Claudia Ortiz, 78, recent widow • Family

Claudia Ortiz, 78, recent widow • Family is elderly and cannot help with ADLs or housework. • Family visits often and brings snacks and pre-made meals and baked goods • Garbage cans full of potato chip and cookie wrappers • She has lost interest in meal prep since becoming a widow, relies on Meals on Wheels for meals • Decrease in physical activity due to grieving and progression of Parkinson’s disease • Parkinson’s diagnosed since 2019 • Takes 6 medications – several times a day • Should be using a walker for ambulation, uns • Own townhouse on cul-de-sac for community seniors • No steps, nice bathroom except tub with high edge to get in • Highly sensitive to scents, gives her a red itchy rash • Recurrent UTIs • She often forgets to use her walker • She tells you often “I am lonely” • Complains of swallowing difficulties at times • Complains of dry mouth and cracked lips • Her running shoes are always beside her walker, and she is often in her socks • When you visit, there is dark, concentrated urine in the toilet • Roman Catholic – used to be very inactive HR 86, RR 16, Temp 37.6 C, BP 124/78, Describe in no more than 200 words what you could expect to observe in your observations of an older adult with Parkinson’s Disease. (3 markings) 2) List 3 probable nursing diagnoses for Claudia (each must be a 2-part diagnosis statement) (3 marks) (3 marks) 3) Describe a community agency that could help Claudia, what services they offer, and how you as Claudia’s nurse would refer or start service. (3) 4) Provide 3 SMART goals for Claudia. (3) 5) Briefly discuss how you may evaluate one of the goals you mentioned for Claudia. (1 mark) SCIENCE HEALTH SCIENCE NURSING ENGLISH 1107

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