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    Case Notes 2: Social Background

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    BINCY
    Mr. Patrick Murphy is a 70-year-old widower living alone who was recently admitted to the hospital for an infected toe injury that resulted in amputation. He has a history of diabetes, hypertension, and is non-compliant with his medical treatment and lifestyle. His discharge plan includes health education on lifestyle modification, physical therapy to improve mobility, wound dressing, medication, insulin education and diabetic follow up.

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    Case Notes 2: Social Background

    Uploaded by

    BINCY
    234 views2 pages
    Mr. Patrick Murphy is a 70-year-old widower living alone who was recently admitted to the hospital for an infected toe injury that resulted in amputation. He has a history of diabetes, hypertension, and is non-compliant with his medical treatment and lifestyle. His discharge plan includes health education on lifestyle modification, physical therapy to improve mobility, wound dressing, medication, insulin education and diabetic follow up.

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    CONTACT US FOR CLASS +966565020294

    Original Title

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    Mr. Patrick Murphy is a 70-year-old widower living alone who was recently admitted to the hospital for an infected toe injury that resulted in amputation. He has a history of diabetes, hypertension, and is non-compliant with his medical treatment and lifestyle. His discharge plan includes health education on lifestyle modification, physical therapy to improve mobility, wound dressing, medication, insulin education and diabetic follow up.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    234 views2 pages

    Case Notes 2: Social Background

    Uploaded by

    BINCY
    Mr. Patrick Murphy is a 70-year-old widower living alone who was recently admitted to the hospital for an infected toe injury that resulted in amputation. He has a history of diabetes, hypertension, and is non-compliant with his medical treatment and lifestyle. His discharge plan includes health education on lifestyle modification, physical therapy to improve mobility, wound dressing, medication, insulin education and diabetic follow up.

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    CASE NOTES 2

    You are Stephy Anne, Charge nurse in the ward where Mr Patrick Murphy is admitted.
    Read the case notes below and complete the writing task which follows.

    Name : Mr Patrick Murphy


    Address : 36 the beaches, Drumgola Wood, Southern Ireland
    Phone : +353694721
    Age : 70 years
    Discharge date : 10/8/19
    Social background
     Widower – wife died 2 years back
     Retired postal employee
     Lives alone in own house
     One son – lives abroad with family
     No contact with neighbors – recently shows social isolation
     Smokes 2 packets of cigarette/ day, drinks alcohol 2 bottles/ day
     BMI: 32 ,sedentary life style
     Religion: Roman Catholic, occasional church visit
     Hobbies: watching TV, Addicted to social media
    Diet:
     Non compliance with diet
    Medical history
     DM- 20 years, on insulin therapy, non compliant
     HTN- since 1990
     Underwent tonsillectomy 10 years back
     Admitted in hospital for prostatectomy in 1998
    12/7/19
     Injury to L big toe from a digging fork while gardening
     Profuse bleeding – self treated
    19/7/19
     Left big toe infected after injury- consulted general surgeon, refused to suture
    the toe
     FBS: 402 mg/dl – referred to diabetologist

    29/7/19
     Delayed wound healing
     Pus, swelling, redness, itching but no pain
     Admitted to hospital under diabetologis
     Plan for amputation of the toe
    4/8/19
     Surgery done – successful, antibiotics started
     Bp: 160/100 mm of Hg, T : 370 C, R :22 b/m, P : 88 b/m, SPO2 :94%
    5/8/19
     Daily dressing done
     Pain –panadol
     Mobility is assisted
     Depressed and more isolated
    6/8/19
     No interest in ADL
     Complained lower back pain – needs assistance in walking, showering
     Pain killers administered
    10/8/19
     Patient condition satisfactory, needs education on lifestyle modification
    Discharge plan
     Health education on life style modification and exercise
     Visit by social worker to help in coping socially
     Physiotherapy to improve mobility
     Daily dressing
     Analgesics and antibiotics to continue
     Education on self administration of insulin
     Follow up in diabetic OPD (17/8/19)

    WRITING TASK
     Using the information in the case notes, write a letter to the community health
    nurse, Holly Spirit Community Nursing Home, Beaches Road, Cavan, Southern
    Ireland, who will be responsible for Mr Murphy’s continued care

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