How to Answer Situation Edith Jacobson Questions (Complete Guide)
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Original Question
Situation: Edith Jacobson is an 85-year-old female who was admitted last evening after a fall at home where she fractured her left hip and hit her head. An x-ray has been taken and shows a left intertrochanteric hip fracture. ECG showed normal sinus rhythm, no ectopic beats. She also had a CT of her head, and results were negative for intracranial bleeding. Her relative was visiting her when the patient tripped on the edge of a rug and is currently at Edith’s bedside.Background: Edith Jacobson has a 10-year history of osteoporosis and no known allergies.Assessment: Edith Jacobson’s vital signs are stable. Her pain is under control with morphine every 4 hours. I medicated her at 0600 for a pain level of 8. Her pain level is a 2 after the morphine. I just turned her and assessed the fractured hip. The skin is intact, and the color, motion, and sensation around the hip area are within normal limits. She has no visible wounds to her head. A fall risk assessment was completed on admission, and her Morse Fall Scale score was 45. Fall precautions were implemented. Her Glasgow Coma Scale score was 15. The patient has been oriented to person, place, time, and situation this morning. Contesta en espanol en tus propias palabras Why is it important to continue doing neurologic assessments in a patient with an unremarkable computed tomography (CT) scan?
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