Case Study 4: Alma Pope is a 78-year-old client with a history of heart failure. Her treatment regimen includes hydrochlorothiazide, digoxin, an ACE…

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Question Answered step-by-step Case Study 4:Alma Pope is a 78-year-old client with a history of heart failure. Her treatment regimen includes hydrochlorothiazide, digoxin, an ACE inhibitor, and a potassium supplement. She has been hospitalized with acute exacerbation of her heart failure, including a weight gain of 10 lb over the past week, severe edema of her ankles and feet, and difficulty breathing. Furosemide has been added to her drug regimen. The nurse is preparing to administer the first-ordered dose of IV furosemide.Pope asks what drug the nurse is preparing to administer. Upon learning that it is another type of diuretic, she states, “I’m already on a diuretic. Can’t you just give me a bigger dose of that?” How should the nurse respond? Health Science Science Nursing NUR 3420 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step Janis is an 80-year-old client in a St George Aged Care's respitecare facility. She has been diagnosed with Parkinson's disease about eight years ago and is showing signs of dementia. She stays at home with her youngest son, Ian, who serves as her carer during weekends. On weekdays, Ian brings his mum to the facility as he has to go to work. You have been assigned to provide care services for Janis. Janis undergoes therapy at least twice a week, usually every Monday and Thursday. She has been observed to be cooperative with the therapist and individual support workers and shows a light disposition.One Monday, her son Ian requested if he could watch over while his mum undergoes therapy session as she is unwell. According to the organisation's policies, carers of clients are only allowed to watch their patients outside the therapy room. While the therapy session is ongoing, you noticed that Ian is uneasy - he is pacing around the room and peeks into the therapy room's small window. After the therapy, the specialist reports that Janis is unusually quiet today. You leave her with her son, as the son requested that he talk with his mum. A few minutes later, you see Ian storming out of the room, his face looking furious. You walk over to Janis to ask what happened. She is hesitant at first, but she tells you that her son is suggesting that she stays in the facility as he may not be able to watch after her anymore. His son also told her that he would be managing the house while she is away, so he asked her to provide access to her bank accounts, so he could also pay for her medication. Janis says that Ian probably got upset because she couldn't tell him the information about her accounts as she might be having memory lapses. Janis further tells you not to speak about this with anyone.Janis returns home with her son that weekend but is not around the following week. Her son tells you that his mum has become very ill and does not want to leave the house. He promises to bring her next week. Janis arrives at the respite care facility on the week advised. She is even quieter, and only stares or nods when you talk with her. She also seemed to have lost weight. While helping her get dressed one morning, you noticed that she has bruises on her wrists. She also has rashes on her back. You ask Janis what happened, and she tells you that her son is getting stressed out with her and is drinking a lot lately. He asked her one time to sign a document, but her hands are having difficulty moving, so her son grabbed her hand. You ask her if she's hurt but she says that she will be fine. She feels sad because she wants to stay with her son. Her son also tells her not to call him as he will be very busy. You suspect that Janis is being abused by her son. Role play the last part of the scenario where you are speaking with Janis about the suspected abuse. Your task is to show evidence that you can use effective communication in the context of an aged care setting.Use the following guidelines to complete the scenario:  -Janis asked you not to report the bruises and rashes you found on her body.  -She also asked you to call her son and tell him that she wishes to be home for the weekend. - She tells you that she wants to stay with her son because he is starting to become an alcoholic and is going out with some friends whom she doesn't like.As the individual support worker, you must be able to demonstrate the following: - Appropriate use of verbal and non-verbal communication when speaking with the client. - Listening to the client's requests and clarifying what they meant.  -Briefly discuss the service that the organisation can provide if shedecides to stay in a permanent residential care facility. -Ensure the client that you are maintaining the confidentiality of the conversation. Health Science Science Nursing CXA 206 Share QuestionEmailCopy link Comments (0)