Get Answer: Geratric Case Study Question Guide
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Original Question
Geratric Case Study Client Specifics: Mrs. Anne Dixon – 87 years old Dr. Cyril MacLeod – primary physician Family contact – Matthew Dixon, son and named agent on personal directive Medical diagnoses – hypertension, osteoporosis, osteoarthritis, mild cognitive impairment, Type 2 diabetes Functional – ambulates with a walker, requires assistance with activities of daily living (ADLs); bathing, grooming, toileting. What happened? Care providers are alerted by hearing a loud crash and yelling in the client’s room. Roommate Emily Miles witnessed the fall. At 1300 Anne is found lying on her right side on the floor at the bedside in front of the night table. She denies loss of consciousness, but is not sure if she bumped her head. She has a 2 cm abrasion on the right side of her forehead that is oozing blood. She is moving all her limbs and complains of pain at 6/10 for a “sore right shoulder”. A large amount of bruising noted to the right shoulder. Vital signs are BP 130/86, T 37.1 C (t), P94, R 22. O2 sat is 95% on room air. PEARL. Anne also tells the care provider that she was trying to get the magazine from her night table so she could get up and read in her easy chair. When she got up, she became dizzy and fell. She is awake and aware of her surroundings after the fall. Her speech is clear and coherent and hand grips are strong bilaterally. Physician notified of adverse event at 1315. Physician orders neuro vital signs for 3 hours every 15 minute, 1 tablet of Tylenol # 3 for pain every 3 hours as required, x-ray of right shoulder. Anne is assisted back to bed with a second care provider. The laceration on her forehead receives first aid treatment. Family is notified of the adverse event. Anne is instructed to ask for help when she gets up to read or to use the bathroom. She is to call the care provider if in pain. The client is left in bed in a safe position. Internal Clinical Experience Assignment: 1. Identify the necessary assessment data. 2. From the assessment date what “Problem did you identify? 3. Write two complete Nursing DX for this patient ( Problem r/t etiology AEB Assessment data) 4. In this scenario, what is the adverse event and what components you must include in your documentation? 5.Write an SBAR for the next shift nurse S: B: A: R:
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