Perfusion/Oxygenation Ms. Crocker has poor profusion due to her heart failure. Her heart condition is not very advanced at this time, but is contributing to some peripheral tissues not getting as much blood. The reason for this is that the heart is putting out less blood and so the body wants to make sure that the vital organs are getting the blood supply first before/over the peripheries. Due to her COPD when the oxygen was turned up too high, she would begin to have a decreased level of consciousness. This is because her lungs are not used to that much oxygen and will begin to retain carbon dioxide, causing respiratory acidosis. When there is not enough oxygen getting to the brain, your thinking becomes disoriented. She is at an increased
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Crocker’s psychosocial, behavioral and physical development was normal for her age and situation. She is a 83 years old, Caucasian female, with no spiritual background/beliefs who has racist views towards African Americans. Age specific care that was done on this admission was skin care due to decreased elasticity and increased risk for tears/cracking. She is fairly independent, performing all ADLs at home on her own, but she lives with her daughter and son-in-law. Patient states that her daughter takes away some of her independence by trying to do tasks for her. She is concerned about not being able to do as much when she gets out of the hospital as she did before and she also voices wanting to be able to do as she pleases. She has a past history of depression but appears to be tolerating the changes to illness fairly well with only minor concerns. However, the daughter is very concerned and attentive to her mother’s care. She was unable to visit due to being sick but called frequently for updates on her mother’s condition. She has been getting bouts of anxiety while in the hospital because she was not taking her home medication, Xanax for anxiety. She usually takes it twice a daily at home, but only has orders for it PRN here at the hospital. Alternative measures for when she begins to get worked up into a anxious crisis is to have her say her alphabet and take deep concentrated breaths in and out. Any inappropriate behavior she has is related to too much oxygen, which changes mental status. Also due to the culture and times she grew up in she has negative views and fear towards people who are black as voiced by her wanting a different nurse because she feels that the “coloreds are trying to touch her.” To reduce environmental stressors and create a therapeutic environment we made sure to lower the lights for rest between 2:00-4:00, raised the temperature in the room because she was cold natured, lowered the volume on the television, made the call bell
Crocker’s psychosocial, behavioral and physical development was normal for her age and situation. She is a 83 years old, Caucasian female, with no spiritual background/beliefs who has racist views towards African Americans. Age specific care that was done on this admission was skin care due to decreased elasticity and increased risk for tears/cracking. She is fairly independent, performing all ADLs at home on her own, but she lives with her daughter and son-in-law. Patient states that her daughter takes away some of her independence by trying to do tasks for her. She is concerned about not being able to do as much when she gets out of the hospital as she did before and she also voices wanting to be able to do as she pleases. She has a past history of depression but appears to be tolerating the changes to illness fairly well with only minor concerns. However, the daughter is very concerned and attentive to her mother’s care. She was unable to visit due to being sick but called frequently for updates on her mother’s condition. She has been getting bouts of anxiety while in the hospital because she was not taking her home medication, Xanax for anxiety. She usually takes it twice a daily at home, but only has orders for it PRN here at the hospital. Alternative measures for when she begins to get worked up into a anxious crisis is to have her say her alphabet and take deep concentrated breaths in and out. Any inappropriate behavior she has is related to too much oxygen, which changes mental status. Also due to the culture and times she grew up in she has negative views and fear towards people who are black as voiced by her wanting a different nurse because she feels that the “coloreds are trying to touch her.” To reduce environmental stressors and create a therapeutic environment we made sure to lower the lights for rest between 2:00-4:00, raised the temperature in the room because she was cold natured, lowered the volume on the television, made the call bell