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You are working the morning shift at a small rural hospital. The following handover is in regards to one of your patients – Mrs Rosetta Naygel
Mrs Rosetta Naygel is an 85 year old female. She was admitted overnight due to a worsening chest infection.
Baseline Observations on admission (0130hrs): BP 145/95mmHg, HR 125 beats/min, Temp 38.7, RR 28 breaths/min
Most Current Observations ( 0600hrs): BP 140/95mmHg, HR 98bpm, Temp 37.8, RR 24bpm, Ht 175cm, Wt 62kg
Background Information
Mrs Naygel had a Cerebrovascular Accident (CVA) 2 years ago and has severe left sided weakness. She has resided at the ‘Waterview Nursing Home’ ever since. She uses a wheelchair to mobilize and needs assistance with transferring and with her ADL’s.
Her husband moved into the nursing home with her, however he died 2 months ago. She has two children who live interstate.
Mrs Naygel maintains involvement in all the activities within the nursing home and especially enjoys singing and playing cards.
Mrs Naygel is of a Jewish background.
ASSESSMENT TASK:
You need to create a preventative ‘plan of care’ for Mrs Naygel and demonstrate that this care is based on ‘best practice’. This needs to be in a table format
(template give below).
Firstly, based upon the above case study, choose ONE actual or potential problem (given below ) for EACH of the following ‘health domains’.
Health Domains:
Physical – (Risk of DVT, risk of pressure area sores, or risk of pneumonia)
Psychological – (Stress due to possible end of life, or grief due to her husband’s death)
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