ur question:Subject: NursingCourse: ALNU 5850Patient Case Introduction Time: 1400Report from home he

ur question:Subject: NursingCourse: ALNU 5850Patient Case Introduction Time: 1400Report from home health nursing manager: Red is an 80-year-old farmer and war veteran who lives by himself, 20 miles from the nearest city. He has been a widower for 10 years but his son and daughter-in-law, Jon and Judy, live nearby. He was diagnosed with type 2 diabetes about six months ago and recently began taking insulin. We (nurses from the home health agency) have been asked to see him to evaluate a wound caused by wearing shoes that were too tight. The toe was injured about three weeks ago. Red has been treating it by soaking his foot in water. His daughter-in-law, Judy, expressed concerns about his ability to manage diabetes self-care, and he has agreed that she can be present for the conversation. We know he is very independent, alert, and oriented. He drives himself into town at least once a week and spends a lot of time on his computer. Patient DetailsPatient Data: Male- Age: 80 years. Weight: 109 kg (240 lbs). Height: 183 cm (72 in).Allergies: No knownPast Medical History: Diabetes type 2, diagnosed six months ago. Initially treated with oral antidiabetics Surgeries/Procedures & Dates: L4-5 laminectomy 25 years ago, transurethral resection of the prostate six years ago., but a few weeks ago shifted to insulin.History of Present Illness: The patient developed an ulcer on his big toe three weeks ago. He has been soaking his foot to heal the wound. Recently, he revealed the wound to his family, who called Dr. Baker. Social History: Widower, his son Jon and daughter-in-law Judy live nearby.Primary Medical Diagnosis: Pressure ulcer, right great toe. Type 2 diabetes. Review the pathophysiology that is the focus of the vSim.  Use bullet points to highlight main points of pathophysiology.  Describe the patho of each health problem noted in the patient scenario      1.What changes in the affected body system/s lead to the medical problem     2.What are signs and symptoms of those changes     3.What are risk factors for those changes to occur in the body system/s Medications review: Complete the table for each of the medications listed as preparation  Drug Name/Drug ClassHow the drug works/ is this a safe dose? Include dosage and route of administrationCheck for Adult dosage and if available, for Geriatric dosageCompare the dosage ordered to the “usual” dosage in your drug resourceIndication(For what specific reason is this drug ordered for your resident? Nursing assessmentsWhat nursing actions must be done when administering this medication?Side effects/ adverse reactions/ lab monitoringThis should be a detailed discussion as  a drug may commonly affect more than one body system  Different drugs may have similar side effects                  Lab Tests (blood, urine, sputum, cultures, etc): Please complete the table for laboratory tests listed in the preparation for vSim. Add rows as needed. Resources:  https://labtestsonline.org/     https://www.nchealthinfo.org/health-topics/lab-tests-diagnostic-procedures/    Meiner/Yeager  text and Patho textTEST Normal RangePurposeWhy ordered for this health problemNursing actions that require assessment or follow up (npo, diet changes, med change)             PROCEDURESand DIAGNOSTIC TESTS (oxygen, O2 Sat level, radiography, etc.). Please complete the table for procedures listed in the preparation for vSim. Add rows as needed.  https://www.nchealthinfo.org/health-topics/lab-tests-diagnostic-procedures/ + your course texts and patho  For Pre Brief Worksheets always include : Vital Signs [BP, P, R ] and O2 saturationTEST/DATE What is the purpose  of this test (text reference)Why ordered for this patient (related to primary dx?) Plan of care implications?Nursing actions that require assess or follow up [intervention or action] (npo, diet changes, med change)      GERO ASSESSMENT TOOLS. Resources site under Module: Assessment Tools OR  at consultgeri.org ADescribe the purpose of each assessment tool and what the scoring means for care planning.1.2. PROBLEM IDENTIFICATIONBased on your review of pathophysiology, medications, procedures and assessment tools, list at least two problems (apply 3 step process:  problem, R/T, AEB) as you anticipate the patient in the Sim may present:As Evidenced Bycan include your observations such as abnormal signs and symptoms related to health problems [holistic], verbal and non -verbal behavior, and information from other care providers, patient record , lab tests, radiography , assessment tools’ results Consider holistic health issues [See Social Determinants of Health] and aspects of health:Physical [such as effects of medical diagnoses on functional status such as ADLs or related to medications or other interventions]Emotional/mental [ such as cognitive changes, anxiety, fear, worry]Social [ such as lack  support systems]    Economic [ financial need , need for health insurance] Environmental [such as safety, living environment]1.2.                                Health Science Science Nursing FCNU 2030 Share QuestionEmailCopy link Comments (0)

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