Principles of Care
Scenario - Mr Joshua, a 76 years old man admitted for acute
exacerbation of Arthritis. Family member's report that he sometimes
becomes disoriented and does not recognising them.
6.1) List 7 (seven) key principles for care of a confused older hospitalised person
6.1)The key principles for care of a confused older hospitalised person are
Principles of Care Scenario - Mr Joshua, a 76 years old man admitted for acute exacerbation...
Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment Within 24 hours...
Mr. Smith, a 77-year-old man who was admitted to the intensive care unit (ICU) post- surgery for peritonitis following a perforated colon. Due to your superior intellect nursing skills over the course of a few days, he is stabilized and recovering from sepsis. You are now attempting to wean him off of the ventilator. Questions 1. Describe briefly what you know about the pathophysiology of ARDS and risk factors. Unfortunately, on his way home from the hospital he hits a...
Falls Case Study Client Profile Mr. O'Brien is an alert and oriented 81 year old man admitted to the hospital with complaints of dizziness and syncope. His blood pressure on admission is 83/43. At the long-term care facility where he lives, he ambulated with a walker independently but, since his episode of syncope, he has complained of weakness and needs another person to assist while walking as a fall precaution. Case Study Mr. O'Brien is admitted with prescriptions that include...
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
You are assigned to Mr. M. a 79-year-old man who was admitted to your unit for a urinary tract infection and urosepsis. He has been agitated and anxious during the night. He was restless and kept trying to get out of bed. He seems confused and disoriented. He was moved closer to the nurses’ station to assist with frequent monitoring. 6 AM vitals: T 38C, P 78, R 22, BP 146/88, denies pain. 7 AM pulse ox. 96% (room air)...
You are assigned to Mr. M. a 79-year-old man who was admitted today to your unit for a urinary tract infection and urosepsis 11PM – 7AM Handoff Nursing Report: Patient has been agitated and anxious during the night. He was restless and kept trying to get out of bed. He seemed confused and disoriented. He was moved closer to the nurses’ station to assist with frequent monitoring. The 0600 vital signs are T 38 C, P 78, R 22, BP...
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
Brief Patient History: Mr. X is a 64-year-old male admitted to the unit with acute myocardial infarction (AMI) after emergent left (L)- sided heart catheterization/percutaneous coronary intervention (PCI). Past history includes diabetes mellitus type 2, heart failure, hypertension, and osteoarthritis. Home medications include furosemide Lasix), digoxin (Lanoxin), captopril (Capoten), carvedilol (Coreg), Byetta (exenatide), Glucophage (metformin), and Motrin (ibuprofen). Clinical Assessment: Twenty-four hours after admission to the unit, Mr. X is alert; oriented to person, place, and time; and pain free....
Brief Patient History Mr. A is an 18-year-old 80-kg African American man admitted to the intensive care unit after emergency surgery for gunshot wounds to the abdomen. The surgical procedure was extensive and involved repair of a perforated bowel, splenectomy, and hemostasis. Mr. A’s mean arterial pressure (MAP) dropped below 65 mm Hg during resuscitation, and he received 9 units of packed red blood cells and 4 L of lactated Ringer solution intravenously (IV) to achieve hemodynamic stability. Clinical Assessment...