Hip Fracture – patient fell in her home and broke her hip (admitting diagnosis).
Vascular Dementia brought on by several TIA’s (Etiology/Pathology) Pts. progressive cognitive deficits led to her fall, and inabilility to perform normal ADL’s and self care. Since being admitted to Thompson, pt. has had consults with oncology in regards to her breast cancer diagnosis, with a GI specialist in regards to her dysphagia, and with a social worker in regards to her mental acuity and appropriate social activities related to her cognitive level.
PMH (Past Medical History)/Co-Morbidities: Breast Cancer, Rheumatoid Arthritis, anhedonia, depression, gout, anemia, hypertension, dysphagia Psychosocial HistoryPt. was married for a long time, husband deceased. Pt. worked on a farm and as a customer service clerk at several stores. Has 4 children, 3 that live in the area and are involved. Pt. has a high school diploma and worked on a farm and as a customer service employee at several stores. Nursing Care and Treatments:Pt. as assessed using the Braden Pressure Ulcer Risk Assessment scale due to immobility – pt. requires a full mechanical lift and spends the time she is not in bed in a wheelchair. Clinical pathways – monitor pt. for changes in level of cognitive impairment by conducting mental assessments. Oncologist has recommended pt. have periodic evaluations for spread of breast cancer that is currently being treated palliatively. Pts. functional capabilities allow her to be verbal and is able to speak and make her needs known
The Essay on Brest Cancer Breast Brca Gene
"One in every ten women in the United States will develop breast cancer sometime during her life." (Breast Care). More than six percent of these cases are linked to hereditary. There are many measures that can be taken to detect breast cancer early in its stages. Women who believe they have a higher risk should have the breast cancer gene testing. In order for a woman to consider her case of ...
Therapies prescribed: Pt. has also seen an Occupational Therapist to determine the best way to incorporate pt. on the floor and in her surroundings related to her baseline. They have recommended that pt. spend time among the residents to keep her actively involved in the floor and engaged with others. Medical Tests:Pt. received a Cat Scan to assess level of damage in regards to her TIA’s. Pt. also received an EKG to further indicate further damage to the heart. Pt. lso underwent several MRI’s to ascertain the stage of cancer that she was experiencing in her left breast. Medications Femara Pt. takes 25 mg daily Treatment of postmenopausal women with breast cancer Nausea, musculoskeletal pain Assess patient for pain and other side effects periodically throughout therapy Caution women who are perimenopausal or who recently became menopausal to use adequate contraception during therapy; letrozole may cause fetal harm
