Reference no: EM133593590
Scenario:
Mrs. A, age 88, is a retired midwife who has been living with her son since her husband death's in 2015. 5 months ago, when getting up at night to go to the restroom, she fell and fractured her right radius and ulna that require ORIF.
Mrs. A is at the clinic today complaining of left buttock discomfort with some bloody spotting on her bed sheets and underwear for about a week now. She has been unable to visualize the area. Due to her osteoporosis and subsequent multiple fractures, she has limited mobility. Her family is concerned about her limited movement lately due to her fear after her most recent fall. She spends most of the day in a chair by her bed reading or watching television. Mrs. A has stage q hypertension which is well controlled on medication and salt-free diet. Mrs. A has changed into an examination gown and is sitting on the table in the exam room awaiting her visit with the physician. Her son, Amul is sitting in a chair beside the exam table. Her vital sign needs to be taken and the nurse needs to identify any concerns she would like addressed by the doctor.
1. What knowledge and skills were needed to effectively carry out the nursing roles and to provide effective patient-care in this scenario?
2. What cultural and religious values or practices should the nurse consider when planning and implementing care to Mrs. Singh so that compliance and outcomes are optimized?
3. Base from the scenario, how could you maintain the psychological safety of the patient?
Critical Thinking:
Mrs. Singh's calcium level was 11.0 (normal range 8.4 - 10.6). What is the significance of an elevated serum calcium in a patient with osteoporosis? Are there other possible explanations for Mrs. Singh's elevated calcium level?