Your home care client, John Boudreau, is an 83 year old with glaucoma, Osteoarthritis, and hypertension,...

Your home care client, John Boudreau, is an 83 year old with glaucoma, Osteoarthritis, and hypertension, His weekly dosette boxes are filled by his pharmacy, You are to observe him take his medications daily, Today is Monday, and just before he takes his medication, you notice that the sections in his dosette box for Saturday and Sunday still contain all his pills, Example how you would go about using the steps outlined in the booklet, Medication problem A.C.T.I.O.N plan to address this situation 5

Expert Solution

CLIENT HAS DIFFICULTY OPENING MEDICATION BOTTLES

ASSESS AND OBSERVE

its the initial step , here we assess the situation that our patient having the problem related to the skipping theday to take medication , as he is suffering from the glaucoma whose mainly clinical manifestation of blurred vision and confusion in mind which gave impact on forgeting to take medicine on saturday and sunday .

CONTACT

In this s tep we notify this all problem of our patient to our supervisior and inform that the client is having the difficulty in opening the medication bottles .

TALK

Here we have to talk to teh patient family member ( if present) , and to advise to give on attention on the patient's medication taking schedule .,

IDENTIFY

here we help them by follow agency policy on medication procedures . that helps in taking it at the right time , with right method .

OPEN

here we open thechart and documented that what we have done on solving the client problems.

NOTE

we have to note that in the next follow up visit to see if the client is still having problem related to opening the medication problem or not .

Nightingale answered 2 years ago

John Thomas is a 65-year-old client who is part of your caseload for a home care...

John Thomas is a 65-year-old client who is part of your caseload for a home care agency. During your visit, he complains of fatigue, anorexia, and recent weight loss. He appears dehydrated with poor skin turgor. Blood pressure is very low—80/46 mm Hg. Physical assessment reveals a dark pigmentation of mucous membranes and skin on knees and elbows. Blood chemistry shows a sodium level of 126 mEq/L and elevated potassium. 1. What condition does the nurse suspects that Mr. Thomas...

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her...

Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of...

Critical thinking exercise #3 #3 You are providing home care for a 55-year-old patient with hypertension,...

Critical thinking exercise #3 #3 You are providing home care for a 55-year-old patient with hypertension, diabetes, and a new diagnosis of vertigo. A) Identify the priorities, approach, and techniques you would use to provide nursing care to this patient. B) How would your priorities, approach, and techniques change if the patient was 85 years old and lived alone?

A 75-year-old female client on home health care for post op hip replacement. You are the...

A 75-year-old female client on home health care for post op hip replacement. You are the visiting nurse and you find the patient somulent and only responding to stimulus with nodding. Patient was given prescription for 10 mg oxycodone q4-6 hours. Patient has been out of the hospital for three days. Upon examining the bottle, it is found that 20 tablets were prescribed and only two tablets remain. a. What measures should the nurse take to ensure an accurate assessment...

John, your 42-year-old client, understands the importance of diversification and takes your recommendation on his portfolio...

John, your 42-year-old client, understands the importance of diversification and takes your recommendation on his portfolio asset allocation. But, he also asks you to put $10,000 worth of Bitcoin in his portfolio as he believes cryptocurrency is the future. How would you respond to his request? Give John your best and most professional answer.

Meet the Client: John Mathis John Mathis, a 73-year-old male, is treated in the emergency department...

Meet the Client: John Mathis John Mathis, a 73-year-old male, is treated in the emergency department (ED) for an infected wound on his right foot. John states he was walking barefoot and stepped on something sharp that cut his foot. He treated it with topical antibiotics, but it appears red and inflamed, with purulent drainage. John is admitted to the medical-surgical unit for inpatient wound care treatment. As part of the admission interview, the nurse asks Mr. Mathis and his...

Susan Sanchez is a 54-year-old client with a history of diabetes mellitus, hypertension, smoking, and obesity....

Susan Sanchez is a 54-year-old client with a history of diabetes mellitus, hypertension, smoking, and obesity. On a recent physical exam, her total cholesterol level was 350 mg/dL, her LDL was 210 mg/dL, and her HDL was 35 mg/dL. Her physician prescribes atorvastatin, along with lifestyle modifications. 1. Susan asks the nurse why the lifestyle modifications are necessary since she will be taking medication for her dyslipidemia. How should the nurse respond? Describe the necessary lifestyle modifications that the nurse...

John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half...

John, an overweight 49-year-old man with history of diabetes and hypertension is playing soccer. After half an hour of an intense game, he feels severe chest pain that travels to his lower jaw. He is pale, diaphoretic, and short in breath. Upon arrival to the ER, an ECG was taken and the results show the following (note the changes in leads II, III and aVF): Choose 3 out of the 5 prompts and answer: What could be the possible reason...

CASE STUDY – Chronic Open-Angle Glaucoma. Client Profile: A.G. is a 70-year-old African American female. She...

CASE STUDY – Chronic Open-Angle Glaucoma. Client Profile: A.G. is a 70-year-old African American female. She was seen in her eye doctor’s office for routine eye examination. Her last examo was 5 years ago. Subjective Assessment Data: Has no current ocular complaints Has not kept her annually scheduled examinations because her eyes have not bothered her. Takes metoprolol (Lopressor) for hypertension. Objective Assessment Data: BP: 130/78 HR: 72bpm Medical History: Diabetes, Atherosclerosis Ophthalmic Examination: Visual acuity: Left eye (OD)=20/20, Right...

A 50-year-old client with Crohn’s disease is in an acute health care facility. The client has...

A 50-year-old client with Crohn’s disease is in an acute health care facility. The client has progressively worsening dyspnea upon exertion. The primary care provider prescribes medications to the client, but one of the medications meant to be administered enterally is administered parenterally by the nurse. (Learning Objectives 13 and 14) a. How can the nurse avert such errors in the future? b. What should the nurse keep in mind when administering medications orally?

Question