Atypical Presentation
Atypical Presentation Case Study
Michaela P. Capulong
For Kaplan University
Nursing Care of the Older Adult
NU416-02
Professor Barbara Gunderson
November 3, 2015 Atypical Presentation Case Study
Atypical presentation of illness, chronic medical conditions, and altered mental status can complicate a prompt diagnosis and successful treatment. The given scenario of Ms. N is a good example of atypical presentation of illness. The presenting symptoms of the resident on admission are atypical clinical signs and symptoms of Urinary Tract Infection. Our knowledge of the normal aging process and atypical presentations of illness can impact the way we provide care for the older adults. A thorough head-to-toe physical assessment and obtaining …show more content…
Implementing fall precautions is vital to keep her from any injury. I will place her on a high-low with alarm and preferably near the nurses’ station. Physical Medicine Rehabilitation (PM& R) consult will be place for Kinesiotherapy or Physical therapy to improve her strength and mobility, and also Occupational therapy for her activities of daily living. Staff will do hourly rounds using the 5Ps: pain, potty, position, possession, and pump/plug-ins. The recreational therapist and nursing staff will provide activities that will divert her from confusion; especially the things or hobbies that she likes to do at home. Bowel and bladder program will be implemented. Staff will assist Ms. N with toileting and to keep her skin clean and dry to prevent skin …show more content…
N safe and free of any injury during her stay in the long-term care. She will respond to antibiotic therapy within three to five days of treatment, as evidenced by improvement in her mental state and physical status. She will be able to perform her activities of daily living independently before her discharge. I will make sure that Ms. N will receive safe and effective pharmacotherapy, and by discharge her medications will be lesser as possible. Ms. N’s urinary incontinence will resolve within three to five days, and as evidenced by intact skin and she will stay dry between toileting. Lastly, within two to three weeks of treatment and rehabilitation, Ms. N will be able to discharge to her home
Michaela P. Capulong
For Kaplan University
Nursing Care of the Older Adult
NU416-02
Professor Barbara Gunderson
November 3, 2015 Atypical Presentation Case Study
Atypical presentation of illness, chronic medical conditions, and altered mental status can complicate a prompt diagnosis and successful treatment. The given scenario of Ms. N is a good example of atypical presentation of illness. The presenting symptoms of the resident on admission are atypical clinical signs and symptoms of Urinary Tract Infection. Our knowledge of the normal aging process and atypical presentations of illness can impact the way we provide care for the older adults. A thorough head-to-toe physical assessment and obtaining …show more content…
Implementing fall precautions is vital to keep her from any injury. I will place her on a high-low with alarm and preferably near the nurses’ station. Physical Medicine Rehabilitation (PM& R) consult will be place for Kinesiotherapy or Physical therapy to improve her strength and mobility, and also Occupational therapy for her activities of daily living. Staff will do hourly rounds using the 5Ps: pain, potty, position, possession, and pump/plug-ins. The recreational therapist and nursing staff will provide activities that will divert her from confusion; especially the things or hobbies that she likes to do at home. Bowel and bladder program will be implemented. Staff will assist Ms. N with toileting and to keep her skin clean and dry to prevent skin …show more content…
N safe and free of any injury during her stay in the long-term care. She will respond to antibiotic therapy within three to five days of treatment, as evidenced by improvement in her mental state and physical status. She will be able to perform her activities of daily living independently before her discharge. I will make sure that Ms. N will receive safe and effective pharmacotherapy, and by discharge her medications will be lesser as possible. Ms. N’s urinary incontinence will resolve within three to five days, and as evidenced by intact skin and she will stay dry between toileting. Lastly, within two to three weeks of treatment and rehabilitation, Ms. N will be able to discharge to her home