Chapter 20: Safety and Security Ethel had
Chapter 20: Safety and Security Ethel had lived in one home for all her married life, but when her husband died her children worried about her safety, being alone in a big home. She could fall and lie undiscovered to die of hypothermia, the deteriorating neighborhood was no longer considered safe, and she could no longer drive and was limited in her ability to get around. They convinced her to move to a community in Phoenix near them. They were able to find a suitable apartment that she could afford. For a while they visited her each week, but each visit became more depressing for them as she continually talked about her old home, old friends, old furniture, old priest—everything old. Their visits became less frequent. She called them faithfully each morning but detected their urge to get off the phone and on with their lives. One morning she called her daughter Gladys and said, “I’m so sick! Yesterday I walked outside and I swear I saw my friend Rose from the old neighborhood getting on the bus, but she didn’t see me. I was so disappointed but managed to make it home, then couldn’t find the key to my apartment so finally had to call 911 for help. They were really irritated with me when I said I had lost my key. I want to go back to Detroit. I know how things work there.” After a family conclave, Ethel’s family found a nice place in assisted living for Ethel and they were relieved. Ethel said, “I don’t know where I am anymore. Seems I bounce around like a rubber ball.” She seldom left her room except for meals, and soon she needed meals brought to her. Last week she wandered out and, when found, had suffered a serious case of heat stroke. List the errors along the way, list what you would have done differently, PROMISE you will convey the moral of this story whenever a patient’s family member discusses RELOCATION. I did. Chapter 21: Living Well with Chronic Illness Go to the WHO website and obtain the 5 most common chronic diseases. Write it down along with the percentages. You know why? Watch what happens when you take the quiz when you try searching on your computer or your phone. It is a new trick I learned this summer. HEHE! Chapter 22: Cardiovascular and Cerebrovascular Health and Wellness Mrs. Lewis is an 85-year-old widowed woman with three sons and a daughter. Although her husband was not of the Jewish faith, she raised her children in the practices and traditions in which she had been raised. None of her children live nearby, but she does have a very close friend from her synagogue who has been at her side during a long and difficult battle with congestive heart failure. She has been admitted to the subacute unit in the skilled nursing home where you are employed. Her prognosis is very poor and death is imminent. She has a living will in place designating her friend her decision maker and also has a DNR order. Between breaths she tells you that most of the time in the past 2 months she has been in the hospital and has been told there was nothing left to do but to allow a natural death. She is adamant that under no circumstances should she be returned to the hospital. What will occur if her children visit and call 911 as she is struggling to breathe? What will occur if the children bring in a document that is a DPAHC? On the night shift? Because that is when issues of this nature occur.
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