Question

An 84 - year - old patient who is nearly blind has been bedridden since she had a stroke 2 years ago . She lives with her 88 - year - old husband , who is very hard of hearing . Their two children live out of state . Various nieces and nephews look in on the patient and her husband , but the husband insists he can look after his wife himself , and the patient wants only her husband to take care of her . Concerned that the couple may be struggling one of their nieces calls their daughter , who calls an ambulance immediately because of her mother's condition . In the ED the patient is diagnosed with urinary incontinence , a stage III pressure injury on her right hip , and a stage IV pressure injury on her coccyx . She is 30 pounds underweight and cannot remember her last meal . She is also diagnosed with scabies and her gums are soft and bleeding . Her fingernails are long and covered with dried feces . The patient has been admitted to your unit .

Is the husband able to provide adequate care for this patient ? Explain why or why not . 2. Is this considered neglect ? Explain why or why not ? 3. Are the patient's basic needs being met ? Explain why or why not ? 4. Why is the patient's skin integrity impaired ? 5. List two overall goals for this patient . 6. List two interventions for each of the above goals . 7. What type of teaching will this patient , her husband , and the family need ? 8. What types of interdisciplinary consult ( s ) would this patient benefit from ? Explain how these consults will help . Interdisciplinary : physical therapy , social services etc. ]

Answer 1

Answer 1: The husband of the patient is too old to takecare of the patient. The husband's age is 88 years and unable to hear properly. He is too old to carry things, maintain personal hygiene as well as of the patient.

Answer 2: This is not neglect, but due to lack of proper care and caregiver himself is too old to provide care to the patient.

Answer 3: No, the patient's need are not met because she is unable to get proper foods and nutrition. There is no proper care provider who can provide better cleaning, proper food as well as to take care of the patient's personal hygiene.

Answer 4: As patient is too old, suffering from various disease, poor hydration, cell deaths leads to poor skin integrity. The pressure ulcer is caused because the excessive pressure to the particular site of the body.