Question

After the simulation with Red Yoder,Red Yoder is an 80-year-old farmer who lives alone in the farmhouse. Red cooks for himself rarely and mainly eats packaged or processed foods and also consumes whisky quiet often, Red’s current medical problems include insulin dependent diabetes complicated by an open foot wound. He also has some incontinence and difficulty sleeping. Red is awaiting a visits from the home health nurse to assess the open wound on the big toe after walking in his new shoes. Two weeks after the home health nurse visits, Red misses his Monday morning coffee at the local VFW. The home health nurse wanted to make sure he didn’t get an infection in that toe and now she is back to change the bandaged. Red tells her that he didn’t eat his food and didn’t take his insulin as well which caused his blood glucose to shoot up. He didn’t take the antibiotics prescribed to him. Red requires admission to the hospital for sepsis of the wound. Even after discharge, he insists on living alone without help from his son Jon and Judy who are concerned about him.

Discuss the safety issues you considered when implementing care for this patient.

What measures did you implement to ensure safe patient care?

Answer 1

#. Safety issues include :-

Access to blood glucose monitoring supplies

Access to medications

Access to foods that support good nutrition

Physical ability to administer insulin appropriately

Living independently and dealing with hypoglycemia and hyperglycemia

#. Measures to implement safe patient care :-

Proper arrangements for blood glucose monitoring and medication and other supply

Fixing a community nurse to visit alternate day

Teaching the patient to avoid any activity bare foot , keeping the floors and surrounding clean to avoid injury to foot etc .Explain about foot care and it's management .

Explaining the importance of insulin and compliance to it . Also explaining the harmful effects of not taking insulin

Asking their son to visit daily once .