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Case Study: Mr. D.W., 84 years old, suffers from high blood pressure, atherosclerosis, and beginning glaucoma. He falls at a church function and is taken by ambulance to the emergency room. Unfortunately, his daughter, who usually accompanies him to his primary care clinic, is working. He refuses to have the staff “bother her at the job.” Mr. W. cannot tell the emergency room nurse what medications he is taking. He states that he takes a blue pill for his “high blood” in the morning, and two pink pills at dinner. He also says that he puts drops in his eyes every day. He nods his head when the emergency room staff tell him that his X-rays show no signs of a fracture, that he should consult his physician if a hematoma develops, elevate his left foot which is wrapped in an ace bandage, and apply ice packs for twenty-four hours. He signs the discharge form and receives printed instructions for care of a sprained ankle. An elderly friend who has followed the ambulance from church and stayed in the waiting room helps him into her car and drives him home. Use Table 11-10 (Bastable, p. 486) to answer the following questions:

a. What traditional method of instruction (first five methods) would you choose for your patient, and why?
b. Which non-traditional method (second five methods) would you choose for your patient, and why?

SCIENCE
HEALTH SCIENCE
NURSING
NURSING 582

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