[Solved]: Mrs

Mrs. Marilyn Riviera is a 48-year-old female living in an LTC facility. Several staff members at the facility have reported that Marilyn is more forgetful and confused than usual. She was diagnosed with Multiple Sclerosis (MS) 12 years ago. She has been a resident at the facility for 3 years now due to her declining ability to manage activities of daily living and being wheelchair-bound. Past medical history includes hypertension, multiple Sclerosis, hyperlipidemia, osteoarthritis. 1. What makes this patient special/unique/different? 2. What additional information would you like and how will you get it? a. Give 2 sample questions b. Who will you ask? 3. When outlining the proposed plan of care, what will you do if the patient: a. Agrees completely b. Disagrees completely c. Agrees with some parts, disagrees with some parts 4. Based on the scenario, give three areas the patient will need education on. 5. What other healthcare disciplines need to be involved in this situation? a. What strengths do you, as the RN, bring to the table? b. What limitations do you bring to the table? c. What strengths would other members of the interdisciplinary team bring to the table? d. Why would you want them there? 6. Name three patient safety issues/concerns potentially in play in this scenario. 7. How would you mitigate these issues/concerns at the patient level? 8. How would you mitigate these concerns at the system level? 9. Explain the role of informatics in the scenario? 10. What are some examples of healthcare informatics? 11. What are the advantages of active utilization of healthcare informatics? 12. Give three potential nursing diagnosis a. Prioritize them and choose the primary diagnosis b. Create short/long term goals c. Match the goals to independent and collaborative nursing interventions (3 each)