Lily Morrie Year Explained for Students (Easy Guide)

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Original Question

Lily Morrie is a 83-year-old widow who is admitted at the medical-surgical unit saying that over the past 3 to 5 months she has felt increasingly tired, despite sleeping well at night. Over the past few years, she describes eating less proteins every time because of her financial situation and has trouble preparing food “just for me.” Mrs. Morrie relates how she relies on her late husband’s Social Security income for all her expenses. She struggles financially to buy medicines for the treatment of hypertension and arthritis. Her vital signs are 136/76mmHg, 16rpm, 80bpm and her abdomen looked distended. She denies any dyspnea or palpitations, but refers to having mushy stools with quite some blood and mucus in it, along with fluctuating “stabbing abdominal pain” for over 3 months. She mentions her mother when alive also had bloody liquid stools and that would take a medication to control the condition, which she did not know the name, but that doctors mentioned being an auto-immune and chronic illness that “she would have to live with”. Her other results are shown in the chart. Lab Values Normal range WBC 7600/mm^3 5,000-10,000/mm^3 Hemotocrit (Hct) 27.3% 36%-47% Hemoglobin (Hgb) 8.3 g/dL 12.0-16.0 g/dL (women) Iron, total 30 mch/dL (5 mcmol/L) 30-170 mcg/dL (women) Ferritin 8 mg/dL (18 pmol/L) 12-150 ng/mL (women) Using the patient flowsheet, indicate what would you include in the assessment of this patient? Knowing her history, what other questions would you ask the patient? Which of the elements presented in the case are of possible concern and why? List your priorities. What would you include in your plan of care for Mrs. Morrie and who else on the care team would you involve in this plan? What potential nursing interventions would you implement? How would you evaluate if the care you provided was effective? (i.e., what would you observe for improvements in the patient)

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