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Case 2 Mr. Banks is a 60-year-old man with hypertension, anemia, and hypothyroidism admitted to hospice with chronic osteomyelitis secondary to chronic T-10 paraplegia resulting from a motor vehicle accident. He had multiple recent hospitalizations for sepsis/osteomyelitis and after extensive discussion with his medical team one month ago he opted to pursue hospice care. During a routine home hospice visit his family shares that he has experienced a rapid decline and has not had anything to eat or drink over the previous 48 hours with minimal urine output. His wife feels “overwhelmed” and feels that he needs additional support. He has intermittent grimacing which is well controlled with one mg of liquid hydromorphone prior to dressing changes. His nurse notes that his stage III decubitus ulcer on his coccух has increased significantly from 11 cm x 7 cm * 2 cm to 14 cm * 9 * 3cm over the past week with increased drainage requiring dressing changes at least 4 times daily. Which of the following would be the most appropriate indication for general inpatient level of care in this situation? a. Caregiver support b. Poor prognosis/renal failure c. Complex wound care d. Pain management
SCIENCE
HEALTH SCIENCE
NURSING

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