Care Plan
Date: | 4/3/13 | Student Name: Kimberly L Schultze | Clinical Rotation Area: | Starke Hospital/IU | Cultural/Ethnic Background/Needs: None | Religion: | Did not state | Primary Language: | English | Educational Needs: | Cognitive Impaired | Discharge Planning/Self-Care Needs: Discharged to hospice. Self-care deficit. | Admission Date: | 3/31/13 | Time: 0500 | | Admitted From: (Home, ECF or ?) | Nursing Home | Admission DX: | Aspiration related pneumonia | Chief Complaint (“patient’s own words” – PUT IN QUOTES): patient unresponsive due to cognitive impairment. | Medical HX: COPD, anxiety, atrial fibrillation, dementia, dysphagia, hypertension, heart disease, hyperlipidemia, Parkinsonism, and urinary incontinence. | Previous Surgical HX: Pacemaker | Social HX: Unobtainable | Allergies | Home Medications/ Dosages/Frequency/Route | | Calcium Carbonate 500 mg oral tablet 1 tablet qday | | Klonipin 0.5 mg oral tablet 1 tablet PO BID | | Nizoral A-D 1% topical shampoo 1 application # 210 ML q 72 hrs | | Zyprexa 2.5 oral 1 tablet PO qday | Height/Weight | Terazosin 1 mg oral capsule GTube qday | | Sytnhroid 75 mcg oral tab GTube qday | | Vitamin B12 1000 mcg oral tab 1 tab GTube qday | _____5’9”__ _____165_____ | Namenda 10 mg oral tablet 1 tablet GTube BID at 0700 and 1600 Oscal 250 with D 2 tablets GTube qday |
DEMOGRAPHIC FORM
Norvasc 5 mg oral tab 1 tab GTube BID 0700 and 1600 | Multivitamin with minerals 1 tablet GTube qday | Mirilax 17 gm via GTube daily | Docusate sodium 100 mg/25mL oral syrup 50 mL PEG qday Aspirin Low Dose 81 mg tablet 1 tablet GTube qday | |
Erikson’s Stage of Development
Ego Integrity vs. Despair (old age)
As we grow older (65 years and over) and become senior citizens, our productivity is slowed, we retire and explore life in that way. It is during this time that we contemplate our accomplishments and are able to develop integrity if we see ourselves as
DEMOGRAPHIC FORM
Norvasc 5 mg oral tab 1 tab GTube BID 0700 and 1600 | Multivitamin with minerals 1 tablet GTube qday | Mirilax 17 gm via GTube daily | Docusate sodium 100 mg/25mL oral syrup 50 mL PEG qday Aspirin Low Dose 81 mg tablet 1 tablet GTube qday | |
Erikson’s Stage of Development
Ego Integrity vs. Despair (old age)
As we grow older (65 years and over) and become senior citizens, our productivity is slowed, we retire and explore life in that way. It is during this time that we contemplate our accomplishments and are able to develop integrity if we see ourselves as
References: Anderson, L. A. (Ed.). (2012, September 20). Drugs information online (J. Stewart, P. Thornton, & K. Wilson, Trans.). Retrieved April 25, 2013, from drugs.com website: http://www.drugs.com/ Haugen, N., & Galura, S. (2011). Urlich and canale 's nursing care planning guides. St. Louis, MO: Elsevier. Labus, D., Eckman, M., & Thompson, G. (Eds.). (2010). Atlas of pathophysiology. Ambler, PA: Wolters Kluwer.