Module 07 Course Project – Health Assessment, Health History, and Nursing Diagnosis
August 15, 2023August 15, 2023
Discipline: Nursing
Module 07Content
I have included the informnation of the patient to further assist you bjustvin case my paper was not as clear
Course Project Case Study: Mrs. Mason is a 79-year-old African American female who resides
at an assisted living facility.She is
widowed with one son who lives nearby. Her medical diagnoses include congestive heart failure, hyperlipidemia, depression,
atrial fibrillation, and hypertension. Additional
past medical history includes gestational diabetes (40 years ago), chickenpox
as a child, and atelectasis (post-op in the past).She worked as a secretary for the local
police department but has been retired for 15 years.She ambulates independently with a walker and
standby assist and requires minimum assist during bathing.For the past two weeks, she complains of
feeling short of breath and is unable to tolerate ambulating to the dining room
and around the facility.She enjoys
attending group activities at the facility but has not joined the morning
exercise group for the past week.She
has a recent weight gain of 2.5 kg.
Orders include:
Do not resuscitate
Ambulate with walker and 1
standby assist
Daily
weights
NAS
diet
1.5L fluid restriction/24 hours
Medications Include:
Furosemide
20 mg PO daily
Warfarin
2 mg PO daily
Simvastatin
20 mg PO daily
Sertraline
100mg PO daily
Metoprolol 75 mg PO BID
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