Question

In: Nursing

Case Scenario: A 75-year-old man in long term care. He has been bedbound for longer than...

Case Scenario: A 75-year-old man in long term care. He has been bedbound for longer than six months. His history shows he has cardiac and circulatory problems, exacerbated by his lack of activity.

Question: What is the biggest problem someone with these issues faces? Include in your answer specific facts, data, examples, and other information drawn from your textbook and at least one other supplemental source.

Expert Solution

DVT ( Deep vein thrombosis ) is the biggest problem for such scenario.

DVT is a threat of pulmonary embolism and it occurs when blood moves too slowly through veins can form column of blood cells results in clot formation . These clots form in deep vein called Deep vein thrombosis.

Specific facts :-

DVT can occurs due to several reasons.

Age related issue - As this patient is 75 years old so there is more chances of DVT in aged patient.

Long time sitting - patient is bedbound for a long time , resulting in laxing of muscles leads to problem in proper circulation of blood in body.

There may be other reasons for DVT like obesity , pregnancy , smoking .

This patient has cardiac and circulatory issues which will increase the risk of DVT.

Data examples & other information :

In DVT symptoms may be occur or not , symptoms may include-

* Leg or arm swelling *soreness while walking *enlarged veins *skin looks blue *warmth area of swelling.

If this clot breaks and get free in circulation it can stuck in blood vessels of lungs cause pulmonary embolism.if remain untreated It can be fatal

Pulmonary embolism results in shortness of breathing , chest pain , coughing up e.t.c

DVT can be prevented by taking care of yourselves , get regular check-up , avoid long sitting .

It can be treated by plan surgery or by medicine.

Nightingale answered 2 years ago

Case Scenario Sam is a twenty-eight-year-old man who has lately been drinking a lot. He is...

Case Scenario Sam is a twenty-eight-year-old man who has lately been drinking a lot. He is also seeing a counselor, whom he told that his alcohol consumption has increased because he wants to regain the buzz in his life. He confessed that all his attempts to go without drinking had failed in only about four days of remaining sober. He also mentioned that when he attempted to refrain from drinking, he experienced mood swings, stomach irritation, and sleeplessness, but denied...

A 79-year-old man is admitted to a long-term care facility after a stroke that has left...

A 79-year-old man is admitted to a long-term care facility after a stroke that has left him paralyzed on one side and unable to talk. A daughter visiting from out of town approaches the gerontological nurse and expresses concern about how to communicate with her father. The gerontological nurse explains to the daughter that when communicating with her father, she should A. use word boards and picture charts. B. face her father; speak loudly and clearly. C. explain procedures in...

Case Scenario: A 34-year-old man has taken his youngest daughter to soccer practice. He begins to...

Case Scenario: A 34-year-old man has taken his youngest daughter to soccer practice. He begins to experience low abdominal and back pain and is nauseated. He finds himself squatting down in an attempt to alleviate the pain. Unable to alleviate the discomfort, he takes his daughter home. On arrival, he literally falls out of the minivan and onto the driveway. His wife asks a neighbor to watch the children, and she drives him to a nearby ER. As they pull...

CASE SCENARIO I George is a 75-year-old patient with urosepsis being treated in the Intensive care...

CASE SCENARIO I George is a 75-year-old patient with urosepsis being treated in the Intensive care unit (ICU). The nurse assesses George and finds that he has blood in his urine and stool, and is oozing blood from his central line site and his gums. Questions: What does the nurse suspect may be occurring with George? What medications should the nurse avoid administering to George? The nurse is monitoring George’s vital signs every 15 minutes. What other monitoring is essential...

Aayan is an 89-year-old man who was recently admitted to a long-term care facility due to...

Aayan is an 89-year-old man who was recently admitted to a long-term care facility due to progression of Alzheimer’s disease. He has been at the LTC for three weeks and has lost four pounds. You review the patient’s chart which states that the patient has poor p/o intake and has little interest in eating. Upon further investigation, you find out that Aayan follows Muslim dietary rules, but due to his cognitive impairment he was unable to disclose this information at...

Louis, a 60-year-old man, has not been feeling himself lately. He has been drowsy and fatigued....

Louis, a 60-year-old man, has not been feeling himself lately. He has been drowsy and fatigued. He becomes short of breath walking from one room to the next. On a recent visit, his daughter noticed that he seemed to be scratching a lot. His legs, ankles, and feet were extremely swollen, and his shortness of breath was becoming worse. He began to complain of chest pain and was immediately taken to the emergency room. A review of Louis’ medical history...

Walter is retired and is paying for long-term care insurance. He is 65 years old and...

Walter is retired and is paying for long-term care insurance. He is 65 years old and pays $4,200 in long-term care insurance premiums and incurred $2,350 worth of long-term care insurance expenses in 2018. If Walter's AGI is $23,500, how much of the long-term car einsurance premiums and expenses can Walter deduct on Schedule A?

Samuel is a 34-year-old man. He is seeing his family doctor today because he has been...

Samuel is a 34-year-old man. He is seeing his family doctor today because he has been feeling more and more muscle strain lately. After several investigations, a diagnosis is made: primary hypoparathyroidism, which means that its parathyroid glands do not secrete enough PTH. a) Explain what effect this pathology would have on Samuel's calcemia. Produce a clear, precise and detailed answer by describing all the functions and effects of PTH. b) This disorder of calcemia causes an inhibition of neurons...

A 51-year-old man has suffered a myocardial infarction (heart attack). In the intensive care unit, he...

A 51-year-old man has suffered a myocardial infarction (heart attack). In the intensive care unit, he is started on the -adrenoreceptor blocker, metoprolol. , what is the effect of blocking this type of receptor as it relates to G-protein signaling at the molecular level?

Case study Margaret is a 75 year old woman living in an aged care facility for...

Case study Margaret is a 75 year old woman living in an aged care facility for residents with low-care needs. Margaret had polio as a young child and has one shortened leg requiring a built-up shoe. She also now has arthritis in her hands, back, hips and knees, which is making movement, transfers and balance difficult and painful. Margaret also has emphysema and requires oxygen via nasal tubes, medication via a nebuliser, tablets for her arthritis and she receives injections....