You are the nurse caring for an 81-year-old female client in an assisted living facility with a history of dementia, falling, hypertension, dysphagia, anxiety, insomnia, and depression. The client is regularly feeding with thin liquids. The client has a history of smoking and no other health problems.
Vital signs:
Temperature: 99.2° F
Heart rate: 91 beats/min
Respirations: 20 breaths/minute
O2 saturation: 93% on 2L oxygen via nasal cannula
Blood pressure: 110/68 mm Hg
Pain: “6/10”
Focused assessment findings:
Alert and oriented to person and forgetful
He moves all four extremities, and refuses to ambulate, on a wheelchair
The apical pulse is regular at 91 beats/minute
Lungs clear to auscultation, diminished bilaterally
Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
medications
amlodipine 2.5mg-once a day
furosemide 20mg-once aday
atorvastatin 5mg-once a day at bedtime
melatonin 5mg-once a day at bedtime
memantine 10mg-twice a day
Using the information from the scenario, create a care plan using the attached template.
