Question

CASE STUDY Answer the following questions 1. What information would you report and record? Mr. Juan Gomez is a 75-year-old resident of Valley View Nursing Center. You have been assigned his care this morning. Mr. Gomez told you that he had a bowel movement at 0500 (5:00 AM) You helped Mr. Gomez get ready for breakfast by assisting him with mouth care and with washing his face and hands. Mr. Gomez had breakfast sitting in the chair beside his bed. He ate everything on his breakfast tray. After breakfast, you took Mr. Gomez for a walk. He walked 20 feet and then complained of being tired. You assisted him back to his room and helped him into bed. 2. To whom should you report the information? 3. What form would you use to record each piece of information?

Answer 1

ANSWERS :

1. I would report about the bowel movement of patient as well as the complain of tiredness as said by the patient after walking for a distance of 20 feet after breakfast, as his age is 75 years it is important to record the minor changes of the body to prevent further complications.

2. I would inform to the concerned physician of the nursing center to make the needed assessment and do the needful treatment plan of action for the patient.