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89-year-old female Jane doe, no known drug allergies. Diabetes type II,…
89-year-old female Jane doe, no known drug allergies. Diabetes type II, neuropathy, breast cancer. Full code. Admitted with a right foot ulcer, cellulitis, and increased weakness.
Current Treatment
Monitoring labs CBC, BMP, HgA1c, Liver panel, PT/INR, Ddimer, lactic acid :check: # # #
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2L oxygen via NC :check: #
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IV antiboitics Zoysn 3.75gm q6 hours :check: #
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Today I&D to right foot. :check: # # #
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Hypoglycemia protocol :check: #
Dietary consult :check: #
Intravenous fluids 0.9% normal saline at 60 ml/hr :check: #
blood glucose check q6 hours since patient is NPO :check: #
Albuterol treatment prn q6 hours :check: #
Past Medical History Pathophysiology 
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Breast cancer with right mastectomy in 2011 :warning: #
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CKD stage II secondary to diabetes :warning: #
Chronic back pain :warning: #
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Social history
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goes to church every sunday # #
One son, who lives in different state # #
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Drinks 1-2 times alcohol per week :beer_mugs: #
Disposition
Assisted living with hospice care #
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Home medications
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Humalog insulin AC and HS per sliding scale : :lock: #
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Prognosis
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Carper's ways of Knowing
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Personal
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Be sensitive to patient's feelings #
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Aesthetic
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Provide care with dignity #
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Patient centered care # #
Understand verbal and non verbal clues # #
Empirical
Education
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Checking blood glucose and giving insulin :checkered_flag: #
Dietary education and list for foods to choose when eating outside :checkered_flag: #
Exercise such as walking :checkered_flag: #
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pain management :checkered_flag: #
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Neuroplaticity
mind changes
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Healthy life style adaptation #
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Psychoneuroimmunology
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Physical
Yoga #
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Unitary Caring Science
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Legends
kaiser Permanente Hypoglycemia protocol 2019
Psychoneuroimmunology: www.sciencedirect.com
Neuroplasticity: Science direct
Wisdom tradition strategies: Kelly McGonigal (2016)
Carper's ways of knowing: Pub Med
Risk factors :explode: Diagnosis :warning: Current treatment :check: Home medications :lock: Psyconeuroimmonology :<3: Wisdom tradition strategies :question :star: Education :checkered_flag: Communication :unlock: Assessing patient's response :pencil2: