Her only prior hospitalizations were for the births of her two children. It was being treated with digoxin (Lanoxin) 0.125 mg orally every other day and furosemide (Lasix) 20 mg orally every morning. Mild congestive heart failure has been diagnosed about a year earlier. Her vital signs remained stable, and her pain ratings remained at 1 or 2. Jensen was admitted to the general medical unit at 9 pm for observation. She was given ibuprofen 400 mg orally, and her pain rating decreased to 1. She rated her pain as 4 on a 0-to-270 pain-rating scale. Jensen was examined by a physician, and her wrist appeared normal on X-ray. Pulse oximetry showed an oxygen saturation of 99% on room air. On arrival, her vital signs were temperature, 36.6☌ (97.9☏) blood pressure, 110/70 mmHg heart rate, 92 beats per minute and respirations, 18 breaths per minute and unlabored. Jensen's primary care provider, who advised her to take her mother to the local ED. Jensen's daughter arrived at the house and found her mother in her usual state of health but with a reddened, swollen right wrist. She was not sure if she hit her head but had no loss of consciousness or obvious injury other than pain in her right wrist. (The case is a composite based on my clinical experience.) She phoned her daughter-a daily ritual-and mentioned that she had slipped on a throw rug in her hallway. Simplify the identification of cognitive impairment with this easy-to-use tool.ĭorothy Jensen is an 89-year-old woman who lives alone she was admitted to the ED after falling in her home. Routine use of a Try This tool may require formal review and approval by your employer. The articles and videos are to be used for educational purposes only. Greenberg, MSN, APRN, BC, GNP ( ), are coeditors of the print series. This initiative promotes the Hartford Institute's geriatric assessment tools, Try This: Best Practices in Nursing Care to Older Adults: The series will include articles and corresponding videos, all of which will be available for free online at Nancy A. Hartford Foundation to the Hartford Institute for Geriatric Nursing at New York University's College of Nursing in collaboration with AJN. How to Try This is a three-year project funded by a grant from the John A. The author has no significant ties, financial or otherwise, to any company that might have an interest in the publication of this educational activity.
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