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Original Question

Mrs Austin is a 79 -year-old woman admitted for management of her chronic pain, COPD. She has a past medical history of asthma, diabetes, rheumatoid arthritis, anxiety, leg ulcer, depression, insomnia and a gastric ulcer. Ms Austin lives in the Whittlesea Public Housing community, she has few friends left there now and she is socially isolated. She lives on the 9th floor and the lift is often broken. She relies on various community service agencies. On admission she is having difficulty in breathing and her O2 Sats are 88%, BGL readings were unstable, and high as well. On admission Mrs Austin provides you with the following list of medications that she is currently taking. Paracetamol 500mg 2 tablets qid Ibuprofen 1 tablet bd Ventolin 2 puffs prn Diazepam 5mg mane Temazepam 10mg nocte Actrapid 6 units S/C Nexium 40mg bd Is it normal for Mrs Austin to have low O2 saturation as compare to a normal person? 2.Explain how you would evaluate the success of one (1) of the above complementary strategies you have identified. 3.Mrs Austin is fasting for debridement of her leg ulcer. You would; withhold her insulin and monitor her BGL closely give her insulin and monitor her BGL closely allow her to eat a small amount so she can have her insulin none of these options

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