Imagine you are the supervisor of a team of 3 medical records specialists at busy local hospital. As part of their jobs, each medical records specialist audits another’s work to….
A. A 68-year-old man with chronic obstructive pulmonary disease (COPD) has been referred to home health nursing services for medication instruction and respiratory assessment.
A. A 68-year-old man with chronic obstructive pulmonary disease (COPD) has been referred to home health nursing services for medication instruction and respiratory assessment. During the nurse’s first visit, the following information is obtained during history taking: overweight for height by about 30 pounds, weight loss of 10 pounds over the past 2 months, complaints of shortness of breath while eating, and unable to get to the grocery store (relies on a neighbor for assistance). How would this information relate to the development of a nursing care plan?
B. 2. An 80-year-old woman who is 5 foot, 4 inches tall, weighs 152 pounds, and is in generally good health records the following 24-hour intake:
Breakfast: 1 glass orange juice, 2 slices whole wheat toast, 1 tablespoon butter Lunch: 1/2 cup cottage cheese, 1 bag cheese curls, 1/2 peanut butter and jelly sandwich, 1 cup tea Dinner: 1 cup wheat flakes cereal, 1/2 cup skim milk Snack: 1 candy bar, 1 cup ice cream Analyze this patient’s diet.