Jo Morrow Case 1
Study online at
https://quizlet.com/_9ifsfy
1.Patient Introduction
Location: Nursing
home Time: 1000
Report from the charge nurse:
Situation: Josephine Morrow is an obese, 80-year-old female who developed
a venous stasis ulcer on her right lower extremity while still living at home.
The current plan of care is focused on promoting wound healing, improving
venous return, and preventing skin breakdown.
Background: Mrs. Morrow has a past medical history of COPD, chronic
venous insufficiency, and deep vein thrombosis (DVT). Peripheral arterial
disease was ruled out by duplex ultrasound. Her daughter recently moved
her to
this nearby nursing home due to concern for her safety related to impaired
mobility, an unhealthy diet, and inability to adequately care for herself at
home. Assessment: Mrs. Morrow is alert and oriented to person, time, and
place but sometimes forgets recent events. Vital signs have been within
normal limits and are performed weekly. Labs are done monthly, and results
from yesterday are in the chart. She is on a regular diet with nutritional
supplement and has been eating the majority of her meals since admission.
She requires assis- tance with positioning in bed and with getting out of bed
to sit in a chair or ambulate. Her gait is unsteady and she is easily fatigued.
Her last Braden scale assessment was conducted 2 days ago. She scored
14, indicating moderate risk. She has brown hyperpigmentation on both
lower legs with +2 edema. The dressing was changed and the wound
cleaned this morning.
Recommendation: I would like you to complete a full-body skin assessment
of Mrs. Morrow. You should also review the labs and do patient education on
promotion of circulation and on maintaining good skin integrity.
Health Assessment
Weber, J.R., and Kelly, J.H. (2018). Health Assessment in Nursing, 6th
Edition. Assessing Skin, Hair, and Nails, Chapter 14, pp. 247-279
Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk,
Chap- ter 14, pp. 266-267
Abnormal Findings 22-1: Characteristics of arterial and Venous Insufficiency
Chapter 22, p. 488
Box 4-3: SBAR, Chapter 4, p. 58
Diseases and Conditions
Expert Clinical Content from Lippincott Advisor
Obesity, long-term care
Varicose veins
1/
13
, Jo Morrow Case 1
Study online at
Diagnostic
https://quizlet.com/_9ifsfy
Tests
2/
13
Study online at
https://quizlet.com/_9ifsfy
1.Patient Introduction
Location: Nursing
home Time: 1000
Report from the charge nurse:
Situation: Josephine Morrow is an obese, 80-year-old female who developed
a venous stasis ulcer on her right lower extremity while still living at home.
The current plan of care is focused on promoting wound healing, improving
venous return, and preventing skin breakdown.
Background: Mrs. Morrow has a past medical history of COPD, chronic
venous insufficiency, and deep vein thrombosis (DVT). Peripheral arterial
disease was ruled out by duplex ultrasound. Her daughter recently moved
her to
this nearby nursing home due to concern for her safety related to impaired
mobility, an unhealthy diet, and inability to adequately care for herself at
home. Assessment: Mrs. Morrow is alert and oriented to person, time, and
place but sometimes forgets recent events. Vital signs have been within
normal limits and are performed weekly. Labs are done monthly, and results
from yesterday are in the chart. She is on a regular diet with nutritional
supplement and has been eating the majority of her meals since admission.
She requires assis- tance with positioning in bed and with getting out of bed
to sit in a chair or ambulate. Her gait is unsteady and she is easily fatigued.
Her last Braden scale assessment was conducted 2 days ago. She scored
14, indicating moderate risk. She has brown hyperpigmentation on both
lower legs with +2 edema. The dressing was changed and the wound
cleaned this morning.
Recommendation: I would like you to complete a full-body skin assessment
of Mrs. Morrow. You should also review the labs and do patient education on
promotion of circulation and on maintaining good skin integrity.
Health Assessment
Weber, J.R., and Kelly, J.H. (2018). Health Assessment in Nursing, 6th
Edition. Assessing Skin, Hair, and Nails, Chapter 14, pp. 247-279
Assessment Tool 14-1: Braden Scale for Predicting Pressure Sore Risk,
Chap- ter 14, pp. 266-267
Abnormal Findings 22-1: Characteristics of arterial and Venous Insufficiency
Chapter 22, p. 488
Box 4-3: SBAR, Chapter 4, p. 58
Diseases and Conditions
Expert Clinical Content from Lippincott Advisor
Obesity, long-term care
Varicose veins
1/
13
, Jo Morrow Case 1
Study online at
Diagnostic
https://quizlet.com/_9ifsfy
Tests
2/
13
