What risk factors does Mr.Jones have for developing Pressure injuries (name at least four)? 2.What situations should you immediately report to the nursing staff on your PT supervisor ( name at least three)
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Essential nutrients
These are the organic compounds present in the food that provide nourishment essential for the development and growth of our body. Nutrients not only provide us with the required energy to carry out various biological processes but are also the building blocks for repair and growth in our bodies.
Vitamins
The vitamins are organic molecules required in low concentration for the proper functioning of the body. They cannot be generated in the organism and are taken into the body through the diet. The lack of proper vitamins results in diverse deficiency disorders. They are thus called essential nutrients. The important vitamins are vitamin A, vitamin B complex, vitamin C, vitamin D, vitamin K, and vitamin E.
Pressure Injuries
Mr.Jones an 84 yr.old man, was admitted to the nursing homework you work as a PT Aide He has the early stages of Alzheimer's disease and suffers from diabetes. Mr.Jones wears protective briefs at night, but not during the day. He has occasional bowel and bladder accidents. He recently started falling when he walks and has started physical therapy treatment. The PT supervisor ask you to transport Mr.Jones back and forth to therapy. The facility's rules require him to ride in a wheelchair. A nurse aide will help you transfer him between the wheelchair and bed. Questions
1. What risk factors does Mr.Jones have for developing Pressure injuries (name at least four)?
2.What situations should you immediately report to the nursing staff on your PT supervisor ( name at least three)?
A pressure injury is physical damage to the skin as a result of constant or dragging force present between the skin and the surface of another object. These injuries are evident on the body parts with less tissue/fat/muscle and more bony parts (hips, tailbone, ankles, and elbows).
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- John Doe, 53y.o., has a history of Type I diabetes mellitus, cigarette smoking 40 pack-years, CAD, and PVD. Six weeks ago, he developed a wound in his left heel which measured 4cm by 2cm when he discovered it. Despite IV antibiotics and chemical debridement, the wound developed a gangrene infection. He is scheduled for a BKA of the left lower extremity tomorrow at 10:00 am. His meds include daily insulin, aspirin 325mg/day, Pletaal 100mg BID. Question: Preventing complications of surgery is an important part of all surgical patient care. What preoperative While Mr. Doe is in the Operating Room, what considerations will be taken to ensure Mr. Doe’s safety and positive outcome? Identify 2 IntraOp nursing diagnoses for Mr. Doe teaching does Mr. Doe require in order to prevent complications? Give 3-4 examples)Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. How can you relate this scenario to the national or global health situation? 2. Name the three types of healthcare agencies he…Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. Name the three types of healthcare agencies he has used. What are the strengths of each of these?
- Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. What are the services being needed by Mr. X? What other members of the health care profession would most likely be on the team…Medication Management As a support worker you have been assigned the duty of caring for an elderly client who is recovering after a knee replacement surgery. You have been hired to give him a bath and personal care and to assist him with taking his medications. The client asks you to administer the medications too. How and why will you refuse the second request?an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…
- an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…
- an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…an afternoon shift. Patient informationName: Irene Smith Age / Sex: 16 years 10 months / femaleAccompanied by: Taylor Smith (Brother, 20 years/Male)Present Medical HistoryIrene presented to the PED with her brother Taylor, following a fall around 3 hours ago. Irene was riding abike in in the street in front of her home and bumped into a parked car on the street, fell and hit her head.She was not wearing a helmet during the incident. There was no loss of consciousness noted at the time.However, she started having headache after half an hour of injury. There were multiple abrasions on elbowand knee and swelling on her left forehead.Past Medical/ Surgical HistoryAcne Vulgaris, Depression, Anxiety, and attempts of self-harm multiple timesCurrent medications: Roaccutane, Olanzapine (poor concordance- she misses to take medicationsregularly as prescribed)Allergies: Pea nuts (Anaphylaxis)Perinatal historyVaginal birth, other details are not availableImmunisation history? Incomplete. Irene…