CRS176: Nursing Care Plan - Mr Tony Farnan Case Study - Nursing Assignment Help

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Case study

Mr Tony Farnan is a ninety-three (93) years old male who resides at the Greenwood residential aged care facility in metro Victoria. He has lived here for three (3) years and prior to this he used to live alone at home. He had a close friend who used to visit him in the care facility. Once his friend got sick and stopped visiting him, Tony was finding himself becoming increasing socially isolated, anxious and finding it difficult to manage at the care facility.

Mr Farnan was never married and has no children. He used to work as a lawyer and has always taken pride in working independently and efficiently.

His past medical history includes:

- Atrial Fibrillation diagnosed 5 years ago and is having a pacemaker

- TIA (Transient Ischemic Attack) diagnosed 1 year ago

- Hypothyroidism diagnosed 10 years ago

- Gout in both knees diagnosed 3 years ago

- Severe depression diagnosed 4 years ago

He has more recently been diagnosed with Alzheimer’s dementia and urinary incontinence (urgency incontinence <12 months) and corridors. He has absconded from the aged care facility twice since admission. Mr Farnan requires one staff to assist with personal care, including dental care (partial upper dentures).

Staff encourages him to attend social activities with other residents, however he tends to stay for only short periods and leaves the activity. Tony tends to wander around the facility and often forgets where his room is and requires staff to redirect and reorientate him often, several times a day. Staff have also noted that he is restless and wandering through the night, and spending time asleep during the day due to his night-time wandering. He is often seen distressed and crying at night time. Tony complaints that he has increasing pain in both his knees, however when asked about the pain he does not appear to be able to be to give accurate information to the staff and starts yelling. His answers often seem quite confused and vague.

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