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NURS 3003 Dynamics of Practice 3

by | May 22

CASE B Patient: Mrs Mary Tonkin DOB: 06/06/1940 Weight: 63 kgs Height: 168 cms Family/Significant others Three grown sons, two live in Queensland and her youngest son Sam lives with his wife and their 4 young children in a suburb 20 minutes drive from Mary. Her son Sam receives a carers allowance to care for his mother and is very worried about her. He is supportive and visits her three times a week. Rachael, his wife is unhappy with Sam spending so much time at Marys house as she is busy working full time and caring for the children. Rachael would like Mary to be placed in a residential aged care facility, however Sam knows that this is not what Mary wants.
Background
Mrs Mary TONKIN is a 79 year old widow who lives alone in a house in the suburb of Marion in metropolitan South Australia. Marys husband died 10 years ago following a fall from a ladder and a fractured femur. Complications contributing to his death were osteomyelitis and pneumonia. Consequently, Mary is fearful of hospitals and is adamant that she wants to stay in her own home. Mary lives (with her two cats) independently in the large family home. Over the past three years she has noticed her health declining which has made it difficult for her to carry out activities around the home such as cleaning and gardening as she is becoming very tired and occasionally, diaphoretic and short of breath. Mary also feels as though she is becoming more forgetful lately as she found herself placing frozen food items in the cupboard rather than the fridge. Mary has some left sided leg hemiparesis following her recent stroke but manages to walk with the aid of a walking stick. Hospital stay Mary has spent the last five days in hospital recovering after an episode of dizziness, shortness of breath and fatigue.
Family/Significant others Three grown sons, two live in Queensland and her youngest son Sam lives with his wife and their 4 young children in a suburb 20 minutes drive from Mary. Her son Sam receives a carers allowance to care for his mother and is very worried about her. He is supportive and visits her three times a week. Rachael, his wife is unhappy with Sam spending so much time at Marys house as she is busy working full time and caring for the children. Rachael would like Mary to be placed in a residential aged care facility, however Sam knows that this is not what Mary wants. Background Mrs Mary TONKIN is a 79 year old widow who lives alone in a house in the suburb of Marion in metropolitan South Australia. Marys husband died 10 years ago following a fall from a ladder and a fractured femur. Complications contributing to his death were osteomyelitis and pneumonia. Consequently, Mary is fearful of hospitals and is adamant that she wants to stay in her own home. Mary lives (with her two cats) independently in the large family home. Over the past three years she has noticed her health declining which has made it difficult for her to carry out activities around the home such as cleaning and gardening as she is becoming very tired and occasionally, diaphoretic and short of breath. Mary also feels as though she is becoming more forgetful lately as she found herself placing frozen food items in the cupboard rather than the fridge. Mary has some left sided leg hemiparesis following her recent stroke but manages to walk with the aid of a walking stick. Hospital stay Mary has spent the last five days in hospital recovering after an episode of dizziness, shortness of breath and fatigue. The doctors at the hospital felt that Mary may have had a brief period of rapid atrial fibrillation (AF) at the time.
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