Question Mrs. Matthews is a 78 year old resident of a long-term care… Mrs. Matthews is a 78 year old resident of a long-term care facility. She shares a private room with her husband of 50 years who also resides at the facility. Her husband is receiving hospice care and has a medical diagnosis of advanced dementia. Mrs. Matthews has a past medical history of vascular dementia, dysphagia, and CVA. She is considered obese and has a current stage III pressure ulcer to her sacrum. She has right sided weakness following the stroke. She transfers using a Hoyer lift. Lately, she has a poor appetite and is refusing to get out of bed. Orders include: Up to chair as toleratedEnsure high protein shake BIDMechanical soft, nectar thick liquidsAFO to RLE on in AM, off at HSOT consult for R arm brace/splintPerform AROM and PROM q shiftNegative Pressure Wound Therapy to sacral wound at 125mmHg continuousChange dressing three times weekly and PRNNotify physician for wound drainage >100 mL in one hourHydrocodone 5/325 q 6 hours for moderate to severe painDocusate sodium 100 mg daily PRNClonidine 0.1 mg PO TIDMetoprolol 25 mg PO dailyAspirin 81mg PO dailyDo not resuscitate Health Science Science Nursing NUR 211 Share QuestionEmailCopy link Comments (0)
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