MR. PATIENCE

MR. PATIENCE

Incontinent
1. Foul smelling urine
  1. Abnormal symptom
    1. Increase fluid intake
      1. Monitor I/O
      2. Monitor urine characteristics
    2. Proper hygiene
2. Elevated WBC
  1. Possible infection
    1. Call doctor to order antibiotics
      1. Monitor WBC count
      2. Monitor for S&S of infection
        Tachycardia
        Fever
        Elevated BP
3. Assess fluid intake
  1. Increase fluids if necessary
  2. Monitor I/O
Frail
1. Risk for falls
  1. Non-slip shoes and assistive devices
  2. Falls risk assessment
2. Decreased ability to perform ADLs
  1. ADL assessment
  2. Promote independence
  3. Educate how to use adaptive tools
Recent widow and living alone
1. Risk for depression
  1. Conduct mental health assessment
    1. Refer to psychologist if necessary
2. Risk for self care deficit
  1. Refer to LTC if necessary
  2. Promote independence
Confused
1. Assess neurological status
  1. A & O x3
    1. Person
    2. Place
    3. Time
  2. GCS
  3. Pupils
  4. Safety & mobility
    1. Gait
    2. Falls risk assessment
2. Assess for underlying conditions
  1. Infection
  2. Low blood glucose
  3. Dementia
  4. Delirium
Recent cancer diagnosis
1. Risk for depression
  1. Conduct mental health assessment
    1. Refer to psychologist if necessary
2. Potential cancer pain
  1. Pain assessment
  2. Ensure MAR has pain medications available
  3. Provide appropriate dose
    1. 10 Rights of Medication Administration
    2. Monitor for complications
"He is going to be fine"
1. Conduct family/relationship assessment
  1. Call case manager if there is suspicion of abuse
2. Speak to Mr. Patience privately
  1. Refer to mental health services
  2. Refer to LTC if necessary
3. Assess for S&S of abuse
  1. Bruising
  2. Withholding necessities
    1. Food
    2. Water
  3. Poor mental health

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	Created by PatrickNoonan over 11 years ago

	Copied by anna p about 4 years ago