Get Answer: Case Study Unfolds Question Guide

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Original Question

The case study unfolds: JR is maintaining an saturated oxygen concentration (SAO2) of 92-94% as ordered receiving oxygen 2-4 l/nasally. The bipap machine is at the bedside to be used at bedtime. When JR falls asleep in the chair his SAO2 drops to 85% and when he is woken up the level returns to within normal limits (WNL). Pulse oximeter alarms are set to alarm when the level drops below 90%. The respiratory therapist and pulmonary physician attended and it was discussed with JR that we would make frequent rounds (q15-30 minutes) and are comfortable that his room is near the nurses station. JR’s vital signs remain stable with temperature (T) max 99.0po. JR verbalized the need to measure and strain urine to capture any sand or stone for analysis and to measure output. JR also was able to verbalize the manifestations of urinary tract infection. Additionally, JR verbalized approval of the bipap machine used in the hospital and demonstrated use. When his sleep apnea was discussed he shared that he is on a weight reduction regimen which he hopes will positively impact his breathing status. JR was able to verbalize a low calorie, high fiber diet which he has been on at home. His BMI is currently 30 and JR states that he has lost 10 pounds in the last 3 months by following a low calorie and high fiber diet. Unfortunately, JR continues to experience pain in the left flank area upon micturation and there is a plan to incorporate new pain management measures into the therapeutic regimen which does not cause JR to become sleepy. JR was able to verbalize the indications and instructions for his discharge medications of ampicillin and inderal as well as his next physician appointment. Question: o Define the IOM competency of Patient-Centered Caring. o Discuss how the plan of care for JR met or did Not meet the requirements of this competency and make recommendations. o Identify specific “knowledge, attitudes, or skills” of the competency when critiquing this plan of care. o Identify any risks to JR’s safety.

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