Bilateral cataract extraction and insertion of IOL’s

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Margaret is worried that Edith may not be eating as well as she used to and at 48kgs, has lost 10kgs over the past 2 years. Margaret brings four or five frozen home cooked meals which she leaves in Edith’s freezer. Edith used to be a very good cook. She is famous for her elaborate birthday cakes. These days she has lost interest in cooking. Margaret visited Edith last week and found five meals still in Edith’s freezer. Edith has forgotten how to use the microwave and did not want to ask for help.

Edith has been more forgetful over recent months, misplacing her purse and car keys only to find them in the oven. Margaret says her mother is afraid someone will rob her so she sometimes puts her purse in odd paces them cannot find it. Edith arrives hours early for appointments and sometimes on the wrong date. Edith hides her inability to understand time by saying she likes to be early.

Edith is generally a social lady, visiting her friend twice a week at 10 am on Tuesdays and Fridays. Conversations are getting more difficult as Edith is slow to find the right word. Last week she drove to her friend at four in the morning thinking she might be late.

Medical History
AMI – 10 years ago, currency in rate controlled AF.
Bilateral cataract extraction and insertion of IOL’s – 8 years ago, required maintaining her driving licence.
Skin lesion on lower leg, dressed and healing –- 4 weeks – walked into her coffee table.

 

Medications
Apixaban 5mg BD (AF)
Rosuvastatin 20mg Daily (hypercholesterolaemia)
Centrum Advance 50+ for adults Multivitamin and mineral. Daily (general health , in particular Thiamine supplementation)
Paracetamol 1gram no more than 6hourly as needed.

End of Scenario

Answer the following seven (7) questions.
Use evidence based literature to support answers where appropriate.
All information not your own original thought must be referenced. For each answer you must demonstrate person centred care by including reference to Edith’s circumstances where required.

Question 1
Edith requires a physical assessment in the ED. Provide evidence based person centred (ie Edith) rationales for each assessment provided below.
ECG
Respiratory Ax

Sample Solution

ir legal problems due to a lack of understanding of how to do it, especially those term illness or disability, vulnerable groups who are more likely to face legal problems. The study also showed that many people did not seek legal aid from lawyers or counselling centres, but they resorted to social workers, health workers, social care services and religious organizations, even though there are only 5,000 companies providing state-funded legal services. Some fear that few areas might be financed by state legal service providers, which poses a threat to the overall justice system.

Since 2007, per capita funding for legal aid services has been decreasing. Therefore, the pressure on the Community Legal Centre (CLC) was increased due to demand for services and profit, and the increasing allocation of funds. In 2012, the federal government promised to inject funds to increase the volume of legal aid services, launch pilot exploration programs and increase advertising programs to meet new demands, while others prefer to expand existing services. However, in December 2013, the Federal government announced that it would not comply with the financing agreement after July 1, 2015. Therefore, it is expected that the implementation of the CLC would no longer be applicable. In addition, the department should further reduce the CLC. CLC expects the Federal government to provide 25% of the funds. As the expected reduction in details is still uncertain, the CLC department is not able to predict how much their budgets would be reduced. This causes significant difficulties in budgeting and the prediction of the affected CLC. Therefore, the CLC is forced to reduce the number of employees to reload existing funds to maintain operations in progress.

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