Dale Evans is an 86-year-old patient that

Dale Evans is an 86-year-old patient that has been assigned to your team. Evans was admitted to the hospital yesterday with dehydration and cellulitis of the right lower leg. Medical orders include IV therapy/ fluid replacement, IV antibiotics, and dressing changes to the right lower leg. In the RN’s hand off report, the patient’s right leg pain is increased, now with a score of 7 on a scale of 0-10. Vital signs at 0600 include temperature of 100.4 degrees F, heart rate at 98 beats per minute, respiratory rate 22 breaths per minute, and a BP of 148/70 mmHg. You are working with an Assistive Personnel (AP) and an LPN/LVN. You will be delegating the tasks of obtaining vital signs every 2 hours instead of the routine every 4-hour schedule, changing the dressing to the right leg, monitoring intake and output every 2 hours, administering the IV antibiotic, providing morning care, and repositioning the patient every 2 hours. reply classmate post classmate post Develop an SBAR which describes Dale Evans’ condition to the other members of your nursing team. S: Evan’s right leg pain is increased, pain score is a 7 out of 10 B: Dale Evans is an 86-year-old patient with dehydration and cellulitis of the right lower leg admitted in the hospital yesterday A: v/s temp 100.4; HR: 98; B/P: 148/70; RR: 22; pain score 7 R: Assess Evan’s lower extremities; ask for Sodium Chloride IV for dehydration; possibly reassess his pain management, he may need a different pain medication Determine which tasks will be delegated to the AP and describe your rationale. “The task should not require excessive supervision, complex decision-making, or detailed assessment during its performance.” (Catalano, pp. 398) Care UAP can do within the scope of their practice: (On pp. 404 in Nursing Now) *Feeding *Basic hygiene * Basic Skills * Stable Clients *Chronic clients *Ambulation (Based on that information) The AP can turn the patient every 2 hours: the rationale is that turning every 2hrs is ambulation and within the AP’s scope of practice The AP can also provide morning care to the patient: the rationale is that morning care consists of bathing and is within the AP’s scope of practice Write what you will say to the AP when delegating those tasks. Address all five rights in your statement. Hey AP, Mister Evan’s in RM 123 he is with us with cellulitis in the right leg and dehydration. He is 86 years old and is complaining of pain, so it might be a bit difficult for him to ambulate himself at the moment. He is on a turn every 2hr intervention, may you please make sure to turn him every two hours and please also check his facial features for any sign of discomfort or pain. Also during care please be gentle with cleansing his right leg as it may be painful with his cellulitis. Please report to me if at any time Mister Evans states that he is in pain or if he feels hot or looks flushed. Thank you. SCIENCE HEALTH SCIENCE NURSING NUR 101

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