Construct a SOAP NOTES Geraldine johns is a 70-year-old woman seen Monday morning in clinic for her first visit. She has just moved to town to be near her son following the death of her husband. She has history of atrial fibrillation, type 2 diabetes, COPD, mild heart failure, and is S/P MI 4 years ago. She lives alone and maintains a good level of activity and self care. Denies pain in legs upon walking. She is maintained on metformin 500mg po BID, glyburide 10mg po Q AM, famotidine 20mg po daily, digoxin 0.125mg po Q AM, warfarin 5mg po Q AM, aspirin 81mg po Q AM, furosemide 80mg po BID, and metoprolol XL 100mg po Q AM.

An 84 year old female patient has been admitted to the hospital for exacerbation of COPD. The patient has a history of lung cancer, presently in remission. The patient is a widow who lives alone, is functionally independent in her ADLs. She has a child who lives out of state. History of being a former pack/day smoker and quit over 20 years ago. The nurse doing his rounds finds the following on assessment. Vitals: T102.1(oral), P102 (regular), R24, BP128/63, SPO2 86% on 2L NC Noted barrel chest presentation Productive cough with dark red sputum Noted wheezing on auscultation visible shortness of breath, dyspnea on exertion abdomen soft, round, and non-tender shaking with chills Questions: 1. What signs and symptoms are of concern in this patient's presentation? 2. What could these be telling you is happening to the patient? 3. Of the concerning symptoms, which of these is a priority? Please explain your answer. 4. What can we do to stabilize this patient? Why?

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It is now day 1 following surgery for Mrs Romano, following handover at 0700, you have been allocated to care for her, handover information is contained in Appendix 5: Handover sheet.  At the commencement of your care, you undertake a systems assessment.  These are your assessment findings: CNS: conscious and responding to verbal instructions.  .  Temp 37.6C CVS: Peripherally warm and dry.  No peripheral oedema.  HR = 76 regular.  BP = 145/68. Resp: RR = 18 resps/min.  Sa02 = 93% NP 3LPM Renal: IDC removed 0600 HNPU GIT: Bowel sounds present.  No abdo swelling. Endocrine: BGL = 4.2mmol/L Musculoskeletal: NAD.  Has not been out of bed a yet Post op. Complaining of leg pain, TED stocking removed, slightly reddened areas noted on both heels (signs of DVT, compartment syndrome). Left calf noted to be swollen, red and warm to touch. Integumentary: Dressing to abdominal wound, intact with no further ooze since marked the evening before. Laparoscopic incision dressings clean and dry. Bellovac…

Create a simple care plan for the geriatric patient as it relates to fluid volume excess and deficit. Case study, you are caring for an 89-year-old- female, she is wheelchair dependent, has rheumatoid arthritis, osteoarthritis, myocardial infarction four years ago and has heart failure. First start out with nursing concepts, what are some risk factors with this patient that put them at risk for either of the following?                               FVD                                                                  FVE Now, state how you are going to assess for a FVD and FVE (divide your sheet here, FVE on one side FVD on the other)                               FVD                                                                                   FVE Nursing interventions as it relates to both FVD and FVE.                               FVD                                                                                   FVE Evaluation- how do you know it worked?…

Explain the importance of geriatrics as a specialty in medicine.

Maria Russo is a 76 year old woman admitted to the Emergency Department viaambulance. Maria fell when watering her garden and was unable to get up. She waslying in her garden for 3 hours until discovered by her neighbour.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria lives alone, her husband died 6 months ago. Her adultchildren live interstate.Maria's current medications include Aspirin 75mgs daily, Citalopram 20mg andAlendronate Sodium 10mg orally daily.She was administered Intravenous Morphine and inhaled Methoxyflurane by theparamedics.Assessment data:Airway: patentRespiratory rate: 18 breaths/min Oxygen saturation: 97% on room airHeart rate: 90 beats/min (irregular) Blood pressure: 104/70 mmHgCapillary refill: 2 secondsRight leg shortened and externally rotated Right hip bruised and oedematousRight foot pink, cool, no paraesthesia or abnormal…

Gowns should be worn when contact with blood or bodily fluid is likely     Question  options:   True   False

Maria Russo is a 76 year old woman admitted to the Emergency Department viaambulance. Maria fell when watering her garden and was unable to get up. She waslying in her garden for 3 hours until discovered by her neighbour.Maria's medical history includes osteoporosis, prediabetes and depression. She hasrecently been experiencing some orthostatic hypotension. She has no significantsurgical history. Maria lives alone, her husband died 6 months ago. Her adultchildren live interstate.Maria's current medications include Aspirin 75mgs daily, Citalopram 20mg andAlendronate Sodium 10mg orally daily.She was administered Intravenous Morphine and inhaled Methoxyflurane by theparamedics.Assessment data:Airway: patentRespiratory rate: 18 breaths/min Oxygen saturation: 97% on room airHeart rate: 90 beats/min (irregular) Blood pressure: 104/70 mmHgCapillary refill: 2 secondsRight leg shortened and externally rotated Right hip bruised and oedematousRight foot pink, cool, no paraesthesia or abnormal…

Patient is a 5 year old thin male presenting with loss of muscle mass and progressive weakness. Patient has been experiencing, since age 3, frequent falls, muscular pain and stiffness, and difficulty getting up from a lying position. Past medical history Mild asthma Family history: Father and mother are both alive and in a normal state of health. Social History Psychosocial issues Language development delays Communication problems Difficulty making friends Difficulty paying attention Withdrawn Impulsive Anxious and at times fearful. Allergies None Medications Deflazacort 0.9 mg/kg/d Key Labs, images, or procedures performed in relation to current diagnosis. Creatine phosphokinase (CPK): Elevated Transaminase levees: Elevated Lactate dehydrogenase levels: Elevated Aldolase: Elevated Ultrasound: Increased echogenicity in the affected muscles. Electrocardiography (ECG): Tall R waves, deep Q waves, and inverted T waves Key Physical Examination findings:…