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why are surprised by the report?

01 / 02 / 2019 Latest Essays

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It is a case just have to answer the question fully. The professor is a hard greater, please give me the best work. You have to use the latest APA version. 2 references one of them is my book which is ebersole and hess toward healthy aging 9th edition.I will put further information in the book in additional files
Neurocognitive DisordersYou are a nurse on a busy medical unit in a large metropolitan medical center. At 3:00 PM, you admit an 81-year-old patient to your unit with a diagnosis of pneumonia. She decided not to get an influenza vaccine this year and developed influenza followed by pneumonia. Her primary care physician treated her with a course of oral antibiotics, but when she did not improve, he admitted her to the hospital. She has a history of hypertension, hypothyroidism, and osteoarthritis. You complete her nursing admission assessment. She is independent in activities of daily living (ADLs) and instrumental activities of daily living (IADLs), and she walks with a steady gait. She is alert and oriented. She is widowed and lives independently in the community. She is a retired surgical nurse. She is easily engaged and talkative. She tells you that you remind her of her granddaughter, who is also a nurse. She tells you that she usually wears eyeglasses but that she dropped them and broke them yesterday and that her daughter is taking them to be repaired. She also has a hearing aid in place. You orient her to the unit, insert her IV, and administer her first dose of antibiotics. After you give report to the oncoming shift, you stop to say good-bye to her, and she tells you that she will see you tomorrow.
When you get report from the night shift at 7:00 AM the following morning, you are surprised by the report. The night nurse reports that the woman has been up all night long, was agitated, climbed out of bed, and sustained a fall. In addition, she is incontinent of urine. You immediately go to see her. She is sitting up in bed and has pulled out her IV. She thinks that you are her daughter and states, Please get me out of here. There are bad people here, and they stand and look at you and laugh at you. They tried to poison me. She is not wearing her hearing aid and will not allow you to insert it. You attempt to reorient her with little success.2. What are some possible precipitating factors in her case?
3. What is your first priority for this patient?
4. How do you assess for delirium in an older adult?5. List three interventions that you can implement that would help manage the womans delirium, and explain how they would help.


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