Swift River Community Health With 100% Accurate
Solutions 2025
1. Ann Rails
-Community Assessment
Reason for admission: -Disease/Illness Preven-
The nurse provides community health tion
consultation to a domestic violence shelter. Ann -Education/ Counseling
-Health Promotion
Rails is a 38 years
old female recently hospitalized for evaluation of back -Resource
Identification
pain and leg pain, numbness in her legs Ann did not
bilaterally, left leg weakness and an work
unsteady gait. Ann was dis- charged to a outside of
women's domestic violence shelter after she th
disclosed to her nurse that she was afraid to
go home to an abusive husband. Ann's 2. Antel
Musaka
discharge plan, in addition to safety,
protection, and supportive ser- vices from
Reason for
the women domestic violence shelter in- admission:
cluded pain management and restoration of a 13-year-old
normal gait. Most recent vital signs: BP 124/82 entering the
mmHg, Temp 6th grade in
98.2 F (36.8 C), P 84 beats per minute, RR 22 middle
breaths per minute, SaO2 96%. Medical school.
history: Other than Ann's recent
hospitalization, her past medical history is
otherwise non-significant. Medications: No
known allergies (NKA). Hydrocodone 5 mg po as
needed for pain; Acetaminophen 325 mg one -
two tabs every four hours po as needed for pain,
Gabapentin 300 mg three times daily po for
nerve pain. Surgical history: Neg- ative.
Social history: Prior to her hospitalization,
Ann lived with her husband and their 2 dogs.
, Swift River Community Health With 100% Accurate
Solutions 2025
-Risk Reduction
-Self-management
-Social determinants of health
-Community Assessment
-Culture/ Beliefs/ Spiritu-
ality
-Disease/Illness Preven-
Antel experienced cerebral anoxia during a prolonged tion
, Swift River Community Health With 100% Accurate
Solutions 2025
labor and delivery which resulted in cerebral -Education/ Counseling
palsy, quadriplegia, and developmental delay. -Health promotion
Although his
physical development is delayed, Antel uses a commu- -Resource
Identification
nication board and is on grade level with his posttraumat
intellec- tual development. Six months ago, ic stress
Antel underwent a posterior spinal fusion to disorder
treat scoliosis and ensure proper alignment in (PTSD). He
his adapted wheelchair. Antel at- tends school was a
and participates in academic, physical, and prisoner and
occupational therapies. Antel has been treated war (POW)
for many years for gastroesophageal reflux. He and was
has a percutaneous endoscopic gastrostomy abused
(PEG) tube for feedings and medications, but while being
he can eat by mouth. held
Antel has a history of aspiration pneumonia captive. He
and drools a lot. Antel has a history of seizure has
activity and receives carbamezepine via the experienced
PEG tube. Antel has multiple pressure areas on intermittent
his body due to his random spastic homelessne
movements, functional immobility, and lack of ss and
volun- tary coordination. Antel lives at home alcohol use
with his parents. His mother is his sole care disorder
provider, although she tried to encourage since his
Antel's father to assist in care. Antel' wife died 18
years ago.
3. Arthur Silverstein Arthur
experiences
Reason for admission:
flashbacks
Arthur Silverstein, a 68-year-old homeless and
veteran re- cently hospitalized for nightmares
Solutions 2025
1. Ann Rails
-Community Assessment
Reason for admission: -Disease/Illness Preven-
The nurse provides community health tion
consultation to a domestic violence shelter. Ann -Education/ Counseling
-Health Promotion
Rails is a 38 years
old female recently hospitalized for evaluation of back -Resource
Identification
pain and leg pain, numbness in her legs Ann did not
bilaterally, left leg weakness and an work
unsteady gait. Ann was dis- charged to a outside of
women's domestic violence shelter after she th
disclosed to her nurse that she was afraid to
go home to an abusive husband. Ann's 2. Antel
Musaka
discharge plan, in addition to safety,
protection, and supportive ser- vices from
Reason for
the women domestic violence shelter in- admission:
cluded pain management and restoration of a 13-year-old
normal gait. Most recent vital signs: BP 124/82 entering the
mmHg, Temp 6th grade in
98.2 F (36.8 C), P 84 beats per minute, RR 22 middle
breaths per minute, SaO2 96%. Medical school.
history: Other than Ann's recent
hospitalization, her past medical history is
otherwise non-significant. Medications: No
known allergies (NKA). Hydrocodone 5 mg po as
needed for pain; Acetaminophen 325 mg one -
two tabs every four hours po as needed for pain,
Gabapentin 300 mg three times daily po for
nerve pain. Surgical history: Neg- ative.
Social history: Prior to her hospitalization,
Ann lived with her husband and their 2 dogs.
, Swift River Community Health With 100% Accurate
Solutions 2025
-Risk Reduction
-Self-management
-Social determinants of health
-Community Assessment
-Culture/ Beliefs/ Spiritu-
ality
-Disease/Illness Preven-
Antel experienced cerebral anoxia during a prolonged tion
, Swift River Community Health With 100% Accurate
Solutions 2025
labor and delivery which resulted in cerebral -Education/ Counseling
palsy, quadriplegia, and developmental delay. -Health promotion
Although his
physical development is delayed, Antel uses a commu- -Resource
Identification
nication board and is on grade level with his posttraumat
intellec- tual development. Six months ago, ic stress
Antel underwent a posterior spinal fusion to disorder
treat scoliosis and ensure proper alignment in (PTSD). He
his adapted wheelchair. Antel at- tends school was a
and participates in academic, physical, and prisoner and
occupational therapies. Antel has been treated war (POW)
for many years for gastroesophageal reflux. He and was
has a percutaneous endoscopic gastrostomy abused
(PEG) tube for feedings and medications, but while being
he can eat by mouth. held
Antel has a history of aspiration pneumonia captive. He
and drools a lot. Antel has a history of seizure has
activity and receives carbamezepine via the experienced
PEG tube. Antel has multiple pressure areas on intermittent
his body due to his random spastic homelessne
movements, functional immobility, and lack of ss and
volun- tary coordination. Antel lives at home alcohol use
with his parents. His mother is his sole care disorder
provider, although she tried to encourage since his
Antel's father to assist in care. Antel' wife died 18
years ago.
3. Arthur Silverstein Arthur
experiences
Reason for admission:
flashbacks
Arthur Silverstein, a 68-year-old homeless and
veteran re- cently hospitalized for nightmares
