An 86-year-old male parishioner is on hospice care at home, and his daughter, who is a...
An 86-year-old male parishioner is on hospice care at home, and his daughter, who is a nurse, has been trying to meet all his physical needs around the clock. The pastor, who made a home visit, calls the faith community nurse to express his concern that the daughter is becoming "burned out." How can the faith community nurse engage the faith community as a whole to provide volunteer support to this family?
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An 86-year-old male parishioner is on hospice care at home, and
his daughter, who is a...
Community Case: Faith-Based Community Case Part 1 Darnell, who is 56 years old, is of African...
Community Case: Faith-Based Community Case Part 1 Darnell, who is 56 years old, is of African American heritage and has a diagnosis of late stage colon cancer His physicsan has indicated that there are no additional medical interventions to treat the condition. The physician has contacted the home health agency and requested that a nurse visit the family Amy, a home health nurse from the AOM Home Health Agency, visits Darnell and has wife, Carlene, to discuss the available support...
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single...
JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father's health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not...
CASE STUDY You are caring for a 59-year-old male patient receiving 2. What physical care needs...
CASE STUDY You are caring for a 59-year-old male patient receiving 2. What physical care needs does the person have? hospice care. The person currently sleeps most of the time. His verbal communication is minimal. He occasionally opens his eyes. His wife stays with him most of the day. She has spent the past two nights at his bedside. She says prayers and talks to her husband about important events in their lives. His lives in another state arrived 3...
M.L. is a 50-year-old male who presents to the family practice for a yearly physical. The...
M.L. is a 50-year-old male who presents to the family practice for a yearly physical. The patient has noticed a change in bowel movements. He states that his stools are dark colored and that he has been passing gas more frequently. His last bowel movement was this morning prior to the office visit. He has no other complaints at this time. The patient has a past medical history Vital signs are T 97.5, P 85, R 16, and BP 110/55...
M.L. is a 50-year-old male who presents to his primary care provider for a yearly physical....
M.L. is a 50-year-old male who presents to his primary care provider for a yearly physical. The patient has noticed a change in bowel movements. He states that his stools are dark-colored and that he has been passing gas more frequently. His last bowel movement was this morning prior to the office visit. He has no other complaints at this time. The patient has a past medical history of depression and hemorrhoids. Vital signs are T 97.5, P 85, R...
Shirley Richardson (S. R.) is a 64-year-old hospice patient being cared for at home with the...
Shirley Richardson (S. R.) is a 64-year-old hospice patient being cared for at home with the support of the hospice agency staff. She has a 4-year history of colon cancer with metastasis. She underwent surgery, radiation therapy, and various chemotherapy regimens over the last 4 years, until tumor growth continued despite the treatments. Chemotherapy was discontinued 2 months ago, and the metastasis accelerated. S. R.'s pain is being controlled by morphine sublingual drops. She is weak but able to use...
Your patient is a 44-year-old male admitted due to an exacerbation of his multiple sclerosis (MS)....
Your patient is a 44-year-old male admitted due to an exacerbation of his multiple sclerosis (MS). During report, the nurse from the previous shift informed you he had to straight catheterize the patient due to urinary retention and bladder distention. You are in the room talking with the patient and his significant other when the primary care provider approaches them with the information that, due to a progression of the MS, the patient will need to catheterize himself for the...
Ed is an 82-year-old widower who lives in his own home. His eldest daughter, Margaret, is...
Ed is an 82-year-old widower who lives in his own home. His eldest daughter, Margaret, is his primary caregiver. She comes over every day to clean his house, prepare his meals, drive him to appointments, and simply be someone for him to socialize with. Caring for her father alone is a great deal of work, and she is considering enrolling him in an adult day service for a few days a week. If Margaret enrolls Ed in an adult day...
A 72 year old male is seen in his nursing home for a distended abdomen. He...
A 72 year old male is seen in his nursing home for a distended abdomen. He has a Foley in place yet has not had any urine output in 16 hours. Renal ultrasound shows hydronephrosis. Creatinine is increased to 2.2 mg/dL. What would you suspect? You are a nurse on a medical-surgical floor. Labs drawn on your patient admitted from the nursing home with dehydration and malnutrition just come back and the calcium level is 6.8. Should you call the...
Case Study Tom Anderson is an 86-year-old white male who lives with his 82-year-old wife in...
Case Study Tom Anderson is an 86-year-old white male who lives with his 82-year-old wife in their home in upstate New York. Over the past few years, Mrs. Anderson has noticed a decline in her husband’s mental status. Early on a January morning, Mrs. Anderson was awaked at 4 am by the doorbell. When she opened the door, a neighbor was standing with her husband who was wearing nothing but his pajamas. The neighbor explained he saw Mr. Anderson wandering...
Community Case: Faith-Based Community Case Part 1 Darnell, who is 56 years old, is of African American heritage and has a diagnosis of late stage colon cancer His physicsan has indicated that there are no additional medical interventions to treat the condition. The physician has contacted the home health agency and requested that a nurse visit the family Amy, a home health nurse from the AOM Home Health Agency, visits Darnell and has wife, Carlene, to discuss the available support...
CASE STUDY You are caring for a 59-year-old male patient receiving 2. What physical care needs does the person have? hospice care. The person currently sleeps most of the time. His verbal communication is minimal. He occasionally opens his eyes. His wife stays with him most of the day. She has spent the past two nights at his bedside. She says prayers and talks to her husband about important events in their lives. His lives in another state arrived 3...
M.L. is a 50-year-old male who presents to the family practice for a yearly physical. The patient has noticed a change in bowel movements. He states that his stools are dark colored and that he has been passing gas more frequently. His last bowel movement was this morning prior to the office visit. He has no other complaints at this time. The patient has a past medical history Vital signs are T 97.5, P 85, R 16, and BP 110/55...
Your patient is a 44-year-old male admitted due to an exacerbation of his multiple sclerosis (MS). During report, the nurse from the previous shift informed you he had to straight catheterize the patient due to urinary retention and bladder distention. You are in the room talking with the patient and his significant other when the primary care provider approaches them with the information that, due to a progression of the MS, the patient will need to catheterize himself for the...
A 72 year old male is seen in his nursing home for a distended abdomen. He has a Foley in place yet has not had any urine output in 16 hours. Renal ultrasound shows hydronephrosis. Creatinine is increased to 2.2 mg/dL. What would you suspect? You are a nurse on a medical-surgical floor. Labs drawn on your patient admitted from the nursing home with dehydration and malnutrition just come back and the calcium level is 6.8. Should you call the...
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