Chapter 2, Medical-Surgical Nursing Video Solutions, Brunner & Suddarth's Textbook of Medical-Surgical Nursing

Problem 1

An-year-old community-dwelling woman with a new diagnosis of heart failure was transferred to your medical-surgical unit from the intensive care unit (ICU). The transfer report from the ICU nurse included the notation that prior to this admission and diagnosis, the patient lived alone at home. The patient has one son who lives locally. Both the patient and son agree with a plan to transition the patient from living alone to living with her son at his home. She has been prescribed new medications to take at home and will need to see her primary provider in 2 weeks. What are your priorities as you work on discharge planning for this patient? What referrals will you consider to achieve a successful transition from hospital to home?

Jennifer Stoner

Numerade Educator

04:37

Problem 2

An 82-year-old man newly diagnosed with diabetes is being referred for home care after discharge from the hospital. He needs regular monitoring and diabetes education. He has several family members at home who have assisted with IADLs in the past; however, they all work. You are concerned about his ability to manage his diabetes as his family reports he will be home alone during the day and has decreased activity tolerance related to ADLs since his hospitalization and new diagnosis of diabetes. Identify a specific evidence-based question related to this patient in order to conduct a relevant and focused literature search. What key words would you use in this search, and what sources would be appropriate to search? What resources could you use to assist him to remain in his home for as long as possible? How would you go about obtaining this information? What is the strength of the evidence?

Shiksha Dutta

Numerade Educator

02:13

Problem 3

You are a home health nurse caring for a 75-year-old man who has transitioned home from inpatient rehabilitation following a fall in which his hip was fractured. He had surgery to reduce the fracture and stabilize the hip. He lives with his wife who is also 75 and who has memory impairment. Both need assistance with IADLs. He needs assistance with ADLs as he continues the rehabilitation process at home. As the home health nurse and case manager, develop a list of resources and interdisciplinary services that will enhance this transition to the home setting.

Nick Johnson

Numerade Educator