Lily Williams Lily Assignment Help: How to Answer This Question

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Original Question

Lily Williams Lily Williams is an 80yr old, retired kindergarten teacher who lives on her own home in the lakeside town of Meningie in South Australia. You meet Lily in the emergency department where you are on placement as a nursing student. Lily was brought in by ambulance this morning at 1100 after she was found by her 80-year-old neighbour Dulcie who heard Lily’s cries for help. Lily was found by the ambulance paramedics outside in her back yard by her clothes lines on the ground unable to get up. It was estimated that Lily had been outside on the ground for a few hours. Her vital signs were as follows. Pulse 65beats/min, Respirations 16 per min, Blood Pressure 90/60, Skin over bony prominences intact but very dry. Tongue dry and coated cracks around the side of mouth with dry lips. Approximate weight 45 kgs. Height 160cms Lily claims she did not hit her head physical assessment confirms scalp intact. She is dressed in her night gown and dressing gown, and she is wearing slippers. The weather outside was dry and the temperature outside was 28oC. You are asked to take another set of vital signs and to change Lily into a hospital gown to permit a full physical examination to be undertaken. Pulse 70beats/min, Respirations 16 per min, Blood Pressure 90/60, Oxygen saturation 96% on room air. RN Lim is your preceptor and together you undertake the assessment interview as you are undressing Mrs Williams. Mrs Williams requests that you call her Lily. Lily tells you both that she has been living in her home since 1950 when she and her husband Clive moved to Meningie to take up work. Clive was the local bank manager he died when he was 70 yrs. old so Lily has been living alone for the past 10 years. Lily says she misses Clive every day. She wants to return home as soon as possible because she has two cats Blackie and Tiddles who will need to be looked after tonight. Lily has a wash in the bathroom basin every morning. She no longer uses the shower because it is over the bath, and she fears falling. You notice as you remove her night gown and dressing gown that they are clean but there is dry concentrated urine on the nightie. When you go to remove Lily’s slippers she protests and doesn’t want her slipper taken off. RN Lim explains that it is important that the health care team can make a full assessment of Lily’s health status. Lily tells you that she has not been able to cut her toenails from a “long time” because I can’t bend over without losing my balance and my vision is not as good as it used to be. When the slippers are removed all toenails are extremely overgrown and some of the nails are cutting into the toes and the nail has grown is curling under the toe making any weightbearing very painful. The nail beds a red and there is dried blood on some toes where the nails from the next toe have cut into the skin. The skin over both feet is extremely dry and flaky. Lily says her feet are sore and she can only just walk slowly out to the letter box every third day to get her mail because of the pain. RN Lim confirms to Lily that her feet do look very painful and that he will ask for the podiatrist to come and see Lily to assess what can be down for her toenails. Lily seems a little less anxious but asks for you to cover her feet up because it upsets her to look at them. Because of Lily’s decreased mobility, she tells you she has not been able to do her shopping or get her hair cut in a few months. Lily tells you her pantry is nearly empty now as she is down to the last jar of jam and a packet of cracker biscuits. Inside her house she manages to move around by holding onto furniture, so she doesn’t have to put all her weight on her feet at the one time. Going to the toilet is also becoming a problem because the pain in her feet means she can’t get to the toilet in time sometimes. So, Lily doesn’t have an “accident” by not getting to the toilet in time Lily has restricted her fluids to only a cup of tea morning and night. Image transcription text The Fundamentals of Care Framework International Follow Us Learning Collaborative Context of Care Follow @ILCconnect2care Connected to Care Integration of care System Policy Level Physical Psychosocial Level Financial, Resources, P… Show more Question 1: Refer to the Fundamentals of care diagram located after the scenario. Watch this two-minute video to learn about Getting Care Right The Fundamentals of Care Framework . Focus on the “Integration of care” the second pale blue oval and the ‘Relationship’. Use the three areas Physical, Psychosocial and Relational to develop five (5) health assessment questions in total each with a rationale focusing on the person’s current presenting health issue. Video link: https://www.youtube.com/watch?v=u807yEQAtN4

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