How to Answer Identification Rebecca Moskowitz Questions (Complete Guide)

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Original Question

Identification: Ms. Rebecca Moskowitz is a 79-year-old, Jewish lady who lives alone. Situation: Ms. Moskowitz presented to the emergency department at 8:00 a.m, this morning after a fall on the stairs in her two-storey home at 6:30 am this morning. X-Ray of the right-sided elbow has revealed an Olecranon fracture. She has also sustained a small wound on her left elbow. She vomited once after having a sandwich around 11:00 a.m. Since then, she has refused to eat or drink anything. She has been transferred to the medical ward for a 48-hour observation. Ms. Moskowitz’s right arm has been placed in a back slab cast for 2 weeks. Background Ms. Moskowitz’s past medical history includes the following: • Unstable diabetes mellitus which was diagnosed at the age of 35 (Metformin 500mg / BDS). • Diagnosed with osteoporosis last year (Fosamax 35 mg. orally once a week). • Hypertension (Ramipril 5mg / ODS). • Past Surgery of a Hysterectomy for Uterine fibroid at the age of 30 post-pregnancy. Personal, social and family background: • Lives alone in her own two-storey house, independent with all ADLs. Has a cleaner come in once per week. Her 52-year-old son and his family live nearby. They are very supportive of her. • Is retired. No financial stress. • Reports many social friends. Alcohol intake is the occasional sherry at night. • History of smoking (10-12 cigarettes per day); however, quit smoking since she was diagnosed with Osteoporosis. • Poor diet quality, as she does not like to cook for ‘just herself’. Prefers ready-to-cook meals. Assessment: On examination, you note that the patient has a temperature 380C, BP – 155/ 88, RR-18/min, and Pulse is 86/min. She is having 6/10 pain in her right elbow. O2 saturation 100% on room air. Ms. Moskowitz is 156cm and her weight is 82 kg. Recommendation: 1 hourly observation for the next 12 hours including neurological observations. Regular pain assessment. Encourage food and fluid intake. Monitor for any dizziness, headache or nausea, or vomiting. Question 14 Refer to the case scenario for Ms. Rebecca Moskowitz. You need to provide one (1) nursing diagnosis for each of the following needs: physical, emotional, psychosocial and cultural/religious. For each diagnosis, provide one (1) nursing intervention within your EN scope of practice and the expected outcome for the diagnosis. An example is provided below. Refer to Module 2. S NS Nursing diagnosis Planning – (Nursing Link to personal needs Expected Outcome intervention) Example – Encourage deep breathing Patient will be discharged Potential for respiratory and coughing exercises to from hospital without Physical need complications related to prevent possible respiratory developing a respiratory past history of smoking infections infection.

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