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¶ … Freda smith a 64-year woman referred local hospital community Health centre ongoing care. Freda discharged home 2 days ago. She diagnosed rheumatoid arthritis 10 years ago chronic heart failure 5 years ago.
Instructions:
Freda smith is a 64-year-old woman who has been referred by the local hospital to the community Health centre for ongoing care. Freda was discharged home 2 days ago. She was diagnosed with rheumatoid arthritis 10 years ago and chronic heart failure 5 years ago.
She also has a cataract in her left eye which will be removed in 3 months.
During her recent hospital stay she has been diagnosed with Type 2 Diabetes and commenced on insulin, her regular BGL have been high ranging from 18.5 to 25.6 mmol/L.
Freda lives with her husband John in a 2 bedroom second storey unit.
There is lift access within the building,.John works full time as a builder and Freda works in his business as the office manager.
John and Freda have 4 children, 3 sons and 1 daughter, all of them live overseas. Freda is 170cm tall and weighs...
ighs 110 kgs
She is short of breath on exertion.
Her current observations are;
BP: 140/80
P: 100
R
Sa02: 96% on 21% oxygen
Fredas current medications include frusemide 40mg BD
digoxin 250 mcg daily lisinopril 20 mg BD
atenolol 50 mg daily aspirin 100 mg daily amiodarone 300 mg BD with food, to be reviewed in one month iboprufen 400 mgs TD
S
lantus 52 units daily
You are the RN from the community Health service who has been assigned to visit Freda and John at home to assess Fredas level of self-management of her BGLs and insulin injections.
The hospital had indicated John was reluctant to give his wife this injection or get involved in her care
You are required to A comprehensive client assessment.
Identification of the impact of the health issues on Freda and John
Impact on their level of independence and functioning in the community
The nursing care strategies that will support and educate Freda…
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