You are a home health nurse visiting an 85-year-old female patient who lives with daughter. Patient has been in and out of the hospital due to venous stasis of bilateral lower extremities. Upon assessment: BP 120/70 mmHg, HR 66, RR 22 cpm, Temp. 101 F, 02 saturations 95%. Both lower extremities are wrapped with ace bandage and requires wound care every other day. You have noticed that both legs appear to be more swollen with serosanguinous drainage. Patient is obese and daughter reports that she has been experiencing loss of appetite and complains of swallowing difficulty. Patient has history of Dementia and is dependent to caregiver with ADLS. You have decided to assist the patient with feeding and educate the caregiver on how to effectively feed the patient.   Discussion Questions: Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem. Considering the nursing process enumerate steps on how to assist patient with oral feeding.

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
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You are a home health nurse visiting an 85-year-old female patient who lives with daughter. Patient has been in and out of the hospital due to venous stasis of bilateral lower extremities. Upon assessment: BP 120/70 mmHg, HR 66, RR 22 cpm, Temp. 101 F, 02 saturations 95%. Both lower extremities are wrapped with ace bandage and requires wound care every other day. You have noticed that both legs appear to be more swollen with serosanguinous drainage. Patient is obese and daughter reports that she has been experiencing loss of appetite and complains of swallowing difficulty. Patient has history of Dementia and is dependent to caregiver with ADLS. You have decided to assist the patient with feeding and educate the caregiver on how to effectively feed the patient.

 

Discussion Questions:

  1. Aside from the initial nursing diagnosis identified, identify another actual problem that the patient may also be experiencing. Devise a teaching plan to address the client’s problem.
  2. Considering the nursing process enumerate steps on how to assist patient with oral feeding.

 

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