Case Scenario: Mrs. Chu is a 76-year-old widow who lives alone. She slipped and fell in the bathroom and broke her right hip. She had undergone a TOTAL RIGHT HIP Replacement 2 weeks ago. Now she is home and the CLHIN has ordered a PSW to assist Mrs. CHU's daily activities. The PSW is ordered 3 hours daily for 4 weeks. Ques- PSW Role in the care of a client following hip replacement surgery. DIPPS must be mentioned and how this can be shown in the care

Case Scenario: Mrs. Chu is a 76-year-old widow who lives alone. She slipped and fell in the bathroom and broke her right hip. She had undergone a TOTAL RIGHT HIP Replacement 2 weeks ago. Now she is home and the CLHIN has ordered a PSW to assist Mrs. CHU's daily activities. The PSW is ordered 3 hours daily for 4 weeks. Ques- PSW Role in the care of a client following hip replacement surgery. DIPPS must be mentioned and how this can be shown in the care

3-2-1 Code It

6th Edition

ISBN:9781337660549

Author:GREEN

Publisher:GREEN

Chapter19: Insurance And Reimbursement

Section: Chapter Questions

Problem 23MC

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Mrs Chu is a 76 year old widow who lives alone. she slipped and fell in the bathroom and broke her right hip. she had undergone a TOTAL RIGHT HIP Replacement 2 weeks ago. Now she is home and the CLHIN has ordered a PSW to assist Mrs Chu's daily activities. The PSW is ordered 3 hours daily for 4 weeks. During your initial visit, your patient states her pain is 7/10 and she does not want to do any ADL's due to her pain. There is a MAR at the patient's bedside that includes administration of an opiod pain medication, every 6 hours. The dressing on her right hio incision is dryt and intact, but she does have edema to bilateral lower extremities as well as bruising on her hip from her fall and surgery. please create a care plan for Mrs Chu, taking into consideration the PSW role in the care of a client followinh Hip replacement surgery. and also create a SOAP note summarizing the information to the next shift.
Case Scenario: ISCHEMIC STROKE Patient M is an active woman, 70 years of age, who lost consciousness and collapsed at home. Her daughter, who was visiting her at the time, did not witness the collapse but found her mother on the floor, awake, confused, and slightly short of breath. The daughter estimated that she called EMS within 5 minutes after the collapse, and EMS responded within 10 minutes. EMS evaluated Patient M, drew blood for a glucose level, and determined that she may have had a stroke. They notified the nearest designated comprehensive stroke center that they would be arriving with the patient within 15 minutes. Patient M's daughter accompanied her. On presentation in the emergency department, Patient M is immediately triaged. Because Patient M is still somewhat confused, her daughter is asked to provide information on the patient's history. The daughter reports that her mother had had an episode of sudden-onset numbness and tingling in the right limb, with slight…
Case Scenario: ISCHEMIC STROKE Patient M is an active woman, 70 years of age, who lost consciousness and collapsed at home. Her daughter, who was visiting her at the time, did not witness the collapse but found her mother on the floor, awake, confused, and slightly short of breath. The daughter estimated that she called EMS within 5 minutes after the collapse, and EMS responded within 10 minutes. EMS evaluated Patient M, drew blood for a glucose level, and determined that she may have had a stroke. They notified the nearest designated comprehensive stroke center that they would be arriving with the patient within 15 minutes. Patient M's daughter accompanied her. On presentation in the emergency department, Patient M is immediately triaged. Because Patient M is still somewhat confused, her daughter is asked to provide information on the patient's history. The daughter reports that her mother had had an episode of sudden-onset numbness and tingling in the right limb, with slight…
CASE 4: Which could be a potential internal constraint on Ms. Randall's autonomy... her lack of mobility depression as a result of her terminal diagnosis and current quality of life the close and supportive relationship with her family
The significant other of a client diagnosed with myasthenia gravis is crying and shares with the nurse that they just don’t know what to do. Which response would be the best action by the nurse? 1. Discuss the Myasthenia Foundation with the significant other. 2. Refer the client to a local myasthenia gravis support group. 3. Ask the significant other if he or she would like to talk to a counselor. 4. Sit down and allow the significant other to ventilate his or her feelings to the nurse.
N, a 65-year-old woman, had sustained a fall at home causing hip fracture. She had undergone a Dynamic Hip Stabilization (open reduction and fixation) 5 days ago.Currently she is in the post-operative unit. Medical history Type 2 diabetes since 15years Hypertension since 20years Coronary artery disease 2 years ago, was resolved by PTCA Ischemic stroke 5 years ago that left her with some residual right-sided weakness. Medications Tab. Metoprolol 50 mg OD Tab. Lisinopril 40mgOD Tab. Atorvastatin 10mg OD Tab. Aspirin 75mg OD Tab. Metformin 500g BD Tab. Multivitamin 1 OD Assessment You are the nurse assigned to her this morning. You notice that Ms. J.N. is increasingly drowsy and lethargic as compared to the previous day. You are doing physical examination, Ms. J N is pale, diaphoretic, and lethargic. She arouses to voice but is able only to state her first name.Her vital signs are as follows: Blood pressure, 78/60 mm Hg;  Heart rate 70 Respiratory rate, 26; Temperature, 36.9°C.…
N, a 65-year-old woman, had sustained a fall at home causing hip fracture. She had undergone a Dynamic Hip Stabilization (open reduction and fixation) 5 days ago.Currently she is in the post-operative unit. Medical history Type 2 diabetes since 15years Hypertension since 20years Coronary artery disease 2 years ago, was resolved by PTCA Ischemic stroke 5 years ago that left her with some residual right-sided weakness. Medications Tab. Metoprolol 50 mg OD Tab. Lisinopril 40mgOD Tab. Atorvastatin 10mg OD Tab. Aspirin 75mg OD Tab. Metformin 500g BD Tab. Multivitamin 1 OD Assessment You are the nurse assigned to her this morning. You notice that Ms. J.N. is increasingly drowsy and lethargic as compared to the previous day. You are doing physical examination, Ms. J N is pale, diaphoretic, and lethargic. She arouses to voice but is able only to state her first name.Her vital signs are as follows: Blood pressure, 78/60 mm Hg;  Heart rate 70 Respiratory rate, 26; Temperature, 36.9°C.…
The nurse administers oral pyridodgigmine to client with myasthenia gravis. The nurse prioritize which action to ensure adherence bto safe medications administration 1, ask the client to hold the medication cup and self administer the medication 2, observe the client taking a sip of water before administering the medication 3, schedule administration of pyridostigmine at the same time every day
What specific interventions will you use to address the affected UE? How might you address their trunk/posture and positioning in different positions (bed, w/c, standing)? What will you teach your patient/family to work on outside of treatment times? Your patient had a L CVA (R hemiparesis) 2 days ago and has a flaccid RUE. They have difficulty standing, keeping their weight on their L side. They demonstrate slight lateral trunk flexion to the R in sitting and supine with slight cervical flexion to the R. While seated and standing, their weight is shifted to the L.
Case: 76-year-old male complained of difficulty walking. The condition started 3 years prior to consult when his right knee started to experienced 6/10 pain, non-radiating. No consultation was done and no medications were taken. Two years prior to consult, there was progression of right knee pain from 6/10 to 9/10. During this time his left knee started to experience sharp shooting pain noted during ambulation graded 6/10. Two weeks prior to consult, there was swelling of both knees associated with difficulty ambulation. QUESTION: 1.) What system is affected 2.) What is/are the normal function/s of the system involved in the case?
CASE: 76-year-old male complained of difficulty walking. The condition started 3 years prior to consult when his right knee started to experienced 6/10 pain, non-radiating. No consultation was done and no medications were taken. Two years prior to consult, there was progression of right knee pain from 6/10 to 9/10. During this time his left knee started to experience sharp shooting pain noted during ambulation graded 6/10. Two weeks prior to consult, there was swelling of both knees associated with difficulty ambulation. QUESTION: 1.) What is/are the possible cause/s of the condition? 2.) Gove some preventative measure/s of the condition/s.
Florence is a patient on the ward. She is 89 years old and has been admitted for a back injury sustained whilst skateboarding. Florence is usually very active and has a health life style. However, due to her age, the injury is quite severe and will need surgery. Tomorrow she is due to have surgery. Florence has a habit of sneaking food, and she also is annoyed that she is not able to get out of bed due to the injury. A number of times, she has tried to get up to move around, however this would be very bad for her injury. The day shift had to help her back into bed each time. She also spills drinks often but doesn’t tell anyone she has done it. The task is to successfully get Florence to surgery tomorrow. She needs to go through the 8 hours of nil by mouth before the surgery. She must also keep as still as possible, as she has already aggravated her back condition by trying to get up and move. As her nurse or doctor, how would you manage the risks around preparing for Florence’s…