Mrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings. She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls. She reports that she is very happy with the care that she receives and she enjoys the staff. She does wish that there were more people interested in playing cards with her and she does sometimes find the food a little bland. You have noticed that she often eats only her tea and her diabetic desserts and leaves the rest of the meal. When you come on shift today you notice that she appears very tired and when you ask her about this she tells you that she isn’t feeling well but isn’t able to elaborate any further.   What is : Problem Identification: Clearly identified the problem and provided a detailed explanation. Affected Parties: Thoroughly identified who is affected and explained the impact. Requestor of Mobilization: Clearly identified who is requesting and provided relevant context. Considerations: Listed and explained all relevant considerations. Concerns: Provided a comprehensive analysis of concerns and reasons. Immediate Attention: Clearly explained if immediate attention is needed and why. Communication Method: Determined the method of communication for issues with detail Type of Problem: Clearly identified and explained the type of problem. Information Needed: Identified all needed information and sources. Information Sources: Clearly identified where to find the needed information. Handling the Problem: Explained if and why it can be handled personally. Client Questions: Listed and specified at least three relevant and specific questions.

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Mrs. Ethel Jones is an 86 year old women living in an assisted living home. She has been widowed for 4 years and has 2 grown sons ages 62 and 65, 4 grandchildren, and 2 great-grandchildren. She receives visits from family at least once a week. Before she retired she worked as an elementary school teacher. She reports that she enjoys reading, playing card games, working in the garden, and going on outings.

She has a diagnosis of type 1 diabetes, hypertension, peripheral vascular disease, and asthma. About 6 years ago she got an infection in her right foot and required an amputation at the level of the ankle. She is still able to transfer independently with the use of a floor to ceiling poll; however she does spend most of her day in a wheel chair. Unfortunately in the past 3 months she has had 4 falls and is reporting that she is feeling weaker. Luckily she has not seriously hurt herself during these falls.

She reports that she is very happy with the care that she receives and she enjoys the staff. She does wish that there were more people interested in playing cards with her and she does sometimes find the food a little bland. You have noticed that she often eats only her tea and her diabetic desserts and leaves the rest of the meal.

When you come on shift today you notice that she appears very tired and when you ask her about this she tells you that she isn’t feeling well but isn’t able to elaborate any further.

 

What is :

  • Problem Identification: Clearly identified the problem and provided a detailed explanation.
  • Affected Parties: Thoroughly identified who is affected and explained the impact.
  • Requestor of Mobilization: Clearly identified who is requesting and provided relevant context.
  • Considerations: Listed and explained all relevant considerations.
  • Concerns: Provided a comprehensive analysis of concerns and reasons.
  • Immediate Attention: Clearly explained if immediate attention is needed and why.
  • Communication Method: Determined the method of communication for issues with detail
  • Type of Problem: Clearly identified and explained the type of problem.
  • Information Needed: Identified all needed information and sources.
  • Information Sources: Clearly identified where to find the needed information.
  • Handling the Problem: Explained if and why it can be handled personally.
  • Client Questions: Listed and specified at least three relevant and specific questions.
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