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Mrs Skelt Case

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Name: Dayli Figueroa Case 1 Mrs. Skelt is a 75-year-old female who was admitted to an extended care facility for rehabilitative care following a cerebrovascular accident (CVA). She has right-sided hemiplegia. 1. Go to www.jointcommission.org and locate the National Patient Safety Goals (NPSGs). Which ones are appropriate for Mrs. Skelt? - Program to improve communication between caregivers
- Drug safety program
- Infection Prevention Program Associated with Health
- Fall reduction program
- Pressure ulcer prevention program
- Suicide Risk Assessment Program 2. At 7:00 PM, the off-going nurse is giving a report to the oncoming nurse who will care for Mrs. Skelt until 7:00 AM.
What are the components of the SBAR process that the off-going …show more content…
It is important to reinforce the importance and relevance of information capture. An audit to find a small number of incidents related to communication failures is essential for the long-term evaluation of patient outcomes. The use of standardized SBAR in nursing practice for shift shifts on the bedside will improve communication between nurses and thereby ensure patient safety. S = Situation (a concise statement of the problem)
Patient's Name: Ms. Skelt
Diagnosis of the patient Stroke and right hemiplegia.
B = Background (pertinent and brief information related to the situation)
Patient of 75 years, admitted for rehabilitation, by CVA with right Hemiplegia.
A = Evaluation (analysis and consideration of options - what found / thinks)
Rehabilitation, prevent falls and infections, good hygiene, avoid pain.
R = Recommendation (action requested / recommended - what you want)
Prevent pressure ulcer, Mobilize the patient, avoid pain with adequate postures, avoid …show more content…
DeLuca is a 68-year-old woman who has been brought to the ED by ambulance with a change in mental status. She is noted to have a temperature of 103° F and is crying uncontrollably while aggressively thrashing her arms. Her daughter reports that at her baseline, Mrs. DeLuca is oriented to person, place, and time and that she is well enough to perform all ADLs without assistance. Her medical history includes mild hypertension controlled by 20 mg of hydrochlorothiazide (HydroDIURIL) taken once daily.

1. Based upon an immediate nursing assessment of Mrs. DeLuca, which plan of care for her condition would the nurse anticipate? A) Evaluation: Fever, change in mental state, irritability and because of an underlying infection presents pain.
B) Diagnosis: Change in mental state, Fever 103 F and irritability due to urinary tract infection and dehydration.
C) Planning: Reduce fever, improve mental state, improve pain and irritability.
D) Intervention: Monitor the patient by assessing the temperature every four hours and administer antipyretics for fever. Analgesics as ordered to treat pain. Antibiotics as ordered for urinary tract infection. Administer fluids for the treatment of dehydration and thus the mental state will

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