CASE STUDY S Exam 1 You are a nursing student assigned to care for a resident in a long term care facility. You are assigned Ms Mitchell who is a 52 vear old, morbidly obese female with diabetes mellitus. She has had a stroke and has right sided paralysis (hemiplegial. During care You notice a non-blanchable reddened area on her coccyx. You also note a yellowing color to her skin which she describes as pruritic in nature. She is often slow, cautious and needs frequent instructions. She has retinopathy from her diabetes, peripheral neuropathy from her diabetes. Her care plan states she is very dependent in the areas of bathing, dressing, transferring and toileting a). Discuss how this patient's health status has affected her self-care ability b) While speaking to the patient you assess her willingness and ability to perform ADLS. Why is this step vital to your plan of care and how wil it affect the completion of hygiene care for her? While speaking with the patient she states the following. Please write an open ended question for each patient statement: a. "I can't do anything for myself without a lut of help since my right side doesn't work b. My sugars have really made me sick over the years; it has affected my eyes and my feet C "Iwant to help take care of myself but l am just too slow at it and sometimes I forget what I am doing" d. "Tve always taken my bath before I went to bed, but here I am on the Thursday morning bath list with "spot washes" in between. They use the shower chair and have me scrubbed up in no time. I guess it's just easier for the staff here" d) Discuss her wound and what it means e) What type of dressing do you anticipate seeing on this patient f) What are important concepts surrounding footcare for this patient? R) What about THIS patient puts her at high risk for infection?
CASE STUDY S Exam 1 You are a nursing student assigned to care for a resident in a long term care facility. You are assigned Ms Mitchell who is a 52 vear old, morbidly obese female with diabetes mellitus. She has had a stroke and has right sided paralysis (hemiplegial. During care You notice a non-blanchable reddened area on her coccyx. You also note a yellowing color to her skin which she describes as pruritic in nature. She is often slow, cautious and needs frequent instructions. She has retinopathy from her diabetes, peripheral neuropathy from her diabetes. Her care plan states she is very dependent in the areas of bathing, dressing, transferring and toileting a). Discuss how this patient's health status has affected her self-care ability b) While speaking to the patient you assess her willingness and ability to perform ADLS. Why is this step vital to your plan of care and how wil it affect the completion of hygiene care for her? While speaking with the patient she states the following. Please write an open ended question for each patient statement: a. "I can't do anything for myself without a lut of help since my right side doesn't work b. My sugars have really made me sick over the years; it has affected my eyes and my feet C "Iwant to help take care of myself but l am just too slow at it and sometimes I forget what I am doing" d. "Tve always taken my bath before I went to bed, but here I am on the Thursday morning bath list with "spot washes" in between. They use the shower chair and have me scrubbed up in no time. I guess it's just easier for the staff here" d) Discuss her wound and what it means e) What type of dressing do you anticipate seeing on this patient f) What are important concepts surrounding footcare for this patient? R) What about THIS patient puts her at high risk for infection?
Chapter12: Cpt Surgery Ii
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Transcribed Image Text:CASE STUDY S Exam 1
You are a nursing student assigned to care for a resident in a long term care facility. You are assigned
Ms Mitchell who is a 52 vear old, morbidly obese female with diabetes mellitus. She has had a stroke
and has right sided paralysis (hemiplegial. During care You notice a non-blanchable reddened area on
her coccyx. You also note a yellowing color to her skin which she describes as pruritic in nature.
She is often slow, cautious and needs frequent instructions. She has retinopathy from her diabetes,
peripheral neuropathy from her diabetes.
Her care plan states she is very dependent in the areas of bathing, dressing, transferring and toileting
a). Discuss how this patient's health status has affected her self-care ability
b) While speaking to the patient you assess her willingness and ability to perform ADLS. Why is this
step vital to your plan of care and how wil it affect the completion of hygiene care for her?
While speaking with the patient she states the following. Please write an open ended question
for each patient statement:
a. "I can't do anything for myself without a lut of help since my right side doesn't work
b. My sugars have really made me sick over the years; it has affected my eyes and my feet
C "Iwant to help take care of myself but l am just too slow at it and sometimes I forget
what I am doing"
d. "Tve always taken my bath before I went to bed, but here I am on the Thursday morning
bath list with "spot washes" in between. They use the shower chair and have me
scrubbed up in no time. I guess it's just easier for the staff here"
d) Discuss her wound and what it means
e) What type of dressing do you anticipate seeing on this patient
f) What are important concepts surrounding footcare for this patient?
R) What about THIS patient puts her at high risk for infection?
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