QuestionPatient: Mrs Mabel Winter DOB: 07/01/1930 Weight:45 kgs Height:… Patient: Mrs Mabel WinterDOB: 07/01/1930Weight: 45 kgsHeight: 155cmsFamily/Significant othersDaughters Anne and Jenny. Husband deceased 30 years ago.BackgroundMrs Mabel Winter is an 90-year-old widowed woman admitted to hospital following a fall at home resulting in a fractured right hip (# R) NOF or neck of femur). She lives alone (with her two cats) in her own home, without any community supports. Mrs Winter has two supportive daughters who live nearby. Each week, they take turns visiting their mother although they have been concerned about her increasing disinterest in caring for herself. Mabel used to play cards with her friends but has lost interest in any social activity. Mable lives in house in the metropolitan area of Elizabeth Vale in South Australia and says that she is happy to remain at home with her cats, watching television and pottering in her small garden. Mrs Winter is reluctant to eat because she has been experiencing dizziness when she stands, especially after eating. Following a fitness to drive assessment by her general practitioner, Mabel has not had her drivers’ licence renewed partly because her HbA1C has been consistently high and also because of her recent operation and reduced mobility. This has caused Mabel some distress as she is used to being reasonably independent. Hospital stayMrs Winter has now had a hemiarthroplasty (Austin Moore prosthesis) and has been cleared to return home.Mrs Winter has been on the rehabilitation ward for two days and staff are concerned about her weight loss, poor concentration and general well-being. She is malnourished and has had several falls in the past, however, this is the first requiring hospitalisation. During her hospital stay, her diabetes has been uncontrolled and her doctor has commenced her on insulin in the short term until her blood glucose levels stabilise. She is eager to return home as soon as possible. Past medical history L) colles fracture, 2014,R) humerus fracture 2016,Orthostatic hypotensionLSCS X 2Type 2 Diabetes mellitus (HbA1C 2 months ago = 9.8)OsteoarthritisOsteoporosis Past family historyFather – cerebral vascular accident (CVA) – deceasedMother – myocardial infarction (MI) – deceasedSister – breast cancer – deceasedAllergies:Nil knownMedicationsPO Atorvastatin 10 mg dailyPO Captopril 25mg b.d PO Paracetamol 665 mg 8 hourly prnPO Ostelin 1000 10mcg dailyPrevious PO Metformin (Javumet) 50/500 b.d.Insulin (Lantus) 8units 2 hours preprandial at night commenced during hospital stayCarefully read your allocated client scenario and determine two (2) important care needs for the client. These are things that the client would need assistance with to prevent/avoid hospitalisation. For example, they may need assistance with grocery shopping.·        Introduce yourself to the client/family member/s (if applicable) and explain what you are about to present to them. ·        In order of priority identify two care needs.  ·        For each care need, provide a rationale to the client/family member/s why you believe that it is important for the client to receive this care to prevent hospitalisation. As you present each care need, include rationale for the order of importance. (e.g. I believe that this is the most important care need for you because………) ·        For each care need, inform the client/family members: who will provide this care (the person delivering the care, this may be a registered nurse or carer) and the service provider (the company or organisation that provides the service). Health ScienceScienceNursing

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