Case 3

 Name: Mrs. S but ganahan si maam ug name hahahah

 Age: 84
 Civil Status: Widowed (husband died 5 years ago)
 Occupation: Retired teacher
 Moved to a Nursing Home after suffering from a long period of depression (living in nursing
home for 2 years)
 Identified problems: THESE CONDITIONS DID NOT STOP HER FROM ENJOYING LIFE
 Mild hearing loss
 Osteoporosis
 (+) history of constipation
 Social person & loves delivering the mail to the retirement home residents.
 Spends much of her time with her best friend “Mrs. B” who shares much of her interests and is
grown to be a great confidante.
 Enjoys reading to those with vision problems and plays piano for sing-songs.
 As an active gardener, takes care of all the plants in the residence (something she is particularly
talented at)
 RECENTLY, she suffered from a fall when she slipped on water she spilled on the floor
 Resulted to fractured pelvis
 Treated in an acute care unit and is now awaiting rehabilitation.
 When the residents asked on Mrs. S state, they wanted to visit her.
 When her best friend Mrs. B first visited her, Mrs. S seems very disinterested and didn’t have
much to say.
 After a few minutes, she turned away from Mrs. B and went to sleep.
 When Mrs. B left, Mrs. S mentioned to the nurse that her friend (Mrs. B) was not
herself.
 When the nurse entered Mrs. S room, he noted a lack of responsiveness.
 Meal tray was untouched
 Had furrowed brow
 Was moaning softly
 When asked to do small ROM exercises, Mrs S’s movements were notably slow and delayed
compared to the day before.
 It was evident that Mrs. S was not herself.
 The nurse assessed her orientation and found that she was oriented to NAME ONLY
 HR elevated above her baseline.
 He called the physician immediately and expressed his concerns about delirium.