Julia Morales Case Study - Stage 4 Lung Cancer - Nursing Assignment Help

Assignment Task:

Part 1
Millie Larsen is an 84-year-old female who lives alone in a small home. She arrived with her daughter, Dina, three hours ago. Her daughter noticed that Millie wasn’t making sense or acting normally during a visit earlier today. She was seen by Dr. Lund an hour ago. He suspects urinary tract infection and has written preliminary orders. An IV has been started and labs have been drawn. They just came back. I haven’t had a chance to look at them. Her antibiotic also just arrived from the pharmacy and needs to be given. I completed a SPICES assessment, which indicated problems with incontinence and confusion. The result is in the health record. The confusion needs to be further assessed, and her fall risk should also be assessed. Can you please do that?

Part 2
Millie Larsen is an 84-year-old female who was admitted yesterday evening with confusion and urinary tract infection. Upon admission, the Confusion Assessment Method (CAM) algorithm showed evidence of delirium. Her blood pressure was very elevated yesterday, but we were able to restart her meds, and her blood pressure this morning is down to 160/92 mmHg. She has had 450 mL of amber urine output, and she had no pain during the night. She had a near fall around 6 AM when she was trying to get to the bathroom. She has no visible injuries, and her primary care provider and her daughter have been notified.

Assessment Tools:

1. Confusion Assessment Method (CAM)
2. Modified Caregiver Strain Index (MCSI)
3. Katz Index of Independence in Activities of Daily Living (ADL)
4. Lawton Instrumental Activities of Daily Living (IADL) Scale

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