Case 4An 82-year-old man recently returned to the long-term care facility after

 

Case 4

An 82-year-old man recently returned to the long-term care facility after hospitalization for open reduction internal fixation of the right hip. He has been divorced for over 50 years and has two adult children who visit him frequently in the nursing home. He has a 5-year history of mild to moderate dementia and known urinary tract infections. His last recorded mini mental state examination (MMSE) registered 18, which was 3 months ago. While in the hospital, he did have an indwelling catheter for 4 days. He has been incontinent since his return to the hospital but the staff their attributes this to the catheter and his deconditioned state following hospitalization. His medications include donepezil, memantine, and acetaminophen for pain and fever as needed. He has no other known medical problems except a history of multiple urinary tract infections throughout his lifetime that, according to his son, have required extensive antibiotic treatment. He enjoys drinking regular coffee throughout the day, says it is a habit he has had since his days in the service years ago. His family members and the nursing staff report that he has been very restless and has been unable to use the urinal on time the past couple of days.

Vital signs: T 99°F, HR 80, RR 18, BP 128/78, BMI 22. 

Chief Complaint: Foul smelling urine, incontinence, restless

Discuss the following:

1) What additional subjective data are you seeking to include past medical history, social, and relevant family history?
2) What additional objective data will you be assessing for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What radiological examinations or additional diagnostic studies would you order?
6) What treatment and specific information about the prescription that you will give this patient?
7) What are the potential complications from the treatment ordered?
8) What additional laboratory tests might you consider ordering?
9) What additional patient teaching may be needed?
10) Will you be looking for a consult?

 

Submission Instructions:

· Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

image1.png

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTSAdvanced Practice Nursing: Clinical Decision-Making and Leadership

PLEASE READ CAREFULLY ATTACHED DOCUEMTN FOR ALL INSTRUCTIONS AND REQUIREMENTS Advanced Practice Nursing: Clinical Decision-Making and Leadership Essay Overview: This assignment invites you to explore the evolution of clinical decision-making as you transition from bedside nursing to advanced practice roles. In your essay, you will critically analyze and compare the

Module 1 Discussion  Foundation for Health Promotion For this Discussion, your

Module 1 Discussion   Foundation for Health Promotion For this Discussion, your instructor will assign you a case number. Case  Cases D.H. is a nurse administrator at a large primary practice. His duties include maintaining the nurses’ schedules to keep within the facility’s budget; overseeing the hiring and training of

  Therapeutic RelationshipCase

  Therapeutic Relationship Case  Cases J.J is a nurse practitioner who works in a primary care facility. He believes that one of the most important aspects of his work is to foster a therapeutic relationship with his clients. He is using effective communication techniques. Many of his clients have altered

15 S 21st St., Suite 205 Fargo, ND 58103

15 S 21st St., Suite 205 Fargo, ND 58103     BASIC ASSURANCES SYSTEM     Procedure Title: Basic Assurances System  Procedure Type: Service Operations  Number: 10 Original Date Issued: 03/11/2022  Effective Date: 03/11/2022  Approved By: Gibson W. Jerue, CEO  Approved Date: 03/11/2022  Revision Date(s):   Policy Reference: Basic Assurances System    Disability