Gerontology Case 1-Complete Guide

Gerontology Case-Red Yoder What’s a nurse to do?? Sherman “Red” Yoder: Second monologue: Occurs two weeks after the first monologue. “As much as I hate to miss it, I don’t think I’ll go into town today. I never miss Monday morning coffee at the VFW with my buddies. Sometimes my friends worry about me; they will probably wonder where I am. I know it’s only 20 miles, but I just haven’t felt like eating the last couple of days; maybe I’ve got the flu that’s going around. I’m not sure if I should take my insulin because I’m not eating, but my blood sugar was 203 when I poked my finger this morning. How can that be when I’m not eating? Wow! I just took of my sock to check on my sore and my whole foot is red and big. I haven’t looked at it for a few days; it was just a little pink the last time I checked it. I should have paid closer attention to those pills I was supposed to take, that antibiotic. The nurse wanted to make sure I didn’t get an infection in that toe. She comes tomorrow to change the bandage; I’d better make sure to take the antibiotic today.” You are the RN who is visiting Red today. The photo displays the wound as you find it. You measure his blood sugar and find it to be 285 mg/dl. In your questions for Red, you discover his lack of appetite and “flu-like” symptoms. He tells you he has to rest frequently between tasks and has not gathered the eggs for 2 days. Discuss each of these nursing actions when evaluating Red and decide: 1) What questions should be asked? 2) What data sources are available to the nurse? 1. What signs and symptoms should the nurse particularly be alert to? Lethargy, flu like symptoms, blood glucose of 285, no appetite....