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Mary Ambrosia:, Communicating clearly with nurses, ? adequate CNS function…

- - - - ? Diet controlled.
  - - - Acute Episode:
        
        Complaining of not feeling well.
        
        Shortness of Breath.
        
        Increased respiratory rate, 24.
        
        Low oxygen saturation, 90%.
        
        Moist lungs heard upon auscultation.
        
        BP 156/92 mmHg, HR 108, regular.
        
        Afebrile, temperature of 36.8 degrees celsius.
- - - - Visiting son in Melbourne when Mary fell ill.
        
        Suggestive of strong and close connection with son.
        
        Loving family.
  - - - ? Frequently catching up with friends.
      - ? Strong social network for support.
      - ? Difficult for friends to visit whilst in Melbourne.
        
        ? Negatively impact social wellbeing.
      - Substance Use
- - - - Assist with chronic condition and medication management.
        
        Provide financial assistance.
    - - ? Adequate acess to healthcare services.
      - ? Affordability of Healthcare.
  - - - ? Stigmatising environment.
      - ? Cultural competence of staff.
      - ? Psychological impacts.
- - - - Unknown level of MSK function.
        
        ? Mary's mobility.
        
        Will impact discharge planning and level of care required once discharged to her son's home.
        
        ? ADL assistance required following appendectomy.
        
        ? Psychological distress.
      - ? GIT, ? RENAL, ? INTEG.
      - RESP: High respiratory rate of 24, shortness of breath, decreased oxygen saturation at 90%, moist lungs heard upon auscultation.
      - CVS: BP 156/92mmHg, HR 108, regular, afebrile at 36.8 degrees celsius.
  - - - ? Afraid to speak up.
      - ? Feels fearful, and unsafe in an unknown environment.
      - ? Increased feelings of distress.