Daisy has had great difficulty mobilizing- related to ongoing pain with weightbearing to her repaired fracture and the persistent tremors, muscle cramping, altered gate and stooped posture. She also may have aspirated related to her ability to manage oral liquids (PD impacts, deconditioning and some concerns of reflux). She has developed a gram-positive streptococcus pneumonia and experienced acute progressive respiratory failure. She was placed on non-invasive positive pressure ventilator support, a PICC line and enteral feeding tube (oral gastric) were placed. After a course of ventilation support, Daisy has successfully weaned to oxygen via nasal prongs in the past 36 hrs.  She has just been transferred to the med-surg unit for continued rehabilitation and recovery.  

Question   Daisy has had great difficulty mobilizing- related to ongoing pain with weightbearing to her repaired fracture and the persistent tremors, muscle cramping, altered gate and stooped posture. She also may have aspirated related to her ability to manage oral liquids (PD impacts, deconditioning and some concerns of reflux). She has developed a gram-positive streptococcus pneumonia and experienced acute progressive respiratory failure. She was placed on non-invasive positive pressure ventilator support, a PICC line and enteral feeding tube (oral gastric) were placed. After a course of ventilation support, Daisy has successfully weaned to oxygen via nasal prongs in the past 36 hrs.  She has just been transferred to the med-surg unit for continued rehabilitation and recovery.            1. List 2 health issues in Daisy’s recovery that you would note in a client with Daisy’s profile and why they are important to consider for Daisy.  2. Identify 1 nursing intervention that corresponds to each of the 2 health issues you selected and provide rationale for your choice of that intervention.  For example, the nursing intervention corresponded to the health issue … is…  3. What 2 collaborative interprofessional partners would you expect or connect to support Daisy in her recovery and how would they support Daisy’s goals of care and recovery plans? (For example, Interprofessional partners in Daisy’ care should include …… because…  4. Review Daisy’s EHR-GO chart for further detail about her current medical status. Identify what 2 or more aspects of her condition have changed in relation to one of the priority issues you identified in the earlier activities. Remember to include subjective and objective information about Daisy’s progress.  . 5. Daisy and her wife are very anxious regarding Daisy’s return home. Daisy is too weak, and her tremors are interfering with her ability to assist in much of her self-care. Daisy’s wife is particularly unsettled by the notion Daisy will need supportive care at home. How will you explore these concerns, provide support, and facilitate solution building in preparation for transition to home?  Health Science Science Nursing PNH 301 Share QuestionEmailCopy link Comments (0)

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