you are a nurse at a local nursing home and noticed, Maria an 84-year-old woman, has captured your heart. Maria has a se...
you are a nurse at a local nursing home and noticed, Maria an 84-year-old woman, has captured your heart. Maria has a severe rheumatoid arthritis with pain and joint deformities, so she cannot ambulate or perform activities of daily living independently. Mari's family visits every weekend, and they always bring cookies or candy, usually chocolate. maria likes to eat these treats just before bedtime, right after her bedtime medications. She receives a stool softener, a sleeping pill, and a pain pill for her arthritis. lately, she has been awakening at least twice each night, seeming quite confused. She tells the day shift nurse that she needs another sleeping pill at bedtime because "I'm not sleeping as well as I used to because I have to get up so many times to go to the bathroom. she also seems sluggish than usual during the day.
a) what are some reasons that Maria might be awakening?
b) what might be causing her confusion at night?
c) should you address the problem of having chocolate before bed? why or why not?
d) list as many different interventions as you can that you might use to address the problem of eating sweets before bed.
e) consider the consequences. How might her family react if you suggest that they bring something besides sweets?
f) what teaching might you do with the family.
Homework Answers
Answer:- symptoms of rheumatoid arthritis include:-
- joint pain
- pancarditis
- chorea
- erythematous
- subcutaneous nodules
Redness of the joint is more strongly associated with rheumatoid
arthritis (RA), in severe conditions associated with
endocarditis.
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