ACES (Advancing Care Excellence for Seniors)
Millie Larsen: Script for Introductory Monologue I’m Millie. I have lived in the same small house for the last 50 years. Harold and I raised our dear daughter Dina here and we had many good years together as a family. Harold passed last year, he was
91 you know, and I miss him terribly. I think about him every day. We were married for 68 years, most of them were happy. We did struggle with money at times, but who didn’t? All of our family lived close by and I spent many a Sunday cooking for 15 - 20 after church. Our home was always full
of people; many of them are gone now. Snuggles, my cat, keeps me company. Snuggles is about 10 years old; she is a stray who just showed up on my doorstep one day and she’s been here ever since. I’ve always kept myself busy, I sing when I can in the church choir and I volunteer in the church kitchen. I still love to cook; the church is always asking me to make my famous chicken and dumplings when we have special dinners. I can’t do as much as I used to, but that’s ok. I am fortunate
to have many close friends from church. I also enjoy gardening and I am known for growing my prize roses. My rose garden is not quite as big as it used to be, but I still like to get outside and work with the soil and the flowers. The fresh air does me some good. There are enough roses to cut several large bouquets every summer and I share them with my daughter and my friends. Did you know that my roses used to win blue ribbons at the county fair almost every year? Since Harold is gone, I go over to my daughter Dina’s house every week to visit and see my grandkids. Dina is a good cook, but her dumplings aren’t quite as good a mine and I try to make a batch to take with me when I can. Dina works everyday at the school so she is busy most of the time. She is a good daughter and she helps me when I need to get to the doctor. She also picks up groceries
for me once and awhile. I have three grandchildren. Jessica is 17 and she graduates from high school this year. Daniel is 14 and he is a handful! He can give his mother trouble about getting his homework done and I don’t think his grades are very good. I know Dina worries about him. Megan is
12 and she is such a sweet child. She likes to help me with my roses in the summer. I went to the doctor last week to get my blood pressure and my cholesterol checked. He wants to start
me on a new pill for cholesterol. I already take about six or eight pills every day. I hope this new pill isn’t too expensive, I already have to pay a lot for my medications and I don’t get the pension anymore since Harold died. I don’t know how Harold paid all the bills, it doesn’t hardly seem like there’s enough money for all that medicine. I am lucky that I can still get around pretty well and my house is not too big. My knees are pretty bad; I think they are just worn out. They hurt a lot. I am thankful that I can still tend my roses. My bladder isn’t as good as it used to be, I have to use Depends now and I worry that someone will notice the odor. I can’t laugh anymore; the leakage is getting so bad. But things like that happen when you get to be as old as I am. I can’t complain.
Name: Millie Larsen
1This study source was downloaded by 100000801918054 from CourseHero.com on 03-29-2021 08:02:49 GMT -05:00
https://www.coursehero.com/file/23008717/Millie-Larson-Unfolding-Case-Study-ACES1/This study resource was
shared via CourseHero.com Gender: F Age: 84 Race: Caucasian Weight: 48 kg Height: 61 in
Religion: Lutheran Major Support: Dina (daughter) Phone: 555-1210
Allergies: no known allergies
Immunizations: Influenza & pneumonia
(2 years ago)
Attending Physician/Team: Dr. Eric Lund
Past Medical History: Glaucoma, hypertension, osteoarthritis, stress incontinence, hypercholesterolemia History of Present Illness: Millie’s daughter became concerned yesterday when she stopped over to check on her and found her still in her bathrobe at 5:00 PM. The house was very unkempt, and Millie couldn’t remember her daughter’s name. Millie was brought to the emergency department by her daughter and she was finally admitted to the general medical-surgical unit around 9:30 AM. U/A, CBC, and basic metabolic panel labs have been completed and sent to the lab. Results are available. Social History: Widow for one year; involved in church activities and gardening. Daughter and grandchildren live nearby. Primary Medical Diagnosis: Dehydration; UTI Surgeries/Procedures & Dates: Cholecystectomy at age 30 Nursing Diagnoses: Urinary incontinence; acute confusion; fluid volume deficit Scenario 1: Time: 2:45 PM Shift report
ML is an 84-year-old female admitted from home with confusion. Her daughter noticed she wasn’t making sense or acting right when she stopped
in to visit her yesterday evening. Her daughter brought her in to the ED last
night; she sat in the ED all night until a bed came available a couple of hours ago. ML has a history of hypertension, glaucoma, osteoporosis, arthritis, elevated cholesterol, and stress incontinence. It is unclear whether
she has taken her medications properly the past few days, her daughter couldn't tell from looking at her medication box. Labs just came back, I haven’t had a chance to look at them. She has medications ordered, but they just came up from pharmacy and they all need to be given. She has not had any pain.
Significant Lab Values: Urine Analysis:
2This study source was downloaded by 100000801918054 from CourseHero.com on 03-29-2021 08:02:49 GMT -05:00
https://www.coursehero.com/file/23008717/Millie-Larson-Unfolding-Case-Study-ACES1/This study resource was
shared via CourseHero.com
Millie Larsen: Script for Introductory Monologue I’m Millie. I have lived in the same small house for the last 50 years. Harold and I raised our dear daughter Dina here and we had many good years together as a family. Harold passed last year, he was
91 you know, and I miss him terribly. I think about him every day. We were married for 68 years, most of them were happy. We did struggle with money at times, but who didn’t? All of our family lived close by and I spent many a Sunday cooking for 15 - 20 after church. Our home was always full
of people; many of them are gone now. Snuggles, my cat, keeps me company. Snuggles is about 10 years old; she is a stray who just showed up on my doorstep one day and she’s been here ever since. I’ve always kept myself busy, I sing when I can in the church choir and I volunteer in the church kitchen. I still love to cook; the church is always asking me to make my famous chicken and dumplings when we have special dinners. I can’t do as much as I used to, but that’s ok. I am fortunate
to have many close friends from church. I also enjoy gardening and I am known for growing my prize roses. My rose garden is not quite as big as it used to be, but I still like to get outside and work with the soil and the flowers. The fresh air does me some good. There are enough roses to cut several large bouquets every summer and I share them with my daughter and my friends. Did you know that my roses used to win blue ribbons at the county fair almost every year? Since Harold is gone, I go over to my daughter Dina’s house every week to visit and see my grandkids. Dina is a good cook, but her dumplings aren’t quite as good a mine and I try to make a batch to take with me when I can. Dina works everyday at the school so she is busy most of the time. She is a good daughter and she helps me when I need to get to the doctor. She also picks up groceries
for me once and awhile. I have three grandchildren. Jessica is 17 and she graduates from high school this year. Daniel is 14 and he is a handful! He can give his mother trouble about getting his homework done and I don’t think his grades are very good. I know Dina worries about him. Megan is
12 and she is such a sweet child. She likes to help me with my roses in the summer. I went to the doctor last week to get my blood pressure and my cholesterol checked. He wants to start
me on a new pill for cholesterol. I already take about six or eight pills every day. I hope this new pill isn’t too expensive, I already have to pay a lot for my medications and I don’t get the pension anymore since Harold died. I don’t know how Harold paid all the bills, it doesn’t hardly seem like there’s enough money for all that medicine. I am lucky that I can still get around pretty well and my house is not too big. My knees are pretty bad; I think they are just worn out. They hurt a lot. I am thankful that I can still tend my roses. My bladder isn’t as good as it used to be, I have to use Depends now and I worry that someone will notice the odor. I can’t laugh anymore; the leakage is getting so bad. But things like that happen when you get to be as old as I am. I can’t complain.
Name: Millie Larsen
1This study source was downloaded by 100000801918054 from CourseHero.com on 03-29-2021 08:02:49 GMT -05:00
https://www.coursehero.com/file/23008717/Millie-Larson-Unfolding-Case-Study-ACES1/This study resource was
shared via CourseHero.com Gender: F Age: 84 Race: Caucasian Weight: 48 kg Height: 61 in
Religion: Lutheran Major Support: Dina (daughter) Phone: 555-1210
Allergies: no known allergies
Immunizations: Influenza & pneumonia
(2 years ago)
Attending Physician/Team: Dr. Eric Lund
Past Medical History: Glaucoma, hypertension, osteoarthritis, stress incontinence, hypercholesterolemia History of Present Illness: Millie’s daughter became concerned yesterday when she stopped over to check on her and found her still in her bathrobe at 5:00 PM. The house was very unkempt, and Millie couldn’t remember her daughter’s name. Millie was brought to the emergency department by her daughter and she was finally admitted to the general medical-surgical unit around 9:30 AM. U/A, CBC, and basic metabolic panel labs have been completed and sent to the lab. Results are available. Social History: Widow for one year; involved in church activities and gardening. Daughter and grandchildren live nearby. Primary Medical Diagnosis: Dehydration; UTI Surgeries/Procedures & Dates: Cholecystectomy at age 30 Nursing Diagnoses: Urinary incontinence; acute confusion; fluid volume deficit Scenario 1: Time: 2:45 PM Shift report
ML is an 84-year-old female admitted from home with confusion. Her daughter noticed she wasn’t making sense or acting right when she stopped
in to visit her yesterday evening. Her daughter brought her in to the ED last
night; she sat in the ED all night until a bed came available a couple of hours ago. ML has a history of hypertension, glaucoma, osteoporosis, arthritis, elevated cholesterol, and stress incontinence. It is unclear whether
she has taken her medications properly the past few days, her daughter couldn't tell from looking at her medication box. Labs just came back, I haven’t had a chance to look at them. She has medications ordered, but they just came up from pharmacy and they all need to be given. She has not had any pain.
Significant Lab Values: Urine Analysis:
2This study source was downloaded by 100000801918054 from CourseHero.com on 03-29-2021 08:02:49 GMT -05:00
https://www.coursehero.com/file/23008717/Millie-Larson-Unfolding-Case-Study-ACES1/This study resource was
shared via CourseHero.com
