George palo isbar PDF

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Summary

George palo isbar lippincott the point virtual simulation assignment psych nursing virtual simulation...

Description

ISBAR Introduction Your name, position, unit

RN, Independent living retirement community

Situation Patient’s name, age, reason for visit

George Palo is a 90 yo male. His daughter reports that he has been significantly more forgetful and displayed a loss of ability to care for himself.

Background Patient’s primary diagnosis, date of admission, current orders for patient

He was first diagnosed with alzheimer's 6 months ago. At that time he was prescribed glutamate. Two months ago his dog died and since then his daughter has reported he is more forgetful, weaker, seems to have lost weight, and has declined in his ability to care for himself.

Assessment Current pertinent assessment data using head to toe approach, pertinent diagnostics, vital signs

BP:140/88 HR:78 RR: 16 TEMP: 98.6F SPO2: 96 Height: 180cm Weight: 85kg Today I performed a focused physical assessment and a reassessment of the mini cog tool first performed 7 months ago (scored 4 pts then) to determine the progression of his alzheimer's disease. His new mini cog score is 4. He was able to draw a correct clock but only remembered 2 of 3 words. I found his blood pressure was elevated. He reported he feels his medications are worthless and he has trouble distinguishing them. He reports difficulty falling asleep and staying asleep. He reports anhedonia since the loss of his dog, Max. He reports a decrease in activity level, energy, and appetite. He reports feeling hopeless.

Recommendation Any orders or recommendations you have for this patient

I have contacted the community nurse and the physician for follow up appointments. Patient education regarding grief and depression, stating active, and coping were

provided. I recommend that the community nurse connects the patient with resources to help him stay active. These include joining a walking group and contacting volunteer services to drive the patient to the animal shelter for him to volunteer. I also recommend the patient attend a support group for coping with his losses. These actions will keep the patient physically active and help to slow the progression of alzheimer’s....