Please describe to AM’s daughter some of the physiological changes of normal aging and how they relate to nutrition Please describe to AM’s daughter at least 4 factors that may contributed to AM’s reduced food intake and weight loss.
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AM is a 78-year-old female with diagnoses of hypertension, glaucoma, osteoporosis, dementia, and history of surgery for hip fractures after a recent fall. She was transferred to a nursing home for rehabilitation after hospitalization for the hip surgery. She is taking multiple prescription medications for her health conditions. The physician ordered labs recently and just added a new prescription for vitamin B12 due to vitamin B12 deficiency. As the nurse in charge of AM’s care, you called AM’s daughter to report a significant weight loss of 8 lbs. since her admission a month ago as well as the new supplement order for vitamin B12. AM’s medical record showed she has poor dentition and average food intake of 50% of her food. AM’s daughter stated AM used to eat everything and was never picky when younger. She also said she plans to bring some supplements that were said to “boost energy” when she visits next week.
Please describe to AM’s daughter some of the physiological changes of normal aging and how they relate to nutrition
Please describe to AM’s daughter at least 4 factors that may contributed to AM’s reduced food intake and weight loss.
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- AM is a 78-year-old female with diagnoses of hypertension, glaucoma, osteoporosis, dementia, and history of surgery for hip fractures after a recent fall. She was transferred to a nursing home for rehabilitation after hospitalization for the hip surgery. She is taking multiple prescription medications for her health conditions. The physician ordered labs recently and just added a new prescription for vitamin B12 due to vitamin B12 deficiency. As the nurse in charge of AM’s care, you called AM’s daughter to report a significant weight loss of 8 lbs. since her admission a month ago as well as the new supplement order for vitamin B12. AM’s medical record showed she has poor dentition and average food intake of 50% of her food. AM’s daughter stated AM used to eat everything and was never picky when younger. She also said she plans to bring some supplements that were said to “boost energy” when she visits next week. Please explain to AM’s daughter why low vitamin B12 status can be common…Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. How can you relate this scenario to the national or global health situation? 2. Name the three types of healthcare agencies he…Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. Name the three types of healthcare agencies he has used. What are the strengths of each of these?
- Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. What are the services being needed by Mr. X? What other members of the health care profession would most likely be on the team…A 75-year-old man with terminal small cell carcinoma of the lung presents to the emergency department with altered mental status. The patient’s wife, who cares for him at home, states that he is quite weak at baseline, requiring assistance with all activities of daily living. Over the past few days, he has become progressively more lethargic. She has been careful to adequately hydrate him, waking him every 2 hours to give him water to drink. His appetite has been poor, but he willingly ingests the water, consuming 2–3 quarts per day. He is taking morphine for pain and dyspnea. On examination, the patient is a cachectic white man in mild respiratory distress. He is lethargic but arousable. He is oriented to person only. Vital signs reveal a temperature of 38 °C, blood pressure of 110/60 mm Hg, heart rate of 88 bpm, respiratory rate of 18/min, and oxygen saturation of 96% on 3 L of oxygen. On head-neck examination, pupils are 3 mm and reactive, scleras are anicteric, and conjunctivas are…This client is a 23-year-old white female complaining of a painful, swollen ankle. States that she stepped ‘funny’ off a step two days ago and thinks she heard a ripping sound. She takes no medications and has no allergies. The client reports pain as 5/10 with sharp twinges when trying to walk, a notable limp is noted when the client walks favoring the affected extremity. She states resting and ice decreases pain to 2/10 aching. Pain is primarily in the outer aspect of ankle and foot. Has no prior injury to this area. No significant past medical history.” When you examine the ankle the outer aspect of the malleolus is swollen and reddened with 2+ edema noted to the area, pedal pulses are palpable and strong.Describe 2 actual potential risk factors
- Communication: Therapeutic/Nontherapeutic Video scenario Catherine: Hello Ron:hi Catherine:My name is catherine, and i'll be asking you some questions.could you please tell me your name and your date of birth? Ron: Yes, Ron Toledo. september 14th, 1958. Catherine: All right, Mr. toledo. Are we felling any better now? Ron: No, I i still think I'm having a nervous breakdown. I just can't get over loosing my job, and since my mother died, I just don't have anyone. I mean, she did everything for me. I just don't think i can do this. Catherine: And what exactly makes you say that? Ron: I just told you! she did everything for me! Catherine : Dont worry. Things will get better soon. I know exactly how you feel. I felt the same when i lost my father.Perhaps you should just focus on something else to get off your mind. Question: What nontherapeutic communication styles did the nurse use in this scenario? What therapeutic communication styles could the nurse have used instead? In your response,…This client is a 23-year-old white female complaining of a painful, swollen ankle. States that she stepped ‘funny’ off a step two days ago and thinks she heard a ripping sound. She takes no medications and has no allergies. The client reports pain as 5/10 with sharp twinges when trying to walk, a notable limp is noted when the client walks favoring the affected extremity. She states resting and ice decreases pain to 2/10 aching. Pain is primarily in the outer aspect of ankle and foot. Has no prior injury to this area. No significant past medical history.” When you examine the ankle the outer aspect of the malleolus is swollen and reddened with 2+ edema noted to the area, pedal pulses are palpable and strong. What is the objective and subjective findings.A 47-year-old male comes to the physician with a 3-month history of bone pain. In addition, he has had nausea, constipation, depression, and muscle weakness for the past 2 months. He also notes some bumps on his fingers. His temperature is 37.1°C (98.8°F), pulse is 61/min, respiration is 14/min, and blood pressure is 145/98 mmHg. Physical examination reveals generalized bone tenderness and small hard nodules on his fingers. An x-ray of his hands shows generalized bone thinning and small cystic lesions. Which of the following sets of findings are most likely seen in this patient? Answers A - E A A B B C C D D EE
- S B is a 54-year-old Latina female who went to her healthcare provider with complaints of heartburn, dysphagia, nausea, and chest pain. She feels bloated and obtains little or no relief from over-the-counter antacids. Her past medical history includes 2-pack-a-day cigarette smoking, stressful job, and chronic use of NSAIDs for chronic back pain. 3. What are nursing considerations that should be addressed to the client with a diagnosis of GERD?A 59-year-old male presents for osteoarthritis of the left knee. The surgeon performs a total knee replacement. Patient was prepped and all components were removed, and surfaces were irrigated. The femoral, tibial, and patellar components were all cemented in place. The patient was discharged and was asked to follow up in the office in one week. assign the ICD-10-CM code assign the CPT code assign the APC codeFirst part of the scenario Carol Brady is 65-year-old female who has been admitted to your ward overnight, following a fall from a ladder while she was cleaning windows at home yesterday. She has a fracture to her left tibia and a laceration above her left eyebrow, which received four sutures in ED. Her husband witnessed the fall and reports there was brief LOC. Phx: GORD, HT, Migraines. You receive the following information during handover: Carol slept well intermittently overnight, waking with complaints of a headache and pain at # site. Analgesia was given by RN at 0400hrs. Dressing insitu above left brow and POP insitu left leg. We have not been able to assess her mobility as she has been sleeping most of the night and didn't want to disturb her. Q1. Describe the nursing assessments you would perform on Carol The second part of the scenario During your nursing assessment you find the following: That Carol has complaints of a headache and 8/10 pain at # site. On…