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John is a 39 year old man with a diagnosis of Dependant Substance use (alcohol) and drinks on average 8 pints of cider per day. He has recently complained of bloating and reports to spend his money on alcohol rather than food.

A) Explain your understanding of the Renal System_ B) How might John’s alcohol use affect his physical health? C) What interventions would you suggest in this situation? Please justify your answer.

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Q2. Phyllis is a 78 year old lady with a history of low mood and suicidal ideation since the death of her husband 3 years ago. She lives alone in a 3rd floor flat and is increasingly isolated since falling 2 months ago and breaking her arm. A) Explain your understanding of the different types and composition of bone. B) Why might Phyllis be at an increased risk of fracture? C) What interventions would you suggest in this situation? Please justify your answer.

03. Kofi is a 23 year old man who has been admitted to an acute mental health ward after concerns were raised by his family that’s he was behaving increasingly agitated and paranoid that his food was being poisoned. He has just completed his final exams at university and had been concerned about his grades. Since being in hospital he is pacing the ward and preoccupied with leaving, often spending much of the day sitting at the front door.

A) Explain your understanding of the stress response in humans? B) Why might Kofi have developed psychotic symptoms at this particular time? C) What interventions would you suggest in this situation? Please justify your answer.

Q4. Linda is a 25 year old lady with a diagnosis of Emotionally Unstable Personality Disorder. She has recently attended A and E having made a number of deep lacerations to her arms with a rusty razor blade. A) Explain your understanding of the structure of the skin including the role of the different types of cell. B) What are the normal stages of wound healing and what might affect Linda’s healing process. C) What interventions would you suggest in this situation? Please justify your answer.