Mobility VCBC Post Work

Mr. Royer is a 92-year-old man admitted directly from his primary care physician's office where he was brought by his son who found him collapsed on the floor in his bedroom this morning. The patient was admitted with a preliminary diagnosis of pneumonia and dehydration. He has a history of type 2 diabetes, hypertension, congestive heart failure, dementia, and osteoarthritis. Mr. Royer is a 92-year-old man with dementia and a history of type 2 diabetes, hypertension, congestive heart failure, and osteoarthritis. He lives at home with his son, Richard Royer, Jr. This morning, the son awoke and found his father collapsed on his bedroom floor. The son believes he may have fallen at some time during the night. Although his father did not appear injured, his son brought him to his primary care physician's office. Once there, Mr. Royer's direct admission to the hospital was arranged You have assumed care for Mr. Royer who is admitted to the medical-surgical unit for rehydration and treatment of pneumonia. Orient yourself to the patient and health record by locating the following pieces of information within System Assessments and System Nursing Interventions and type your answers in a Miscellaneous Nursing Note: 1) Locate the Patient Charting Summary for System Assessments. What are the Productive Cough Secretions Assessments for secretion Amount and Color? 2) Locate the Patient Charting Summary for System Nursing Interventions. What are the two interventions charted under Skin Care? 3) Under safety assessment, is Mr. Royer considered a Fall Risk? How do you know? When you are finished with this task, you may click Complete this Phase. Nursing Notes: Vital Signs – Taken Thursday Temp: 101.3 Resp: 24 Pulse: 122 BP: 147/86 Sat%: 97%

1) No secretion odor, thick consistency, yellow in color, Moderate 2) Heel protectors and turn patient every 2 hours 3) Yes, he is a fall risk patient because of his bracelet

Mr. Royer’s morning laboratory tests have returned with results. Review the findings in Order Results and answer the following in a Miscellaneous Nursing Note: 1) What are the patient's hemoglobin and hematocrit levels? What does this indicate? You enter Mr. Royer’s room to weigh the patient via the bed scale. Mr. Royer weighs 184 pounds. You obtain his vital signs and his current temperature is 101.9 Document the patient’s weight and temperature in Vital Signs, Height/Weight. Look in Mr. Royer's MAR, History & Physical, Assessment and find any indications for impaired mobility. LEARNER ACTION: In a misc. nursing note, identify links to risk to or impaired mobility for Mr. Royer. When you have completed these tasks, you may click Complete this Phase.

1) Hemoglobin: 9.4 g/dL, Hematocrit: 31% Significance: Lower than normal, potential anemia

Weight: 184 lbs Height: 6.0 ft

Temp: 101.9 Risk for impaired mobility: Left hip fracture 3 years ago, positive for falls, positive for weakness, high blood pressure,

diabetes, dementia