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Reflection Paper On Nursing Patient

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On 5/16/17 I was able to visit Ms. Perez at Select Specialty Hospital. I met with Theresa the internal case manager from Select Hospital. We were able to have a case conference at the bedside with her husband. Throughout the whole meeting Ms. Perez appeared to be sleeping. She remains on a 28% trachea mask, nasal gastric tube, tube feeding for nutrition, non weight bearing to the lower extremities secondary to fractures (non weight bearing is projected at 6 to 8 more weeks), and the right arm has a cast. Occupational therapy said they get her up in a cardiac chairs but she is a full lift by staff. Ms. Perez weighed 312 lbs. Respiratory therapy reported that they will try to wean her trachea size down and work towards capping and then removing at some point. Mr. Perez asked what pain medication she was on because all she does is sleep. I asked the case manager to check and she what her level of alertness is on the second and third shifts. Per the EMS and ER report Ms. Perez was thought to have had a seizure and a full cardiac arrest at the scene with active CPR by a bystander, but once in ER she was alert and oriented. The CT scan of the head was negative. Nursing reported that she is only on one Norco every eight hours for pain and a very low dose of Gabapentin. He also reported that a Neuropsychologist was in on Sunday to see her, and he increased her Cymbalta. We did confirm with Mr. Perez that before the accident Ms. Perez used a walker in the house and that he helped

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