Use the Care plan as well as this case study to complete the assignment/scenario Mrs. Gloria Anton is 88 years old, she
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Use the Care plan as well as this case study to complete the assignment/scenario Mrs. Gloria Anton is 88 years old, she
Use the Care plan as well as this case study to complete the assignment/scenario Mrs. Gloria Anton is 88 years old, she has CHF and is Diabetic. She is on Oxygen (2L/min via NP) delivered by a concentrator in her room and in all common areas. She can be without Oxygen for short periods of time, please assess for SOB when without Oxygen insitu. She also requires assessment for increased edema. She enjoys music and has her own CD's in her room, Gloria also enjoys being reminded and/or assisted to any musical based Recreation activities. Gloria prefers tea at meals and snacks. Today is Tuesday, you will be providing am care and assistance to the dining room for breakfast. Guiding questions Focus: What is your main focus while caring for this person? • Specific Physical: Does this person have any physical issues that need to be attended to explicitly? If so, describe how you would address them. Observations (What do you see?): Investigations: Body Systems: Interventions (what did you do?) and Rationale (why do you say or think that way): Documentation:
NAIVILE Home: INCONTINENT SYSTEM MOST M3 Review Date: BATHING Bath Day: Saturday Hairdresser/Barber Day: Saturday Bowel Language English Dominant Side Incontinent Bladder Y N SLEEP TIME Night Wake Up 0730 1300 Diet: Diabetic Pads Day Toileting Routine: Will request commode for BM and wears briefs due to stress incontinence 24/7 PAIN ALERT Monitor and report/document if noted Nap Bed time 2100 Texture: Regular BEDSIDE SAFETY AIDS REQUIRED Upper Dentures Lower TIPS AND NEED TO KNOW Monitor for SOB and SOBOE Self Sup CARE ASSISTANCE AM/HS Care Bathing Oral Care Hip Protectors Floor Mat/s Full Monitor for Edema Chair alarm Glasses y N Bed alarm Rails: side half full Hearing Aid L Regular Clothing Adaptive Clothing Other: Meals OTHER NOTES: MOBILITY AIDES Independent RISKS BEHAVIOUR ALERT Falls 2 Wheeled Walker 4 Wheeled Walker Choking TRIGGERS Elopement AGG W/C with pedals W/C-no pedals Geri Chair Rx Time Area I ENJOY: TRANSFERS Independent 24/7 Music, please leave my music on during the day 02 @ 2L/min via NP Compression Socks am Lower Legs One-Person Transfer SPECIAL CARE/ Rx's Two-Person Transfer I enjoy tea throughout the day Sit-to-Stand Lift Ceiling Lift