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64 y/o F Overall Health (Val R.) (MD Dx Hx (Diabetes Mellitus…
64 y/o F
Overall Health
(Val R.)
MD Dx Hx
Diabetes Mellitus
Avoid exposing client to extreme temperatures (hot/cold)
Medication
Januvia
Victoza Solution
Sliding Scale Insulin
Skin Breakdown
Apply Aloe Vera lotion as requested
Reposition Q2H
Monitor for s/s of hypoglycemia
Monitor for s/s of hyperglycemia
Refer to Podiatrist/Nurse for foot care
Hypertension
Medication
Lisinopril
Metoprolol
Lasix for 2-3+ pitting edema
Monitor for s/s of hypertension
Monitor sodium intake
Schizophrenia
Watch for s/s of hallucinations
Arrange for mental health visit if necessary
Depression
Walking with a CNA/Friend
Coloring
Listening to music
Learning to meditate
Sciatica/low back pain
Medication
Tramadol
Neurotin
Fentanyl Patch
Physical Therapy
Offer/Assign stretching exercises to decrease pain symptoms
Positioning and Proper body alignment
When moving patient, make sure her body is always in proper alignment to avoid the body being twisted and the sciatic nerve being pinched or distressed
Anxiety
Walking with a CNA/Friend
Coloring
Listening to music
Learn to meditate
Skin Breakdown
Reposition Q2H
Apply Aloe Vera as requested or when toileting patient
Monitor for skin tears
Body Image
Positive reinforcement from staff that patient is beautiful just how she is
Tell patient she's doing a great job at something if you see her out of her room and attempting to be social or mobile
Each staff member to find something to compliment patient on each time they see her
Fingernail paint
Hair
Dress
Pain
Medication
See medications listed with the MD Dx Hx
Ice/Heat pack(s)
Physical Therapy
Exercises that can help in reducing pain
Meditation
Isolation
Convince patient to have interactions with other residents
Have staff participate in 1:1 conversations with patient X times a day
Obtain a pen pal for patient to write with
Poor Nutrition
Encourage healthy meals and not so many fried foods
Help patient to lose the weight she would like to lose
Provide the patients body with the nutrients it needs rather than nutrients to sustain it
Encourage healthy snacks
Encourage more water consumption and less soda consumption
This will help with constipation issues and the patients already diagnosed diabetes