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200 UNIT 4 Chain Care Den finds hawwled the her adult is being able 2 W S 66. Describe some of the positive aspects of agint. Explain some ways that nurses might interact inappropriately with older patients or residents and what they should do instead Documentation Exercise Scenario: Question 67 refers to this scenario. It is April 12. 2022. You are caring for Mr. Donald Baxter, a 77-year-old man with mild cognitive impairment heart disease, and diabetes who has been hospitalized with elevated blood sugar and side effects from medications. His date of birth is 04/19/1945. His hospital ID number is 13572. He is in Room 409. He was attempting to manage his own medications prior to hospitalization. His wife is in ill health and had not realized that he was not taking his medications correctly. At 2:00p.m you begin patient teaching. You instruct the patient and his wife regarding the medications he is to take. He must take a heart pill, a diuretic, and a diabetes pill every morning. At noon he is to take a potassium supplement. At suppertime he will be taking another diabetes pill and a medication to relieve leg pain during the night. Many of his pills are small, white, and round, so he gets them confused easily. He and his wife explain that he has difficulty remember- ing to take the diabetes pill with supper and the potassium supplement at noon. You assist the patient and his wife in setting up a pill box with a week’s supply of medications prepared. At 2:45 pm. you contact the prescribing physician, Dr. Holsted, and obtain permission for Mr. Baxter to take the potassium supplement in the morning with his other medications, emphasizing that he is to eat breakfast so that he does not take it on an empty stomach. You also obtain permission for him to take the medication for nighttime leg pain at supper with his second diabetes medication. This decreases his frequency of taking medications from four times per day to two times per day, which is more manageable for him. You return to patient teaching at 3:10 p.m. You explain what each pill is for and what to watch for in terms of side effects or adverse effects. After several attempts, Mr. Baxter is able to tell you what each pill is for and when he should take each one. His wife is able to tell you the kinds of adverse effects she will watch for and then call the doctor to report. Both the patient and his wife thank you for helping them get his medication schedule more manageable for them. 67. Document your patient teaching on the nurse’s note form (Fig. 32.1).
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