OLDER ADULT – MULTIPLE MEDICAL PROBLEMS You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Uni. Question
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OLDER ADULT – MULTIPLE MEDICAL PROBLEMS
You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Unit in an urban hospital. The unit 7A to 3P staff consists of a nurse manager, 7 RNs, 5 PCTs (Patient Care Technicians), and a unit secretary. A geriatric nurse practitioner is assigned to this unit and the Geriatric clinic. Interns and residents make rounds and are available by page of on call.
You arrive and receive the following information in a report from the night nurse regarding your assignment.
Christine Nichols, Age: 64
Admitting Dx: Abd pain, cholecystitis
Past History: High cholesterol, HTN, obesity, gastric bypass
IV Saline Lock, IVPB Antibiotics
Lap cholecystectomy yesterday
Bowel sounds hypoactive X4 – 1 soft BM yesterday AM
VS stable
Morphine 2mg IVP q6H PRN pain, recent dose at 0600
Lives with sister, still sings at a retirement pub occasionally, no medical insurance
Audience groups will discuss prioritization and corresponding rationale; identify needs of each patient and develop a staffing plan to provide care based on the patient and staffing data presented in each week’s seminar.
I. Identify initial assessment priorities for each patient (5 minimum) in priority order including referenced rationale.
I. Identify planned activities for the day (5 minimum) for each patient including referenced rationale. Delegate tasks to the appropriate staff.
III. Organization, Grammar, Spelling, References
SCIENCE
HEALTH SCIENCE
NURSING
OLDER ADULT – MULTIPLE MEDICAL PROBLEMS You are an RN working 7 AM to 3 PM on a 40 bed Geriatric Uni
