NR 305 Week 2 Discussion

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General Survey/Skin/Nutrition (graded)

Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit.

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs).

Class use critical thinking skills to decide questions to ask Millie Gardner.Consider her environment, pain level,mental and nutritional status. Patti

Medications:

  • Lopressor
  • Lisinopril
  • Plavix
  • Metformin
  • Novolin R per sliding scale *NEW*
  • Multivitamin
  • Colace
  • Zithromax *NEW*

Upon arrival you are greeted by Champ, the couple’s rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple’s lunch.

  • Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home.
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