Personal Information
Name: Julia Jackson
Age: 84
Gender: Female
Race: Caucasian
Religion: Baptist
Occupation:Retired
Weight: 149 lb (67.58 kg)
Height:59 inches
Martial Status: Married
Allergies: None known
Immunizations: Up-to-date
Major Support: Andrew Jackson
Relationship: Husband
Phone: 719-266-2837
Address: New York, USA
Attending Provider/Team: Dr. Craymer, MD, and RN and Nursing Assistant
History
The patient presents to the ER with severe abdominal pain especially in the left
lower quadrant. An abdominal CT was ordered, and it was found that there is a 5-
centimeter mass in the lower sigmoid colon with fecal impaction.
Medications
Lisinopril 20 mg oral Daily
Simvastatin 40 mg oral Daily
Lisinoprol 20 mg oral N/G tube Daily
Simvastatin 40 mg N/G tube Daily
Ibuprofen 400 mg M/G tube Every 6 hours PRN
Orders
• Obtain an Oncology consult
Insert a Nasogastric tube (N/G) to low intermittent suction
• Ibuprofen liquid 400 mg via N/G tube every 6 hours as needed for pain
• Amlodipine 20mg via N/G tube daily
• Simvastatin 40mg via N/G tube daily
• Fleet enema rectal X 1 now
Notes
Patient was admitted to the Med/Surg floor for treatment and resolution of fecal
impaction. An oncology consult order was entered.
The patient stated she has abdominal pain of an 8 out of 10 on the Numeric Rating
Scale.
Patient admitted to the Med/Surg floor for treatment and resolution of fecal
impaction. An oncology consult order has been entered. The patient states she has
abdominal pain of an 8 out of 10 on the Numeric Rating Scale.
Which areas of care can be delegated to other interprofessional healthcare personnel to help resolve her immediate concerns?
Trending now
This is a popular solution!
Step by step
Solved in 2 steps
