HSNS 1218 (HSNS 1218)

William “Butch” Dementia Case Study. History of Present Problem: William “Butch” Welka is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and dementia who has been hospitalized for exacerbation of heart failure three times the past six months. He is now a resident of Pineville Estates, a local long-term care facility the past four months because his dementia progressed and his wife Rita was unable to care for him. When Rita visited Butch this...

Parkinson's Disease UNFOLDING Reasoning Lillian "Lilly" Marie Jones, 76 years old Primary Concept Nutrition Interrelated Concepts (In order of emphasis) • Collaboration • Patient Education • Communication • Clinical Judgment NCLEX Client Need Categories Percentage of Items from Each Category/Subcategory Covered in Case Study • Safe and Effective Care Environment • Management of Care 17-23% • Safety and Infection Control 9-15% • Health Promotion and Maintenance 6-12% • Psyc...

1. What data from the histories are RELEVANT and must be interpreted as clinically significant by the nurse? (Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance:  Parkinson's disease  Urinary tract infection and dehydration  Lilly has lost ten pounds in the past month. has a BMI of 17.8.  PD will continue to worsen; it is important to assess constantly to adapt to new challenges.  UTI can be a complication of PD because of the patient...

William “Butch” Welka is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and dementia who has been hospitalized for exacerbation of heart failure three times the past six months. He is now a resident of Pineville Estates, a local long-term care facility the past four months because his dementia progressed and his wife Rita was unable to care for him. When Rita visited Butch this morning, she reports to the nurse that he is more confused and is con...

History of Present Problem: Lillian "Lilly" Jones is a 76-year-old female with a history of hypertension, gastro esophageal reflux disease (GERD) and Parkinson's disease. Ms. Jones was hospitalized three months ago due to a urinary tract infection and dehydration. She is now a resident of Sunnyside Health Care Center, a local long-term care facility because her Parkinson's disease has progressed and her son, Jack, is no longer able to care for her at home. Lilly has lost ten pounds (4.5 ...

HSNS 1218 Depression/Overdose with Psychosis UNFOLDING Case Study- Jenna Taylor 18 years old