Scenario: 78-year-old female Claudia Ortiz Recent Widow

Scenario: 78-year-old female Claudia Ortiz Recent Widow Has family, but the family is also elderly, cannot help with ADL’s or housework Family visits often and brings snacks and pre-made meals and baked goods You observe 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 Disease diagnosed since 2019 Takes 6 different medications – several times a day Should be using a walker for ambulation, unsteady on her feet 5 feet 9 inches, 250 lbs. Requires medication daily, often forgets medication Living in own home – townhouse on a cul-de-sac dedicated for seniors of the community No stairs, accessible large washroom except for tub with high edge to get in Highly sensitive to products with 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 some swallowing difficulties at times She complains of dry mouth and has cracked lips Her running shoes are always beside her walker, and she is often in her socks When you visit there is urine in the toilet, and it is dark and appears concentrated Roman Catholic – used to be very involved with her Parish, activity has waned with worsening health status No longer drives her car Recent Vital Sign: HR 86, RR 16, Temp 37.6 C, BP 124/78 make a nursing concept map based on the above information. SCIENCE HEALTH SCIENCE NURSING NURSING RN PRERNA

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