Hi, please help me. I need help with my case study. :bluecry1: (1) Mrs. Elliot, an 80-year-old black female, is admitted to a medical unit with a diagnosis of left CVA. She has right-sided weakness, and she cannot turn or walk without using her walker and the assistance of another person. She also has difficulty swallowing and has bowel and bladder incontinence. a.What risk factors, if any, for pressure ulcers does this patient have? b.What characteristics/factors should the nurse assess to monitor for a Stage I pressure ulcer? C. How should this be accomplished? (2) Mr. Jasper and Mr. Stern are client's experiencing back pain. Mr. Jasper's pain resulted from a fall from a ladder 48 hours ago. Mr. Stern's pain has been bothering him for more than 8 months with no known cause. a.As the nurse caring for both clients, how might you anticipate differences in assessment and treatment? b. What might influence your approach to assessment if Mr. Stern were 39 versus 80 years of age? (3) Mr. Wilson is a 51-year-old man who experienced a traumatic injury to his left arm following an industrial accident 24 hours ago. His arm is in a very bulky dressing, and pain is aggravated when he lies on his left side. He has an intravenous line with a continuous infusion of intravenous fluids in his right arm. What nonpharmacological pain relief measures might be helpful for Mr. Wilson?
Keepstanding, ASN, RN 1,600 Posts Specializes in School Nursing. Has 10 years experience. Dec 1, 2008 :heartbeatsorry, we can't do your homework for you. praiser
school28 8 Posts Dec 1, 2008 First time using. I hope it works for me. End of semester burnt out:typing:redbeathe
school28 8 Posts Dec 1, 2008 First time using. I hope it works for me. End of semester burnt out:typing:redbeathe just need some ideas (3) Mr. Wilson is a 51-year-old man who experienced a traumatic injury to his left arm following an industrial accident 24 hours ago. His arm is in a very bulky dressing, and pain is aggravated when he lies on his left side. He has an intravenous line with a continuous infusion of intravenous fluids in his right arm. What nonpharmacological pain relief measures might be helpful for Mr. Wilson?
Aneroo, LPN 1 Article; 1,518 Posts Specializes in Cath Lab, OR, CPHN/SN, ER. Dec 1, 2008 I agree with Praiser. If it were a simple question, maybe, but this is just clearly copied and pasted on here.
BEDPAN76 547 Posts Specializes in LTC, MDS, Education. Dec 1, 2008 Let him talk to a personal injury lawyer about how much of a $$$$$ settlement he will get! (that's non-pharmacologic)....
sweetsounds 74 Posts Specializes in M/S,TELE,ORTHO,ER. Has 14 years experience. Dec 1, 2008 Look it up like the rest of us did. There really is no substitute. The time you spent on here would have gotten you pretty far...
Editorial Team / Admin dianah, ASN 9 Articles; 3,831 Posts Specializes in RETIRED Cath Lab/Cardiology/Radiology. Has 48 years experience. Dec 1, 2008 school28, take one scenario and roll some ideas around here, sometimes that helps stimulate those brain cells and you may get some helpful feedback.
RN1982 3,362 Posts Specializes in ICU/Critical Care. Dec 1, 2008 We are not going to do your homework for you. Tell us what you have so far. We don't mind helping you, but you gotta help yourself.
vivibonita 110 Posts Dec 1, 2008 all you need to do is re-read very very carefully your case scenarios... you have the answers there :) . Use your critical thinking skills and have fun. Good luck.
school28 8 Posts Dec 2, 2008 school28, take one scenario and roll some ideas around here, sometimes that helps stimulate those brain cells and you may get some helpful feedback. (1) Mrs. Elliot, an 80-year-old black female, is admitted to a medical unit with a diagnosis of left CVA. She has right-sided weakness, and she cannot turn or walk without using her walker and the assistance of another person. She also has difficulty swallowing and has bowel and bladder incontinence. a.What risk factors, if any, for pressure ulcers does this patient have? This Pt. is at risk for developing Bed sores because she is unable to turn or walk without assistive devices and assistance for others. b.What characteristics/factors should the nurse assess to monitor for a Stage I pressure ulcer? The nurse should put the PT. is on a turning schedule Q 2 hrs. and check each time to make sure there is no break in the Pt. skin. Also the Nurse should make sure that the Pt. linens are not soil with urine because of the alkaline in the urine it could cause the skin to brake done faster than usual. c.How should this be accomplished?
school28 8 Posts Dec 2, 2008 (2) Mr. Jasper and Mr. Stern are client's experiencing back pain. Mr. Jasper's pain resulted from a fall from a ladder 48 hours ago. Mr. Stern's pain has been bothering him for more than 8 months with no known cause. a.As the nurse caring for both clients, how might you anticipate differences in assessment and treatment? Mr. Jaspers pain is recent so I'll give him pain medication, monitor his labs, blood work, Asses his breathing patterns making sure they did not change from bad to worse, be very careful not to cause any more pain for Mr. Jasper due to his recent fall, check with the doctor to see if there is any special precaution I should take with this Pt. As for MR. Stern I would also check lab, possible do ex-ray, ask him when the pain started what activity he was doing could this be deferred pain. b. What might influence your approach to assessment if Mr. Stern were 39 versus 80 years of age? Mr. Stern could have an infection or possible passing kidneys stones. He could have picked up something heavy not realizing that he is doing so and not practicing proper body mechanics.
