A. C.: Long-Term Care

A (assessment): Ms. O’Reilly’s vital signs are temperature of 37.5 C, pulse of 112, blood pressure of 102/52, and respirations of 24. Her respirations are still deep but have a regular rhythm. She has a CBS of 8.1 and regular insulin running as per orders. The lab work shows uncompensated metabolic acidosis with no hypoxia. Ms. O’Reilly’s neurological status has improved with a GSC of 13. Her dehydration is being treated with NS containing 40mEQ KCL/L running at 200ml/hr and potassium levels maintained at 4.

The primary problem is the patient is having severe dehydration due to excessively having loose liquidly stools for the past two days caused by C. Diff.

Long-term care is vital in the United States health care system. As the population ages, more people will need assistance to recover from illness or injury, and others will need end of life care to ease their passing. People who use long-term care are all ages. From young to old, people can receive it if they cannot care for themselves because of a condition, an illness, or an injury that requires assistance for a period of 90 days or more. The concern people face when looking at long-term care is the funding. Medicaid will likely be drained of funds long before the country’s aging population is past its peak and while there are some options of insurance coverage, not everyone may afford them.

Long-term care healthcare delivery will be a great/popular option for many of these senior citizens. The long-term care healthcare delivery system falls within the continuum of care. The continuum of care is a series of heath care services that are provided to a great number of older adults who are in need of them throughout the course of their life/older life. The care ranges from: personal care, custodial care, restorative care, skill nursing care, and sub acute care (Shi & Singh, 2012). Different providers work together within the continuum to provide the right care to those in need. The continuum of care, as stated in Long Term Care: Managing Across the Continuum, is “comprehensive, integrated, and client-oriented”(Pratt, 2010). All the services offered should be client-based and cater to the client’s needs and suitable care. The client should be able to obtain services when it is needed from the provider, making it comprehensive. All the different long-term care providers should be interconnected between one another, because their goal is all the same, which is to care for the client’s needs. The continuum of care consists of: nursing facilities, sub acute care, assisted living, residential care, elderly housing, and a variety of community-based services (Pratt, 2010). All these different providers work together to care for the individuals within the health care industry, creating the continuum and making it integrated. As the future progresses and a great amount of

Long-term care has and is continuing to become an important part of the continuum of care. Years ago Long-term care (LTC) was considered only to be for the elderly, but as time passes it is for anybody and everybody who needs it. Barton (2006) stated, “Regardless of the length of time (i.e., from weeks to years), long-term care is an array of services provided in a range of settings to individuals who have lost some capacity for independence due to injury, chronic illness, or condition” (p. 367). According to Barton (2006), it states that the services long-term care provides help the consumer with basic needs and shows the individuals how to do daily living activities, along with therapy and being able to

The necessity for long-term care is increasing which will require additional training and education for health care personnel, family members, and patients. Family members can have peace of mind knowing their family member will gain confidence in learning how to become accustomed to his or her new life while maintaining a quality continuum of care during and after treatment for physical, mental, or age associated illnesses.

Acute care and long-term care are both continuum care, but there are many differences between these types of facilities. When people are severely injured or ill, they seek treatment at an acute care facility. “Acute care is medical care designed to treat and/or cure an acute condition, for example, a heart attack or stroke” (http://eldercarehelper.com, 2016). Acute care facilities usually release patients before the 30th day and treatment is provided by a physician. In long-term is provide for patients that need continuum care, but less intensive treatment. “Long-term care facilities offer medical care to patients who need…less intensive level then that provided at an acute care facilities” (Gartee, 2011). The patients usually stay longer

9. Based on laboratory results, this patient has co ingested a toxic alcohol i.e. methanol, eythlene glycol, isopropyl alcohol. Other lab tests that could be ordered to confirm diagnosis include measuring blood levels for methanol or ethylene glycol. Urine can also be obtained to see if calcium oxalate crystals are present to confirm diagnosis of ethylene glycol ingestion. I could also request for a blood lactate to rule out lactic acidosis which could be explained by the decrease in bicarbonate and metabolic

Long-term proper care is a growing worry for most people nowadays, mainly because individuals are existing for a longer time. There are a lot more people switching sixty-five and then switching 17. The dilemma My partner and i inquire people can be where did they pays with regard to long-term proper care in the event that essential down the road. The charge can be between $40, 000 12 months to $100, 000 12 months based on where you live. There are unique finance solutions readily available for long-term proper care and they will be mentioned from the post. The finance solutions range between loved ones to private resources, federal along with long-term proper care insurance

While in the hospital hypernatremia can affect patients of all ages; outside of the hospital it can affect the elderly people who are mentally and physically impaired. It is important to determine any factors causing increased fluid excretion or certain medical conditions that increase the risk for hypernatremia such as:

After undertaking a thorough primary and secondary assessment, the provisional diagnosis for this patient is alcoholic ketoacidosis (Queensland Ambulance Service, 2011). Yanagawa, Hirano, Takemoto, Takei, Ito & Iba (2012) states that alcoholic ketoacidosis is an acute metabolic acidosis, characterised by dehydration; depleted liver glycogen stores; an elevated nicotinamide adenine dinucleotide (NAD+) to nicotinamide adenine dinucleotide (NADH) ratio; and an increased production of free fatty acids which results in an increased production of ketone bodies (Ansstas, Robinson, Rubinchik, & Schade, 2014; Laoteppitaks & Wiener, 2013; Unbound Medicine, 2014). Yanagawa, et al. (2012) proposes that alcoholic ketoacidosis is caused by a recent alcohol

I enjoyed reading your discussion post about how patient-centered care is present in the long-term care. I believe that all nurses should be taking the time to find out how the patient prefers to take their medication and what the patient likes to take it with, whether it is with ginger ale, water or something else. I believe that the little things that the nurse can do for the patient can make all the difference to the patient. No matter where the nurse is working there can always be difficult patients to work with like the patient that you gave as your example. We see patients like this in the emergency room, it is vital for the nurse to remember that we are seeing this patient in what the patient considers an emergency. Sometimes allow them

The patient is a 50-year-old gentleman with a medical history of cerebral palsy, seizure disorder, and multiple admissions for fecal impaction who was brought to the emergency with severe abdominal pain. The patient is nonverbal and does not follow commands. The family and the chart reveals the patient has been pointing, grimacing and complaining of abdominal pain along the abdomen but no apparent vomiting. It is not known exactly how long. He has had poor intake over past 2-3 weeks. This is a recurrent problem for this gentleman with severe neurologic deficit. In the emergency room CAT scan found him to have been enterocolitis, severe fecal impaction in the center of the colon there were fluid levels. He therefore was admitted. The

Since the patients transfer to Robert Packard Hospital he has been on telemetry for monitoring. While in Troy he was discovered to be in atrial fibrillation and treated with intravenous Cardizem (once resolved he was switched to metoprolol by mouth), however has since been in normal sinus rhythm, with occasional premature ventricular contractions. As long as his rhythm is within normal limits telemetry will be discontinued after a full 24 hours of monitoring. The patient has tested positive for Clostridium difficile, and a second stool sample was obtained to rule out giardia and cryptosporidium (parasites that causes intestinal infection). Due to fluid retention (the patient has edema to his upper extremities, lower extremities and

For the purpose of confidentiality, the patient will be identified by the initials A. S. A.S was a 52- year old African American woman who was admitted to the hospital when she started to experience severe urinary retention and shortness of breath. She has three adult children and eight grandchildren, but recently lost her husband of 25 years to diabetes. The patient appears to be very independent because she lives alone in her home and is aware of the disease process. She has a past medical history of acute renal