Question

Scenario 2: Mrs Fei Hong (Questions 8-13 refer to this scenario)

On Sunday at 1000hrs, you are assigned to admit a new client to your ward.

Fei Hong is a 70-year-old female who was admitted to your ward this morning following a fall at home. On admission, her daughter Yu Yan is in attendance. Fei Hong has sustained significant bruising and swelling to her right hip and shoulder with a large skin tear to her right forearm. She did not sustain any fractures. She is admitted for pain relief, dressings to her forearm and a physiotherapy review.

On assessment of Fei Hong, you note that she has bony prominences on her hips and pelvis, and is at risk of developing pressure areas.

Yu Yan has requested an interview with the doctor to determine if her mother needs any extra care at home, as Fei Hong is beginning to show signs of dementia according to her daughter. Fei Hong generally eats a small, but nutritious diet at home that includes all food groups, and is predominantly Asian cuisine.

Fei Hong has reported no urinary issues and takes Metamucil daily to prevent chronic constipation. She can shower and dress independently but requires supervision and prompting at times due to early signs of dementia. She had been mobilising independently prior to this fall.

She will need to be assessed by a physiotherapist for a walking aid. Medically, Fei Hong has some hearing and sight impairment, and wears glasses and bilateral hearing aids, but is on no regular medications.

Socially, she lives with her daughter Yu Yan, son-in-law George and their children – three-year old twins – and Yu Yan’s 17-year-old son Jason from a previous relationship.

Yu Yan cares for her mother and her three (3) children and has no community support for her mother. Fei Hong has no other extended family as she immigrated to Australia 16 years ago to help her daughter raise her son. She speaks little English and is Buddhist. She states that her strong faith and her daughter help her cope with her ageing process.

Fei Hong’s observations on admission are:

• Temp 36.1

• BP 105/68

• Respirations 18

• HR 64

• Height: 156cm

• Weight: 46kg.

• BMI of 19

 

Question 8

Based on the information provided to you in the scenario, use the template below to document an ISBAR handover for Fei Hong. Use appropriate medical terminology and ensure the documentation meets legal requirements.

I

S

B

A

R

Answer 1

I ( Identity Of the patient ) ---

Name of the patient - Fei Hong

Age- 70 years old

Sex- Female

S ( Situation ) ---

She was admitted for pain relief, forearm dressing & for the purpose of frequent physiotherapy..

B ( Background ) ---

Bruising & swelling on right hip & shoulder

Skin tear on right forearm

No history of any fracture

A ( Assessment ) ----

Site of ulcer should be assessed

Vital sign should be checked

Nutrition pattern of the patient should be assessed

Mental status should be assessed

Medication History & history of any eye & hearing aids should be assessed..

R ( Response ) -----

1..Vital signs -

Temp 36.1 degree celcius

•   BP 105/68 mm of Hg

•   Respirations 18 breaths /min

•   HR 64 beats / min

•   Height: 156cm

•   Weight: 46kg.

•   BMI of 19

2. By assessment of Mental status dementia is found as underlying disease condition of the patient..

3. Chronic Constipation is present

4. Patient is unable to maintain her regular activity..

5. Patient has glasses & bilateral hearing aids..