At the start of the shift, you are assessing an 86 year old patient who is awaiting surgery for a hip repair after a fall 12 hours ago at home

01 Jun At the start of the shift, you are assessing an 86 year old patient who is awaiting surgery for a hip repair after a fall 12 hours ago at home

Posted at 08:27h in 2General studies by Blogger

Question

Discussion 3.1 – Case Study One Options Menu: Forum

At the start of the shift, you are assessing an 86 year old patient who is awaiting surgery for a hip repair after a fall 12 hours ago at home. You are collecting a clean-catch urine specimen, using a bedpan, as part of the preoperative preparation. You observe that when she voids, the urine odor is foul and the urine is cloudy and full of sediment. She reports some urgency but notes that she had urgency before her fall.

What assessment information will you document in the chart?

What additional information should you ask the patient and what else should you consider?

Organize your thoughts into a SBAR communication.

Who should you notify and why?

For details regarding grading criteria and posting requirements, please see the grading rubric. Contact your instructor if you have issues or concerns.

Discussion 3.2 – Case Study Two

The patient is a 52-year old perimenopausal woman who reports a small loss of urine with coughing, laughing, and occasionally bending over. Recently she has started to leak urine just as she arrives in the bathroom but before she sits on the toilet. She stated her mother has had a continuing problem with incontinence for years and seldom leaves her home. The patient wants to continue to lead an active lifestyle and wants to discuss options for preventing progression of this embarrassing condition.

What other information should you obtain from this patient?

What type or types of incontinence is she most likely to have from the information she has provided thus far?

Is this problem likely to be genetic? Why or why not?

What will you tell her regarding options for care?

She asks if there is anything she can do now to help reduce her urine leakage. How do you respond?

For details regarding grading criteria and posting requirements, please see the grading rubric. Contact your instructor if you have issues or concerns.

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