In: Nursing
You are working the day shift on a medical inpatient unit. You
are discussing discharge instructions with
J.B., an 86-year-old man who was admitted for mitral valve repair.
His serum blood glucose had been
averaging 250 mg/dL or higher for the past several months. During
this admission, his dosage of insulin
was adjusted and he was given additional education in managing his
diet. While you are giving these
instructions, J.B. tells you his wife died 9 months ago. He becomes
tearful when telling you about that loss
and the loneliness he has been feeling. He tells you he just
doesn't feel good lately, feels sad much of the
time, and hasn't been involved in his normal activities. He has few
friends left in the community because
most of them have passed away. He has a daughter in town, but she
is busy with her work and grandchildren.
He tells you that he has been feeling so down the past few months
that he has had thoughts about
suicide.
Please help me write SBAR for this case study