What is the initial Plan of Care based on the information on the patient below?Case Study- Martha Gutierrez

Question Answered step-by-step What is the initial Plan of Care based on the information on the patient below?Case Study- Martha GutierrezPatient Name:  Martha GutierrezDiagnosis List:Chronic renal failure with dialysis via av fistulaDiabetes Type IIDementia (MMSE 19/30)Peripheral edemaChronic ulcers lower extremitiesHypertensionMedication list:Zofran prnSliding scale Humalog prior to mealsLantus 10units bidNamenda 10mg qdRenavite qdLasix 40mg bidBackground information:  Patient is a 68 year old, Hispanic, female. Speaks primarily Spanish, knows only broken English. She has been a dialysis patient for over 10 years. Most recently it has been more difficult for dialysis to maintain proper fluid status post dialysis. She has also been experiencing severe nausea upon return which affects her eating habits for the day. She has been sent out to the hospital from the nursing home where she lives three times in the last month upon return from dialysis due to being unresponsive, hypotensive, and once for hypoglycemia. She has had a progressive decline in mobility and at this time does not even like to get out of bed, sleeping most of the day. Today upon return from dialysis it was noted that the nephrologist is recommending a discontinuation of dialysis treatments. Her daughter is very involved in her care and visits daily. Labs: CBG range: 34-280 prior to meals, k+ 2.8, BUN 58, creat 1.8. She remains a full code at this time.     Health Science Science Nursing NUR MISC Share QuestionEmailCopy link Comments (0)