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[Expert Solution]: You are a nurse caring for a 72-year-old…

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You are a nurse caring for a 72-year-old retired chiropractor who has a history of dementia, secondary to fractured femur repair. He was transferred to your rehabilitation unit for postoperative physical therapy and further assessment to address his return home upon physical therapy completion. Upon admission, he adamantly insists on remaining in his room, even when invited to attend social events by hospital friends who now reside in the adjoining long-term care unit. He refuses help with his activities of daily living and is only friendly to his daughter (whom he recognizes). She visits several times per week. (Learning Objective 2) a. What pertinent data can you gather based on the patient’s information? b. What questions should you ask yourself when caring for this patient? c. Which behaviors could be connected to the patient’s dementia? d. What are some nursing considerations related to Maslow’s hierarchy of needs for this patient? 2. You are a nurse caring for a 67-year-old retired firefighter who was admitted to your unit with exacerbation of his COPD. He has a 40 pack-year history, uses portable O2 continually, and is quite anxious. He has family continually at his bedside; their interactions indicate that they are a loving, supportive nuclear family. The patient’s wife is very involved in health decision making and typically includes her six adult children (and their spouses) in decisions whenever practical. All the children live nearby and are quite free in expressing their opinions regarding family matters, including the care of their father. Many times, the family discussion is focused on determining who will care for the family farm and homestead now and in the future. The patient’s prognosis is terminal, and he is expected to live less than 6 months. (Learning Objectives 3, and 4) a. Using Maslow’s hierarchy of needs, what is the rationale for the patient’s anxiety? b. What strengths does this family unit exhibit regarding the patient’s illness? c. Which areas of challenge might this family unit present regarding the patient’s illness? d. How are family functions addressed in this scenario? e. What nursing interventions could you perform that would promote health within this family?

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