1) MRS HERNANDEZ IS A 350 Ibs 80 YRS OLD FEMALE . MRS HERNANDEZ IS A RETIRED CHEF AND WIDOW. SHE HAS 3 SONS AND 5 GRAND CHILDREN. HER FAMILY LIVES OUT OF STATE, AND ONLY VISITS HER ONCE A YEAR, SHE GETS NO TELEPHONE CALLS FROM THEM. MRS HERNANDEZ HAS A HX. OF HYPERTENSION, TYPE 2 DIABETES, CEREBRAL VASCULAR ACCIDENT , HIP FRACTURE FROM PREVIOUS FALLS. PATIENT HAS HEMIPLEGIA OF THE RT SIDE, INC OF URINE AND BOWEL, USES A W/C. NEEDS A HOYER LIFT TO TRANSFER FROM BED TO W/C, SHE IS UNABLE TO TURN IN BED BY HER SELF. MRS HERNANDEZ NEEDS TOTAL ASSISTANT WITH ADL'S AND FEEDING. SHE IS ON A DYSPHAGIA DIET. SHE HAS A SHOWER SCHEDULED TODAY.

A) WHAT IS HYPERTENSION (HTN)? WHAT ARE SYMPTOMS OF HTN ? WHAT DIET RESTRICTION WILL A PATIENT WITH HTN BE ON?

B) WHAT IS TYPE 2 DIABETES (DM) ? WHAT ARE SYMPTOMS OF HYPERGLYCEMIA ? WHAT ARE SYMPTOMS OF HYPOGLYCEMIA ? WHAT DIET WILL A PATIENT WITH DM BE ON?

C) WHAT IS STROKE (CVA) ? WHAT ARE SYMPTOMS OF CVA ? WHAT DIET WILL PATIENT WITH DYSPHAGIA RELATED TO CVA BE ON AND WHY ?

D) LOOKING AT MRS HERNANDEZ CLINICAL PRESENTATION, WHY WOULD THIS PATIENT BE AT RISK FOR FALLS ?

E) HOW MANY PEOPLE WILL BE REQUIRED TO TRANSFER MRS HERNANDEZ FROM BED TO W/C AND WHY ?

F) NAME 7 RISK FACTOR MRS HERNANDEZ HAVE THAT CAN CONTRIBUTE TO PRESSURE ULCER. ? NAME 5 WAYS TO PREVENT PRESSURE ULCER ?

G) WHAT ARE OTHER RISK FACTORS CAN YOU IDENTIFY WITH THIS PATIENT ?

H) WHY WOULD MRS HERNANDEZ BE AT RISK FOR DEPRESSION? WHAT ARE WAYS YOU CAN ENGAGE HER IN ACTIVITIES ?