Group Care Plan. due on 5th July 2021.docx - Word Jenelle Harper 困 O X File Home Insert Design Layout References Mailings Review View Help O Tell me what you want to do A Share Rules Match Fields O...

List 15 nursing interventions with rationale for Risk for Falls based on the scenario

Extracted text: Group Care Plan. due on 5th July 2021.docx - Word Jenelle Harper 困 O X File Home Insert Design Layout References Mailings Review View Help O Tell me what you want to do A Share Rules Match Fields O Find Recipient Envelopes Labels Start Mail Select Edit Preview Finish & Highlight Address Greeting Insert Merge Merge Fields Block D Update Labels Merge - Recipients - Recipient List Line Field - Results Check for Errors Merge Create Start Mail Merge Write & Insert Fields Preview Results Finish à D A E 1... 3 4 5 SCENARIO 1 16/6/2021 Mrs. Dolly Sookdeo an 85-yr-old woman was admitted to ward 11 medical from the Royalty Geriatric Home at 6.30am with a history from caregiver that patient was found slumped on her chair with saliva drooling from her mouth just after she had eaten breakfast. She came to hospital via an ambulan taken for CBC, electrolytes, LFT, RFT and RBS and an IV access was inserted on Patient's Right wrist. Patient was seen on ward by doctor and diagnosed as Cerebrovascular Accident (Stroke) and Hypertension. Plan of care included 1. Start Intravenous infusion 2L/24 hours Ringer's lactate alternate with 5% Dextrose Water (2) Give Aldomet 250mgs tds (3) Monitor Was seen the A& E department, EC was done, blood was blood pressure q4h (4) chase blood reports (5) Give soft diet and oral fluids as tolerated. 17/6/2021. 8am. Patient taken over awake and alert but confused and not oriented to time, place or person. Intravenous infusion 5% D/Saline in progress. Patient unable to feed self and is taking a long time to complete meals. Patient has difficulty speaking, and becomes very irritable and cry while trying to communicate. She is incontinent of urine and feces, has right sided weakness with inability to move right hand or foot, skin dry and mucus membrane (lips) dry and cracked. Relatives claim that prior to CVA patient used a cane to assist in walking but now patient is unable to get out of bed due to right sided weakness. Her blood pressure fluctuated during the night shift at 6.00 am. TPR-37. 100. 20. BP 145/95. Page 1 of 5 1272 words English (Trinidad and Tobago) 100%