Randy Thiessen is a 74-year-old resident in Shady Pines Long-Term Care Facility. Randy has a hx...

Randy Thiessen is a 74-year-old resident in Shady Pines Long-Term Care Facility. Randy has a hx of BPH and frequent episodes of urinary retention. In the past, his physician has recommended intermittent catheterization, but due to the increasing number of episodes with little time in between, the physician has ordered an indwelling foley catheter.

Randy has a hx of rheumatoid arthritis and is now quite dependent on others for his personal care.

For this case scenario, add data to support the need for an indwelling foley catheter.

The charting due for this case scenario is your nursing notes recording your assessments, the insertion of the catheter, and a follow up assessment 2 hours after insertion. There are no orders for intake and output.

You are working an 8-hour day shift. The order for the catheter was received at 1100.

Expert Solution

NURSING ASSESMENT

1)DECREASED URINARY OUTPUT RELATED TO URINARY RETENTION SECONDRY TO BPH

2)DECREASED PHYSICAL ACTIVITY SECONDRY TO RHEUMATOID ARTHRITIS

3)SELF CARE DEFECIT SECONDRY TO DECREASED PHYSICAL ACTIVITY

4)RISK FOR URINARY TRACT AND ASCENDING INFFECTION SECONDRY TO URINARY RETENTION

5)RISK FOR UTI RELATED TO INTERMITTENT CATHETERISATION

11am

ASSESING THE ABOVE NURSING PROBLEMS AN INDWELLING FOLYS CATHETER WAS INSERTED UNDER STERILE TECHNIQUE

1PM

CLEAR URINE DRAINED .NO SIGNS OF HAEMMORHAGE OR CLOTS

Nightingale answered 2 years ago

Mr. Evans is an 82 year old resident of a long-term care facility who tells the...

Mr. Evans is an 82 year old resident of a long-term care facility who tells the nurse, “I have an ache in my left foot.” He offers an explanation, suggesting, “I must have stepped and twisted my ankle. Maybe I was bit by a bug outside this morning.” The nurse notes the medial aspect of Mr. Evans left ankle is reddened, warm, and swollen. His temperature is 98.6°F. He has a strong pedal pulse bilaterally. Mr. Evans ankle is x-rayed...

Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse,...

Mr. Rogers is a 91-year old resident of a long-term care facility who tells the nurse, "I have an ache in my right foot." He offers an explanation, suggesting, "I must have stepped on something or twisted my ankle. Maybe I got bit by a bug when I was outside yesterday." The nurse notes the medical aspect of Mr. Rogers's right ankle to be reddened, slightly swollen, and warm. His temperature is within normal limits. He has strong pedal pulses...

You begin a shift in the long-term care facility by assessing a resident that has been...

You begin a shift in the long-term care facility by assessing a resident that has been there about 24 hours. The doctor states he wants their titers for IgG levels checked. This patient is 93 years old with pulmonary fibrosis and cardiomyopathy. Your facility has two bedrooms so the resident will be in a room with another resident. Question: Apply the concept of adaptive immunity to this person and its ability to protect them.

Mr. Singh is a 96-yr-old resident of a long-term care facility. He suffers from dementia and...

Mr. Singh is a 96-yr-old resident of a long-term care facility. He suffers from dementia and has limited mobility. He frequently needs assistance moving up in bed and currently has not been eating well. Mr. Singh has developed a stage 2 pressure injury on his right heel. a) List 4 common sites for pressure injury development b) Excluding immobility explain 2 other risk factors for pressure injury development for Mr. Singh based on the information provided in the scenario. c)...

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With...

A 92-year-old woman in a long-term care facility is a patient assigned to your care. With visible discomfort, she tells you that she has noticed blood in the toilet bowl with her last several bowel movements and she has had blood on her underwear. What other questions should you ask this woman to clarify potential causes of this problem? Ex-plain how the patient’s age might affect your focused assessment. 2. Over 50 studies have been conducted on the connection betweenexerciseand...

Mrs. Jacks is a 78-year-old woman who is a resident of a long term care home....

Mrs. Jacks is a 78-year-old woman who is a resident of a long term care home. When you are administering Mrs. Jacks her medication at 0830am she states, “I feel like I need to go to the bathroom constantly and it hurts when I go.” Mrs. Jacks’ urine is cloudy and has a foul odor. Her temperature is 38.1 degrees Celsius. You call the physician and she orders a specimen for C&S and you advise Mrs. Jacks to increase her...

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...

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical...

Ms. Reid is a resident from a long-term care facility who recently had a minor surgical procedure done at the hospital. Prior to surgery, Ms. Reid was ambulatory and somewhat self-sufficient. Upon return to the home, the evening nurse reads the report from the hospital which contains the following information: Vital signs, condition of surgical dressing (on left hip), and reports that the patient has been eating well. Ms. Reid is alert upon arrival. During the night, Ms. Reid falls...

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...

74-year-old widower, excellent pension, $500,000, long-term care insurance, no debt, and three children. In no more...

74-year-old widower, excellent pension, $500,000, long-term care insurance, no debt, and three children. In no more than 200 words: Develop an investment portfolio that meets their needs, specifying the categories of securities or other assets types.

Question