Inadequate nurse staffing ratios are a major problem in the
Bernice is a 66-year-old retired teacher who you having been seeing for vascular dementia. She is in for a recheck today. You saw her 6 weeks ago, and started her on Aricept 5 mg at HS for her dementia. The patient and her daughter state that she is tolerating the medicine without untoward effects and thinks it is helping her already. The daughter says that her mom is really having trouble incontinence. She says she gets the urge to go, but often cannot make it to the bathroom without wetting herself. She has no issues at night, as she does not need to get up at night to go to the bathroom. The patient denies hematuria, dysuria, nocturia or flank pain. PMH—Vascular Dementia; Depression; Seasonal Allergies; Urinary Incontinence; Osteoporosis; Dyslipidemia; GERD; Stoke [5 months ago; residual memory impairment] Allergies—none to medications; no alcohol or tobacco Medications—Crestor 20 mg daily; ASA 325 mg daily; Plavix 75 mg daily; Prolia 60 mg SC every 6 months; Pepcid 40 mg daily prn; Tylenol 650 mg [1] daily prn pain; Vitamin D3 5000 IU daily; Aricept 5 mg daily at HS [started 6 weeks ago,]; Benadryl 25 mg daily prn allergies Social Data—retired teacher; has a master’s degree in education; has been living with daughter [who is an RN] and son-in-law for the past year 1. Medical diagnoses: 2 Differential diagnoses: 3 labs 4 diagnostics 5 Rx/ treatments 6 referrals 7 nursing diagnoses 8. social needs 9 education 10 nursing interventions
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