Exam (elaborations)

NURS 102 Dementia William “Butch” Welka SKINNY Reasoning

0 purchase

Course
ATI MED SURG

Institution
ATI MED SURG

NURS 102 Dementia William “Butch” Welka SKINNY Reasoning/NURS 102 Dementia William “Butch” Welka SKINNY Reasoning/NURS 102 Dementia William “Butch” Welka SKINNY Reasoning

[Show more]

Preview 2 out of 12 pages

View example

Uploaded on August 9, 2024
Number of pages 12
Written in 2024/2025
Type Exam (elaborations)
Contains Questions & answers

nurs 102 dementia william butch welka skinny

Institution ATI MED SURG
Course ATI MED SURG

Expertstudynursingpapers Member since 3 year 334 documents sold

$15.99

Add to cart

Add to wishlist

100% satisfaction guarantee
Immediately available after payment
Both online and in PDF
No strings attached

NURS 102 Dementia William “Butch” Welka SKINNY Reasoning

Dementia SKINNY
Reasoning

, NURS 102 Dementia William “Butch” Welka SKINNY Reasoning

Part I: Recognizing RELEVANT Clinical Data
History of Present Problem:
William “Butch” Welka is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and
dementia who has been hospitalized for exacerbation of heart failure three times the past six months. He is now a
resident of Pineville Estates, a local long-term care facility the past four months because his dementia progressed and
his wife Rita was unable to care for him. When Rita visited Butch this morning, she reports to the nurse that he is more
confused and is concerned because Butch is easily angered. Butch insists that he sees his friend Roger, who served with
him in the
Navy, is in the room, but he died ten years ago. Rita approaches the nursing station with tears in her eyes and states,
“What is happening to my husband? This just isn’t like Butch to act like this! Please do something to help him!”

Personal/Social History:
Butch has been married to Rita for 51 years. They have three adult children who visit him weekly. Rita comes to visit
Butch every day after work. Butch was a salesman for 35 years before he retired seven years ago. Butch believes he is
at Pineville Estates for rehab, but his family is concerned that it is no longer safe at home if he were alone. Rita was just
awarded guardianship due to his declining mental status.

What data from the histories are RELEVANT and have clinical significance to the nurse? (Reduction of Risk Potential)
RELEVANT Data from Present Problem: Clinical Significance:
• 72-year-old male with a history of COPD, Comorbidities could play a role in his worsening condition.
hypertension, diabetes type II, dementia, Assessment of cognitive function and ability for independent living. and was
recently hospitalized for heart R/o side effects or other disease processes that may cause the patient to failure three
times in the last 6 months. experience memory loss, agitation, aggression, and confusion. .
• Patient’s progression of dementia and Assess the patient’s family history.
moving to a long-term care facility. The patient’s wife’s concern of the patient’s current baseline compared
Patient’s increased confusion and easily to his previous baseline. angered. Determine whether the
patient has a strong support system.
• Patient’s hallucinations of his friend in the room.
• Patient’s wife reaction to the patient’s behavior shows that she is concerned about his worsening condition.
RELEVANT Data from Social History: Clinical Significance:
• Patent has been married to his wife for 51 Patient and his wife are happily married.
years. Strong support system between his kids visiting him weekly and his Patient’s kids visit him weekly.
wife visiting him daily.
• Patient’s wife Rita visit him daily, and was Patient’s wife is now considered his caretaker and is responsible for
awarded guardianship due to his declining any decision-making on behalf of the patient.
mental status. Patient is retired now, which presents a possibility for feeling isolated
• Patient worked for 35 years before retiring. and as though he has no purpose in life.
• Patient living in a care facility, but believes Provide the patient with comfort- relieve his symptoms of confusion he is
staying at a rehab. and agitation.
• The nurse’s goal for the patient would be to regain his independent function and return home, as long as it would be
safe for him to do so.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller Expertstudynursingpapers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $15.99. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

69988 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 15 years now

Start selling

Exam (elaborations)

NURS 102 Dementia William “Butch” Welka SKINNY Reasoning

Document information

Subjects

Written for

Seller

Reviews received

Content preview