You enter the room at 5:45pm to give her 5

You enter the room at 5:45pm to give her 5 pm meds. You signed for Plavix 75mg, Metoprolol 50mg, Remeron 15mg. You ask Mrs. Jones how she is feeling today. She responds with slightly slurred speech that she is ok. She accepts her medicine and when you give her the cup to hold, you notice that she is having difficulty grasping and holding the cup with her R hand. When she takes a sip of the water, you notice that water begins to drip out of the L side of her mouth. She finishes swallowing and you ask to examine her throat using your pen light. You do not notice any redness or swelling in the throat or mouth area. Mrs. Jones does have an indwelling foley catheter for neurogenic bladder that is patent draining clear yellow urine. Bowel sounds are normal and abdomen is soft, non-distended. Once you leave the room, you seek out Brandy. You find Brandy and ask, “Brandy, did you notice anything different about Mrs. Jones today with dinner ?”. She replies, “now that you mention it, she was coughing when she was drinking her fluids but she said she was fine.”. You will complete a change in condition assessment in PCC. What interventions are you going to suggest to the physician based on your assessment of Mrs. Jones?

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