TASK 17
Patent Details: Mr. Gerald Baker is a 79 year old patient on the ward of a hospital in which you are Charge Nurse
Marital Status : Widower (8 years)
Admission Date : 3 September 2010 (City Hospital) Discharge
Date : 7 September 2010
Diagnosis : Left Total Hip Replacement (THR) Ongoing high blood pressure
Social Background : Lives at Greywalls Nursing Home (GNH) (4 years).
No children
Employed as a radio engineer until retirement aged 65 Now aged-pensioner.
Hobbies chess, ham radio operator
Sister, Dawn Mason (66), visits regularly, v supportive. –
plays chess with Mr. Baker on her visits No signs of dementia observed
Medical Background :
2008 – Osteoarthritis requiring total hip replacement surgery
1989 – Hypertension (ongoing management)
1985 – Colles fracture, ORIF
Medications : Aspirin 100mg mane (recommenced post-operatively) Ramipril 5mg mane
Panadeine Forte (co codamol) 2 qid prn
Nursing Management and Progress :daily dressings surgery incision site
Range of motion, stretching and strengthening exercises Occupational therapy
Staples to be removed in two weeks (21/9). Also, follow-up FBE and UEC tests at City Hospital Clinic
Assessment : Good mobility post-operation
Weight-bearing with use of wheelie-walker walks length of ward without difficulty
Post- operative disoriention re time and place during recovery, possibly relating to anaesthetic- continued observation recommended
Dropped Hb post-operatively (to 72) requiring transfusion of 3 units packed red blood cells; Hb stable (112) on discharge – ongoing monitoring required for anaemia
Discharge Plan: Monitor medications (Panadeine Forte). Preserve skin integrity Continue exercise program
Equipment required: wheelie-walker, wedge pillow, toilet riser, Hospital to provide walker and pillow. Hospital social worker organised 2-wk hire of raiser from local medical supplier
Writing task: Using the information in the case notes, write a letter to Ms. Samantha Bruin, Senior Nurse at Greywalls Nursing Home, 27 Station Road, Greywalls, who will be responsible for Mr. Baker’s continued care at the Nursing Home.
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