SBAR Practical Nursing Program and care plan guidelines and marking grid - Medical Sciences Assignment Help

Assignment Task

Situation.

B.N. is a 96-year-old Bahraini female who presented to an emergency on 30th September 2023, after experiencing an unwitnessed fall. Left femur open reduction internal fixation with intramedullary nailing 30th September 2023. Per team in rounds, unsure whether the patient is from a long-term care or assisted living facility. Notes: The patient presents cognitively inconsistent. The patient reported experiencing significant pain in the left hip. At baseline, she needs assistance for ADLs and IADLs post-fall— The patient's brother also noted that she benefits from mashed-up foods and is on a puree diet at long-term care.

Background.

She lives in long-term care. She does not have a driver's license. She ambulates with a walker before her surgery. She does not smoke or drink any alcohol. She needs assistance independent of basic ADLs, including showering, dressing, and toileting. She had a medical history of hypertension, dementia, atrial fibrillation, and osteoporosis; allergies: NKA.

Assessment:

N.B. is alert and can be confused and agitated due to the language barrier; she cannot walk independently and requires full assistance with repositioning and transfers in a wheelchair. N.B. is incontinent and has a brief. She does not have any bedsores, erythema, or rashes. N.B. denies being hungry or thirsty. She is eating 24-50% of her food. Remain confused, unable to recall place or date. She is on a puree, thick fluid diet due to lack of deglutition.

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