Today, in your long-term care rotation, you have been assigned BM, an 85 year-old-female. Her scheduled medications include hydrochlorothiazide, losartan, and simvastatin. Her prn medications include docusate sodium, bisacodyl, and polyetheline glycol. You come by to see her right after she finishes lunch in hopes that you can take her for a walk. In the team huddle this morning, it was noted that BM sits in her room watching TV quite a bit. As you remove her lunch tray you notice that she has eaten her grilled cheese sandwich (minus the crusts), drank her milk, and eaten most of a cookie but has left the salad and applesauce. She asks you to bring her coffee and, “One of those pills I take every day so that I can go to the bathroom.” After some discussion, you realize this is the bisacodyl.
1. What questions will you ask her about her diet?
2. What recommendations could you make to LS and the care team to improve her gastrointestinal health?
Answer: It is important to ask some questions regarding her diet such as:
Today, in your long-term care rotation, you have been assigned BM, an 85 year-old-female. Her scheduled...
Chapter 89 Case Study You have been assigned to care for 23-year-old Ms. G, who is being seen in the urology clinic for recurring lower UTIs. Ms. G has taken multiple drugs for urinary tract infections in the past. Her last UTI was 1 month ago. She had not experienced a urinary tract infection for 1 year previous to the infection she had last month. Ms. G is concerned that the cycle of repeated UTIs is going to start again....
you have been assigned to take care of a 14 years old female named Cheryl, she is in the hospital for post-operative care following Harrington rod placement for her structural scoliosis. Cheryl has also been struggling with anorexia her current vital signs are 98.9 orally, 108, and 158/88. She is 5ft 1 inch tall and weighs 92 lbs. 1. differentiate between structural and functional scoliosis 2. how is screening performed for scoliosis and what age should screening begin 3.what should...
An 88-year-old woman has been in a Memory Care unit of a long-term care facility for the past two years due to advanced Alzheimer’s disease. She does not recognize her family and stopped communicating or providing self-care about 6 months ago. Last week she developed a urinary tract infection and was transferred to the skilled unit in the same facility for IV antibiotics. She has a durable power of attorney for health care (her daughter) and living will, which her...
You have been assigned to care for Ms. Buchanan, a 39-year-old patient who was diagnosed with RA 10 years ago. Ms. Buchanan has tried several medications to control the severe pain associated with her disease and has now been prescribed Etanercept [Enbrel] injections. She has the following questions: How will this medication help with my symptoms? Are there any side effects to this medication? Please include references .
You are assigned to Mrs. Z. a 72-year-old woman who fell at home and was admitted to your unit for a fracture of the right hip. She was alert and oriented on admission. After the initial workup, she was taken to surgery for an open reduction with internal fixation (ORIF) of her right hip. This is her first postop day. Her right hip dressing has a small amount of dried dark red drainage. Handoff Report for Mrs. Z: Patient has...
An eighty-five-year-old widow has been in a long-term care facility for six months. She was admitted with severe osteoarthritic and osteoporotic pain. Her family initiated her placement because she was overmedicating herself at home, confusing her medications, and not eating adequately. She has been a “complainer” for years, the family reports. The family and physician are reluctant to give her strong pain medicines; they don’t want her to be “doped up” like she was at home. She currently takes two...