NR305 Week 2- General Survey:Skin:Nutrition .docx

NR305 Week 2- General Survey:Skin:Nutrition .docx - Week 2...

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Week 2: General Survey/Skin/Nutrition 1 1 unread reply. 1 1 reply. This week's graded discussion topic relates to the following Course Outcomes (COs). CO1 Utilize prior knowledge of theories and principles of nursing and related disciplines to explain expected client behaviors, while differentiating between normal findings, variations, and abnormalities. (PO 1) CO3 Utilize effective communication when performing a health assessment. (PO 3) Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit. Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs). Medications: Lopressor Lisinopril Plavix Metformin Novolin R per sliding scale *NEW* Multivitamin Colace Zithromax *NEW* Upon arrival, you are greeted by Champ, the couple's rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple's lunch.
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Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home. What, if any, concerns related to Millie's skin and nutritional status do you have? What nursing interventions will you include in the plan of care to address these concerns? What teaching strategies will you use to educate Millie and Fred on the new medications? Using the SBAR, please include the information that you will communicate to the physician's office at the completion of the visit. Hello Professor and Class, This week’s discussion brings me back to the time when my second job was as a visiting nurse. Based on our case scenario, I would be very concerned about the environment. In our case scenario, we are seeing two older adults couple: an 83-years-old female who is disabled and requires complete assistance with all activity, and her husband is an 87-years-old male who is trying to be helpful and take care of house chores and his wife by himself. They have two dogs of miniature Doberman pincher which give him the extra responsibility to take care of the dogs too. As ex-owner of that kind of dogs, I knew they are very active and turbulent, that could be a significant risk of fall, but on the other side, they are terrific watchdogs. My observation will be on flooring, pathways, problematic clutter, wire cords, equipment. Additionally I will focus on
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  • Fall '11
  • Millie, Mrs. Gardner, Millie Gardner

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