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Original Question

Introduction: Mr David Mason is a ninety (90) year old male who was permanently admitted to Lindon Vale Residential Aged Care Facility (RACF) in 2018. Background: • Mr Mason used to work as a pharmacist for 45 years at a local chemist • He has been very independent throughout his life and used to live with his only son Nick and dog Charlie, prior to his admission at RACF • Nick lives close to the RACF and visits him daily in the afternoon Medical problems: • Alzheimer’s disease • Hearing difficulty (uses hearing aids) • Asthma • Hypertension (HTN) • Urinary incontinence • Kidney stones • Chronic pain in both knees • Diabetes type 2 • Skin cancer on right arm Current situation: You are an enrolled nurse working on a morning shift. You received the following information during the handover from the night nurse. • Mr Mason was very anxious, agitated and wandered all night • He was vocally disruptive towards night staff • He refused to leave his room to attend lifestyle activities yesterday • He was incontinent of urine and was showered at 05:00 hrs this morning • He has lost 3 kgs in last 2 weeks and has a poor oral intake • He requires assistance with denture care and ADL’s (activities of daily living) • He complained of pain in both his knees overnight and received pain relief medication by the RN • Morning staff to closely monitor Mr Mason and to notify the RN and GP, if his pain worsens Question 1. Explain how hearing aids and alternative listening devices (including TV amplifiers) will improve Mr Mason’s quality of life. Question 2. Mr Mason is living with several medical problems and taking multiple medications for it. How would it impact on the care needs for Mr Mason?

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