what are the objectives and subject date for Nancy Gilbert

what are the objectives and subject date for Nancy Gilbert is a 65-year-old Caucasian female with a 5-year history of laryngeal cancer requiring apermanent tracheostomy and continuous supplemental oxygen. She has an 80-pack-year history ofcigarette smoking (2 packs per day for 40 years) and lives with herhusband who continues to smoke intheir home. On Tuesday afternoon she was admitted to the medical unit withpneumonia and placed inisolation for Methicillin-Resistant Staphylococcus Aureus (MRSA). The scenario takes place onWednesday at 1400.Sterile trach suctioningRespiratory distressDr J cooperAdmitted yesterdayNKAFull codeCough, SOB, fatigueWith husband, nonverbal, writes responsesChief informant – husbandFather COPDPt complaint of wet cough for 1 week, feels very tired from coughing all the time. Complains ofdifficulty catching breath.Pt may benefit from suctionRecent decrease in appetiteStage 4 laryngeal cancerMarried 42 years140/72 hr 86 rr 18 temp 99.7 sat 90% on 50% trach collarDroplet/contact isolation precautionsRecent change in visionLips dry and cracked

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