-old male, who is 175cm tall, weighs 100kg, and has a waist circumference of 98cm. He lives in Queensland, and travels to work each day to the office where he works as a regional manager within a manufacturing organisation.

As a keen gardener, Jamie is constantly suffering scratches, cuts and grazes when working. One day when he comes inside and gets changed, he finds a significant cut on his right arm. With appropriate consideration of Jamie’s case:

Discuss how Jamie’s normally intact skin acts a barrier towards infection, detailing specific anatomy and physiology of the integumentary system.

Outline the key steps involved in the healing of his wound.

Jamie is considering a high-protein diet as an approach for both increasing muscle mass and losing weight.

Detail the processes that are involved in the digestion of protein. Describe what (physiology) and where (anatomy) specific events are occurring.

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Briefly explain if a high-protein diet may cause Jamie’s desired effects.

Jamie experiences constant soreness and stiffness in his left knee, and it sometimes feels like it might ‘give way’. Jamie blames an old knee injury, which he says ended his rugby career; it transpires that Jamie suffered tears to his meniscus and anterior cruciate ligament at age 45. Using patient-friendly terminology that Jamie will be able to follow: Jamie’s left knee hurts and feels stiff all the time, and sometimes it feels like it might “give way.” Jamie says that an old knee injury ended his career in rugby. It turns out that Jamie tore his meniscus and anterior cruciate ligament when he was 45 years old. Using words that Jamie can understand and that are friendly to patients:

Explain what happened at the time that Jamie injured his knee, fully detailing the structures involved and the roles they play in knee stability.

Provide an evidence-based explanation to relate this previous injury to Jamie’s current knee symptoms.

In attempt to manage his knee-pain, Jamie has been prescribed pain medication that contains codeine, known as Panadeine Forte. Medication that contains codeine has a potential risk of constipation. Remember that the focus of this question is on anatomy and physiology, and not specifically about details of the medication. Focus on Jamie’s potential constipation. Where appropriate, consider all elements of Jamie’s case when answering this question.

Explain what is occurring in the digestive system if Jamie is experiencing constipation since starting his pain medication.

Make an evidence-based recommendation for a non-pharmaceutical intervention that could help manage Jamie’s knee pain.

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