Christine Walker 66 year old indigenous female Reason for admission: Fall at home resulting in a fractured Right Neck of Femur (NOF) Had Total Hip Replacement 2 days ago PMH Type 2 Diabetes – medication and diet controlled Crohns disease- has permanent colostomy Osteoarthritis - bilateral knees and hips Denies alcohol and illicit drug use Non smoker Nutritional assessment: Unable to be weighed due to #NOF Patient states she is approximately 170cms and 83Kg’s Patient referred to diabetic educator, but has not complaint in attending appointments Anthropometrics BMI 29 Vital signs T 37.2 HR 90 regular RR 16 equal air entry SP02 97% on room air Pain level 3/10 at rest and 7/10 on movement BGL 8.7mmol Allergies Nil known allergies Spiritual, cultural needs: Ethnic group = indigenous Religion = Methodist Social history Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs. She doesn’t drive so social connections are very limited Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints She has a good appetite and states that she adheres to her diabetic diet Her husband does the housekeeping, but the patient is able to cook their meals. Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies Relies on her husband to assist her with ADL’s due to her mobility Has difficulty at times changing her colostomy, husband assists her Patient has no deficits with hearing or communication, but wears glasses Has a supportive extended family How can I provide care to this patient

Christine Walker 66 year old indigenous female Reason for admission: Fall at home resulting in a fractured Right Neck of Femur (NOF) Had Total Hip Replacement 2 days ago PMH Type 2 Diabetes – medication and diet controlled Crohns disease- has permanent colostomy Osteoarthritis - bilateral knees and hips Denies alcohol and illicit drug use Non smoker Nutritional assessment: Unable to be weighed due to #NOF Patient states she is approximately 170cms and 83Kg’s Patient referred to diabetic educator, but has not complaint in attending appointments Anthropometrics BMI 29 Vital signs T 37.2 HR 90 regular RR 16 equal air entry SP02 97% on room air Pain level 3/10 at rest and 7/10 on movement BGL 8.7mmol Allergies Nil known allergies Spiritual, cultural needs: Ethnic group = indigenous Religion = Methodist Social history Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs. She doesn’t drive so social connections are very limited Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints She has a good appetite and states that she adheres to her diabetic diet Her husband does the housekeeping, but the patient is able to cook their meals. Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies Relies on her husband to assist her with ADL’s due to her mobility Has difficulty at times changing her colostomy, husband assists her Patient has no deficits with hearing or communication, but wears glasses Has a supportive extended family How can I provide care to this patient

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Christine Walker

66 year old indigenous female

Reason for admission:

Fall at home resulting in a fractured Right Neck of Femur (NOF)

Had Total Hip Replacement 2 days ago

PMH

Type 2 Diabetes – medication and diet controlled
Crohns disease- has permanent colostomy
Osteoarthritis - bilateral knees and hips
Denies alcohol and illicit drug use
Non smoker

Nutritional assessment:

Unable to be weighed due to #NOF

Patient states she is approximately 170cms and 83Kg’s

Patient referred to diabetic educator, but has not complaint in attending appointments

Anthropometrics

BMI 29

Vital signs

T 37.2

HR 90 regular

RR 16 equal air entry

SP02 97% on room air

Pain level 3/10 at rest and 7/10 on movement

BGL 8.7mmol

Allergies

Nil known allergies

Spiritual, cultural needs:

Ethnic group = indigenous

Religion = Methodist

Social history

Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet
Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs.
She doesn’t drive so social connections are very limited
Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints
She has a good appetite and states that she adheres to her diabetic diet
Her husband does the housekeeping, but the patient is able to cook their meals.
Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies
Relies on her husband to assist her with ADL’s due to her mobility
Has difficulty at times changing her colostomy, husband assists her
Patient has no deficits with hearing or communication, but wears glasses
Has a supportive extended family

How can I provide care to this patient

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