Geriatric Nursing Feature

Geriatric Nursing Feature Dementia Delirium Admission Sheet Perception Name: Helen Mccloskey Psychomotor behavior Age: 85 Cause Gender: Female Marital Status: Single Educational Level:

High school Related Evidence-Based Practice Guideline Religion: Catholic 2. Identify five causes of delirium? Answer: Search Delirium and Dementia Ethnicity Irish National guidelines clearinghouse Nationality:

American http://www.guideline.gov/browse/browsecondition.aspx. Assessing cognitive function. In: Evidence-based geriatric Language:

English 3. Why would delirium be considered a medical nursing protocols for best practice. Hartford Institute for Occupation: Retired emergency Geriatric Nursing-Academic Institution. 2003 (revised Answer: Jan 2008). 16 pages.

NGC:006350 The Joint Commission National Patient Safety Goals Hospital Hospital Patient’s Name: Helen Mccloskey Program. Retrieved from http://www.jointcommission.org/ Provider’s Orders Allergies: NKDA GeneralPublic/NPSG/10_npsgs.htm

4. What are some possible outcomes of untreated delirium? SBAR Technique for Communication: A situational briefing model Diagnosis: Fracture right hip S/P ORIF right hip Answer:

published by The Institute for Healthcare Improvement was downloaded on December 19, 2008, from http:// Date Time Order Signature www.ihi.org/IHI/Topics/PatientSafety/SafetyGeneral/ 6/20/07 5:00 PM Vital Signs: Tools/SBARTechniquefor CommunicationASituational 5. Identify nursing interventions that would be appropriate BriefingModel.htm Diet:

Clear liquids to regular as tolerated for a patient with delirium. Answer: Topics to Review Prior to the Simulation Activity: Geriatric assessment Bed rest " Mental status assessment OOB in AM Differentiation of delirium and dementia Diagnostic tests: Serum electrolytes CBC in AM SIMULATION Demographic PT consult Client Background Marital status:

single Helen Mccloskey, age 85, admitted to the hospital with a Educational level: high school Medications: fracture of right femur. Religion: Catholic Lovenox 40 mg sq q 12 hr Occupation:

retired Biographical Data Colace 100 mg po bid Current Health Status Age: 85 Ancef 1 g q 6 hr x 4 doses Gender: female Fractured right hip Morphine 4 mg IM q 4 hr prn for pain a Height: 5 ft History Weight: 110 1b Toprol 50 mg po daily Psychosocial history Cultural Considerations Social support:

lives alone V Therapy: 1,000 mL 5% D/LR 100 cc/hr Past health history: not available Language: English Treatments: Ethnicity: Irish Remove Foley in AM Nationality: American Culture: no significant cultural considerations identified Pump stockings Oxygen 2 L via NC Incentive spirometry 10 x per hour while awake Chest PT BID Dr. R. Manning