Mary has completed her advanced directives that stated thất she does hot artil nutrition under any circumstances. Mary's niece Kristina is her medical power of attorney. Mary became restless and confused this morning with diminished lung sounds bilaterally, and increased heart rate and respiratory rate. The hospitalist met with Kristina and recommended Mary be transferred to the ICU for medical ventilation. Kristina knew that this was against her aunt's advance directives and a decision was made with Mary to transfer her home with hospice care in place. Mary begins to experience restlessness, confusion and shortness of breath. Kristina visits daily but has not been in to see her aunt yet today. The primary nurse is orienting a new nurse to the unit. A hospice nurse is expected to make a visit to the unit to provide information regarding hospice care. Nursing Care and Interventions: How will you incorporate Franciscan Values into your care?

Comprehensive Medical Assisting: Administrative and Clinical Competencies (MindTap Course List)
6th Edition
ISBN:9781305964792
Author:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Publisher:Wilburta Q. Lindh, Carol D. Tamparo, Barbara M. Dahl, Julie Morris, Cindy Correa
Chapter12: Patient Scheduling
Section: Chapter Questions
Problem 12.2CS
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Mary Crusader (age 81) was admitted to Madonna Hospital 10 days ago and has been
receiving treatment for bacterial pneumonia (Rocephin 1 gram IVPB q12 hours). Her past
medical history includes hypertension, MI (4 years ago), angina, and Class III heart failure.
Mary is the primary caregiver of her husband. George has moderate dementia and is currently
in a skilled rehabilitation center. Mary and George's only child died in a car accident many years
ago.
Mary has completed her advanced directives that stated that she does not artificial ventilation or
nutrition under any circumstances. Mary's niece Kristina is her medical power of attorney.
Mary became restless and confused this morning with diminished lung sounds bilaterally, and
increased heart rate and respiratory rate. The hospitalist met with Kristina and recommended
Mary be transferred to the ICU for medical ventilation. Kristina knew that this was against her
aunt's advance directives and a decision was made with Mary to transfer her home with hospice
care in place. Mary begins to experience restiessness, confusion and shortness of breath.
Kristina visits daily but has not been in to see her aunt yet today.
The primary nurse is orienting a new nurse to the unit. A hospice nurse is expected to make a
visit to the unit to provide information regarding hospice care.
Nursing Care and Interventions:
How will you incorporate Franciscan Values into your care?
Goal of Care:
Plan of Care:
Transcribed Image Text:Mary Crusader (age 81) was admitted to Madonna Hospital 10 days ago and has been receiving treatment for bacterial pneumonia (Rocephin 1 gram IVPB q12 hours). Her past medical history includes hypertension, MI (4 years ago), angina, and Class III heart failure. Mary is the primary caregiver of her husband. George has moderate dementia and is currently in a skilled rehabilitation center. Mary and George's only child died in a car accident many years ago. Mary has completed her advanced directives that stated that she does not artificial ventilation or nutrition under any circumstances. Mary's niece Kristina is her medical power of attorney. Mary became restless and confused this morning with diminished lung sounds bilaterally, and increased heart rate and respiratory rate. The hospitalist met with Kristina and recommended Mary be transferred to the ICU for medical ventilation. Kristina knew that this was against her aunt's advance directives and a decision was made with Mary to transfer her home with hospice care in place. Mary begins to experience restiessness, confusion and shortness of breath. Kristina visits daily but has not been in to see her aunt yet today. The primary nurse is orienting a new nurse to the unit. A hospice nurse is expected to make a visit to the unit to provide information regarding hospice care. Nursing Care and Interventions: How will you incorporate Franciscan Values into your care? Goal of Care: Plan of Care:
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