Phyllis Heffner Year Explained for Students (Easy Guide)
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Original Question
Phyllis Heffner is a 68-year-old woman with a history of severe rheumatoid arthritis who is confined mostly to a bed or a chair. She requires assistance in changing positions or in repositioning and cannot bear much weight when transferring to the chair. Ms. Heffner has 24-hour care at home by family members during the day and home health assistants at night. The home care nurse visits Ms. Heffner on a weekly basis. 1. What assessments, in relation to skin, should the nurse make at each visit? What should the nurse teach the family members and home health assistants in regard to skin care? 2. What signs and symptoms of pressure ulcer on the left hip (associated with a stage 2 pressure ulcer) may be present? Ms. Heffner is alert and oriented to person, place, and time. She loves watching game shows, doing crossword puzzles, and talking on the phone with family, friends, and her Bible study group. She has a full bowel and bladder and only requires a bed linen change when the linens are dirty (every few days). She has dry skin and uses a moisturizer on her hands and face. She eats three balanced meals and occasional snacks without any difficulty with swallowing. Ms. Heffner states with a smile, “I am healthy for a chair-ridden person.” She has chronic pain due to the arthritis and she states it is mostly controlled below a 5 on a 0 to 10 pain scale. 3. Using the Braden Scale, calculate Ms. Heffner’s score
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