Aquinas College
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UNFOLDING Clinical Reasoning Case Study 
History of Present Problem: 
John Kelly is a 77-year-old male with a history of osteoarthritis, asthma, early stage dementia, and heart failure 
who had a right total hip arthroplasty and is post-operative day one. Since surgery he has been on path, resting 
comfortably and his pain has been controlled with oxycodone 5 mg PO. When the nurse enters the room to do his 
morning assessment, John is agitated, combative and resistive to staff. He pulled out his...
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CASE STUDY • Door  Lectlincon