Question

Tim Jones, 82 -year old male patient of Dr. Diggs just arrived this morning from the local nursing home. He was confused upon arrival. During the initial assessment, fresh and various stages of bruise healing were noted to his shoulders, lower back, ribs, and thighs. Admitted to Med-Surg for new onset confusion. Mr. Jones is guarded and has facial grimacing anytime someone reaches toward him or touches him. He does moan when rolled.

RN CONSIDERATIONS A) Assessing for signs of abuse or neglect
B) Implementing fall prevention measures
C) Monitoring respiratory status
D) Ensuring patient's comfort and security

Answer 1

The student's question focuses on the health considerations a registered nurse must take into account while caring for an 82-year-old male patient, Tim Jones, who presents with bruises and signs of confusion. The key considerations include assessing for potential abuse, implementing fall prevention strategies, monitoring respiratory status, and ensuring the patient's comfort and security.

Step-by-step explanation:

Given the clinical scenario of an 82-year-old male patient, Tim Jones, with fresh and various stages of bruising, the subject of this question is centered on health, specifically nursing considerations and patient care strategies. The RN considerations to address this patient's situation include:

• Assessing for signs of abuse or neglect: Due to the bruises and reactions to touch, this step involves looking for any other signs that might indicate possible mistreatment and gather evidence in a sensitive and non-invasive manner.
• Implementing fall prevention measures: Considering the patient's age, confusion, and potential mobility issues, safety protocols must be in place to prevent falls.
• Monitoring respiratory status: Given the patient's age and symptoms, it is crucial to monitor respiratory function as part of the overall health assessment.
• Ensuring patient's comfort and security: Establishing trust through a gentle approach and explaining procedures can help alleviate the patient's anxiety and provide a sense of security.

These considerations aim to address both the immediate signs of physical distress and the overarching need for compassionate and comprehensive care.