NUR MISC

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John Kelly _ Acute Delirium UNFOLDING Reasoning_2021 John Kelly is a 77-year-old male with a history of osteoarthritis, asthma, early stage dementia, and heart failure

John Kelly _ Acute Delirium UNFOLDING Reasoning_2021 John Kelly is a 77-year-old male with a history of osteoarthritis, asthma, early stage dementia, and heart failure
Case • 13 pages • 2021

History of Present Problem: John Kelly is a 77-year-old male with a history of osteoarthritis, asthma, early stage dementia, and heart failure who had a right total hip arthroplasty and is post-operative day one. Since surgery he has been on path, resting comfortably and his pain has been controlled with oxycodone 5 mg PO. When the nurse enters the room to do his morning assessment, John is agitated, combative and resistive to staff. He pulled out his Foley urinary catheter, his IV catheter...