27 Oct Which health professional would be involved in the care of this patient?
1)Which health professional would be involved in the care of this patient? 2)How would they
contribute? 3)Make a list of health professionals and the role that they will play and we will discuss as a group.
Patient: Chrissy J. is a 32 year old white female.
Presentation: Ms. J. presents to the community clinic today with concerns of intermittent
diarrhea and bloating. Skin assessment reveals a stage IlI community acquired pressure ulcer on
her right hip which has a surrounding area of erythema, is draining pus and has an unpleasant
odor. Vital Signs: 101.5F, BP 142/88, HR 114, RR 18.
Anthropometrics: Height: 5’8″ Weight: 118 pounds
Allergies: Sulfa
History: Ms. J. has paraplegia affecting her legs resulting from an automobile accident twelve
years ago. She lives alone with her cat, Mr. Twinkles, in a small ranch home. She may legally
drive her modified automobile but she does not go out often. Ms. J. required hospitalization two
months ago for a fever. During the hospital stay, she experienced episodes of abdominal
distention and diarrhea when drinking milk. Ms. J. become increasingly depressed about her
status. Nurses reported that Ms. J. was angry and that they were concerned for their safety when
providing care. Her oral intake is poor. She smokes 1.5 packs of cigarettes daily. Discharge
diagnoses: urosepsis, lactose intolerance, and depression. A registered dietitian provided patient
education on lactose free diet including removing milk from her diet.
Medications: TMP/SMZ DS twice daily for 10 days (she missed a few doses and has 4 tabs left).
omeprazole 20 mg daily, ibuprofen 800 mg three times daily prn, citalopram 20 mg once daily,
calcium carbonate 500 mg twice daily, vitamin D 800 IU once daily, bisacody| 10 mg daily.
Social/Family Dynamics: Ms. J. reports that her family does not offer valuable support in helping
with daily life activities because they live two hours away. She talks by phone regularly with her
sister who lives in Columbus. Ms. J. indicates that he has lost most of the friends that she had
before the accident.
Support: A registered nurse makes homecare visits periodically as needed. A home health aide
provides services twice a week.
Assessment: Infected decubitus
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