Mrs. Brown is a 61 year old lady who lives at home with her husband. She...

Mrs. Brown is a 61 year old lady who lives at home with her husband. She has a history of hypertension that is controlled with medication. Mrs. Brown was walking through her home and tripped on the corner of one of her area rugs resulting in a fall with complaints of right hip pain. Her husband called an ambulance and Mrs. Brown was transferred to hospital. In the emergency department she was diagnosed with a minor pelvis fracture. She was admitted to the orthopedic floor for pain management, physiotherapy and monitoring.

Mrs. Brown is complaining about extensive pain, outline the pain assessment that you will perform with Mrs. Brown including the assessment tool that you will use. Research pelvic fractures and outline pharmacological and non-pharmacological interventions to assist with her pain.

Outline the health teaching that you will provide to Mrs. Brown before discharge to prevent falls within the home. It is important to note that she will most likely need the assistance of a mobility device

Mrs. Brown requires assistance when she goes home and you decide that she needs a home care referral. Outline the care and multi-disciplinary team that would be of assistance to Mrs. Brown in her home.

Expert Solution

Assessment of pain can be done with visual analogue sale, which is widely used. The pain management should be according to heirarchy of pain. In this first we use non steroidal anti inflammatory drugs (NSAID) then upto opioid analgesic like morphine.

Physiotherapist opinion for better rehabilitation should be given. All the possible exercise that can help the patient to releive pain and stiffness should be advocated. On discharge, the patient as well as the care givers should be educated regarding how to prevent fall in the future and what measures can be taken for that.

Nightingale answered 2 years ago

Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with...

Mrs. Smith is an 88- year-old female who lives alone in her home. She walks with a walker. Last night Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check up on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the...

Mrs. Khadija is 80 years old female, who lives alone, her husband who was 95 years...

Mrs. Khadija is 80 years old female, who lives alone, her husband who was 95 years old passed away last month. She is retired and her husband was retired from his work several years before his death. She cannot afford to travel as much as she had dreamed. She enjoys good health explains to her primary care provider that she attributes her health status to her regular intake of berries, fruit juices, and green tea, which she states "help cleanse...

Jane is a 69-year-old black, married, retired female who lives with her husband. She was referred...

Jane is a 69-year-old black, married, retired female who lives with her husband. She was referred to you for individual counseling to work on severe anxiety and moderate depression. Jane's physical health has been declining after injuring her knee a year ago. Jane has been doing water aerobics weekly, and was working a part-time job and active in her prior to the onset of the medical problem. Jane underwent surgery to repair the injury, however, she still reports weakness and...

Client Profile Mrs. Kidway is a 71-year-old Russian woman who lives at home with her daughter’s...

Client Profile Mrs. Kidway is a 71-year-old Russian woman who lives at home with her daughter’s family. She only speaks Russian; her daughter speaks English and translates for her Mother. Mrs. Kidway has a history of Heart failure (HF, CHF); pneumonia; chronic obstructive pulmonary disease (COPD); gastroesophageal reflux disease (GERD). Her daily medications prior to admission include digoxin (Lanoxin) 0.125 mg once a day. Case Study Mrs. Kidway arrives in the emergency room with her daughter who explains, “She was...

Mrs. Burwell is a 61-year-old black female with type 2 diabetes, hypertension, and obesity. She lives...

Mrs. Burwell is a 61-year-old black female with type 2 diabetes, hypertension, and obesity. She lives with her husband of 35 years and maintains a moderate amount of activity. Because their children are grown, many meals are consumed at restaurants. In the past, she has been unsuccessful in maintaining any weight losses. Her family history for coronary heart disease is positive. Her height is 5’4” and her weight is 250 lbs. Her medications are Diabenase (an oral diabetes medication that...

Mrs. Lydia Martin, an 88-year-old widow, lives alone in her single-story home. She prides herself in...

Mrs. Lydia Martin, an 88-year-old widow, lives alone in her single-story home. She prides herself in being fully independent. During the middle of the night, Mrs. Martin fell in her home while walking to the bathroom. She was unable to get up, so she crawled to the telephone and dialed 911. She was transported to the emergency department and underwent diagnostic tests including hip and femur x-ray and computerized tomography (CT), which confirmed a left femoral neck hip fracture. Her...

Mrs Lee is a 80-year-old lady who was admitted to hospital yesterday because of fever. She...

Mrs Lee is a 80-year-old lady who was admitted to hospital yesterday because of fever. She was paralysed after a stroke attack two years ago and had double incontinence. She developed an infected pressure sore at the sacral region last week and daily dressing was prescribed. Explain the components to be included when assessing pressure sore.

Mrs. Giammo is a 59-year-old woman who was brought to the emergency department by her husband....

Mrs. Giammo is a 59-year-old woman who was brought to the emergency department by her husband. Mr. Giammo noticed that all of a sudden his wife "was slurring her speech and her face was drooping on one side." Mrs. Giammo told her husband that she felt some numbness on the right side of her face and in her right arm. Mr. Giammo was afraid his wife was having a stroke so he brought her to the hospital. Case Study In...

Mrs. Angel is a 89-year-old woman. She has a retirement pension. Her husband died a year...

Mrs. Angel is a 89-year-old woman. She has a retirement pension. Her husband died a year ago. She stays at her daughter's house. Her daughter works in a factory. Her daughter's husband, Ahmet, is an unemployed, alcoholic man with sexual problems. They have a four-year-old child. Mrs Angel is brought to the emergency unit by her daughter and Ahmet with severe abdominal pain. On physical examination, she was found to have vaginal bleeding, as well as bruises on her legs...

Christina is single with a 12 year old daughter who lives with her. She files her...

Christina is single with a 12 year old daughter who lives with her. She files her tax return as Head of Household. Her 2019 income from wages is $425,350. She has “net long-term capital gains” of $100,000. Total 2019 gross income is $525,350. She is under 65 years of age and does not itemize her deductions. What is her total federal income tax

Question