Question

How do I analyze the following scenario and determine the needs and care that will be required for this particular hypothetical person?

Scenario:

You are a Nurse Aide and are working in a long term facility. You are assigned to care for Mr. James.

This is the report you receive from the nurse.

"Mr. James is a 75 yr. old male. Mr. James's wife died suddenly about 3 months ago. Mr. James has a long Hx of diabetes and is insulin dependent. He also has severe hypertension. Mr. James recently suffered a heart attack and has been admitted to the facility because he can no longer care for himself at home."

When you meet Mr. James, he is in the activity room with several of the other residents. You hear Mr. James ask one of the residents if they would like to "have sex with him". Mr. James turns to you and asks if you would like to "have sex with him too"

You take Mr. James back to his room and, on the way back to his room, Mr. James begins to argue with a male resident. The other resident tells Mr. James to "shut up".

When you get Mr. James into his room for AM care, he tells you that he would like to have a shave. He refuses to take a shower and wants to take a hot tub bath. Mr. James takes out toenail clippers and begins to clip his toenails. While Mr. James is clipping his toenails, he tells you that he does not want to put on any of the clothes in his closet. He intends to "hang out" wearing boxers and a tee shirt.

Answer 1

The following care which is necessary for this patient are as following

• Diabetic management with the help of insulin
• Monitoring and managing his blood pressure level ,any abnormalities can complicate heart disease
• A strict nutritious and healthy diet to prevent any complications
• Medications as per order and on time to be administered
• Reporting the patient status to the RN regarding his abnormal behaviour and activities
• The sexual desire of the patient to be reported and assesed for any psychiatric illness.
• Trying to educate the client about proper clothing
• Avoid hot tub bath as there are risk for burn due to it