Scenario: Mrs. Delia Cruz is a 78-year-old woman who is independent, lives alone and prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare food, she lost weight and became very weak. She finally sought medical attention, but she has not yet fully recovered. Her primary care provider has admitted Mrs. Cruz to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency. QUESTIONS: Cruz’s primary care provider suspects that she has pneumonia. What data support Mrs. Cruz’s increased risk for such an infection? What can you do to prevent the spread of Mrs. Cruz’s infection to other hospitalized clients and at the same time prevent Mrs. Cruz from getting infections from other clients?
- ASEPSIS
Scenario: Mrs. Delia Cruz is a 78-year-old woman who is independent, lives alone and prefers not to rely on others unless absolutely necessary. She was active and healthy until about 6 months ago, at which time she developed a persistent upper respiratory infection. Because she was unable to obtain or prepare food, she lost weight and became very weak. She finally sought medical attention, but she has not yet fully recovered. Her primary care provider has admitted Mrs. Cruz to the hospital for shortness of breath, productive cough, dehydration, and nutritional deficiency.
QUESTIONS:
- Cruz’s primary care provider suspects that she has pneumonia. What data support Mrs. Cruz’s increased risk for such an infection?
- What can you do to prevent the spread of Mrs. Cruz’s infection to other hospitalized clients and at the same time prevent Mrs. Cruz from getting infections from other clients?
- SAFETY
Scenario: Mr. Valdez is a 72-year-old widower who is recovering from a fall in which he fractured his hip and underwent surgical repair 1 week ago. He will be staying with his son for 2 weeks after he is discharged from the hospital, but he is eager to return to his own home. Once he is home, his son will visit nightly after work, he will receive Meals on Wheels once a day, and a home health care attendant will visit weekly to assist him with his hygienic care until he is more independent. Mr. Valdez’s wife died 3 years ago, but he has remained independent and continued his social functions. He lives in a small single-level house with his dog and a cat, and he enjoys gardening. Prior to fracturing his hip, he walked his dog daily. You will be his home health care nurse.
QUESTIONS:
1. What are some of the obvious factors that may affect Mr. Valdez’s safety as he returns home?
- What can you suggest for enhancing his safety?
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