Client Demographics: 84 year old female Medical History: Advanced…
Question Answered step-by-step Client Demographics: 84 year old female Medical History: Advanced… Client Demographics:· 84 year old female· Medical History: Advanced COPD, Heart Failure, Hypertension, GERD· Psychosocial: Lives by herself, but her daughter and daughter’s family lives nearby and often checks on the client. The client has discussed the possibility of hospice care with her primary care provider due to the advanced COPD, but has not discussed this with her family. The client’s daughter and family often cook for client and grocery shops for her. She states that she rarely finishes all food she prepares as she is so tired. · Physical data: 5 ft. 5 in., 105 pounds · VS: 130/82 BP sitting, 82 HR 26 RR SaO2 92% O2 at 1L 98.6 F oral 24 hr Food Recall:· Breakfast: 1 hardboiled egg with salt and pepper, 2 sausage links, 1 piece of white toast 1T. Strawberry jelly, 12 oz. black coffee· Lunch: 1 package Lean Cuisine spaghetti with meat sauce (frozen meal), 1 medium apple, 1 cup of 2% milk· Afternoon snack: 1/2 c. salted peanuts and raisins · Dinner/Supper: 3 oz. grilled chicken breast, 1/2 c. canned peas, ½ c. wild rice pilaf, 6 oz. 1% milk, ½ c. lemon sherbet · Evening snack: 2 cups of microwave popcorn Include the citations for your rationales and reference list at the end. Assessment: Complete with regards to respiratory and cardiac diet recommendations. (3 points)1. List at least three other assessments that should be completed by the nurse and explain why the assessment is important to the client’s presentation. 2. Does the client have an appropriate amount of fluid intake? Why or why not? How does her medical condition influence her fluid intake? 3. Does the client’s 24-hour recall have enough nutrient dense foods or how could the diet be improved? Explain your answer and provide examples. 4. Analyze the client’s 24-hour recall and determine if all the food groups represented. Are they any that are over or under the daily recommendations? Explain your answer and provide examples. 5. Analyze the client’s 24-hour recall and determine if the vitamins and minerals intake is adequate. Are there any areas that are over or under the recommendations for a client with respiratory or cardiac conditions? Explain your answer and provide examples. Diagnosis: Based on question #2 to complete:What problem or risk is presenting for this client? Planning: List one outcome for this client based on the problem or risk for question #2. Interventions: Question #2List two interventions for the outcome. Be specific and individualize to this client. Remember that the intervention should help to “solve” the problem or reduce the risk factors that were identified in the assessment and be designed to reach the outcomes. Health Science Science Nursing NURSING 2790 Share QuestionEmailCopy link Comments (0)
