NR 305 Week 2 Discussion Topic, General Survey-Skin-Nutrition

NR 305 Week 2 Discussion Topic, General Survey-Skin-NutritionNR 305 Week 2 Discussion Topic, General Survey-Skin-Nutrition Your home health agency has received an order from a local hospital to evaluate and treat an elderly woman being discharged from its medical surgical unit. Millie Gardner, an 83-year-old female patient, is being discharged home today to the care of her husband Fred (87 years old) following a 9-day hospitalization for pneumonia, dehydration, and failure to thrive. She has a history of hypertension (HTN), Type II Diabetes, and cerebral vascular accident (CVA) with left-sided weakness. Patient is alert and oriented but does have periods of forgetfulness during the overnight hours. Patient has intermittent incontinence of bowel and bladder and requires assistance with all activities of daily living (ADLs). Medications: • Lopressor • Lisinopril • Plavix • Metformin • Novolin R per sliding scale *NEW* • Multivitamin • Colace • Zithromax *NEW* Upon arrival, you are greeted by Champ, the couple's rambunctious miniature Doberman pinscher dog. Millie is in her wheelchair staring blankly out the window, and Fred is busy in the kitchen preparing the couple's lunch. The prognosis for Mrs. Millie Gardner, our Home healthcare’s pending new admit is not very dire overall, but her presentations are rather challenging. As I drive towards her home and Fred’s her husband, thoughts about her and her peculiar health needs that I’ve gathered from her doctor’s face sheet and admission orders raced through my mind. However, I look forward to this initial encounter with the Gardner family. Based on the scenario above, please use the general survey process to describe the areas that you would be observing immediately upon entry to the home. The overall attributes of the individual are regarded as the general survey. As a nurse, initial contact with the patient should begin with this brief overview (Jarvis, 2016). The general survey commences immediately you come into the vicinity of the patient; it includes your observation of the patient and the patient’s surroundings as well (Chamberlain College of Nursing, 2017). Pertaining to my client today, who is 83-year-old Millie Gardner, my assessment by simple observation as I entered her home focused on the parameters below (Chamberlain College of Nursing, 2017).