Your patient is Mrs. Hetje Lamont, an 85-year-old widow with a recentleft-sided

Your patient is Mrs. Hetje Lamont, an 85-year-old widow with a recentleft-sided stroke who lives alone and who has been admitted to your acute care medical floor. She has obvious slurred speech and some facial drooping; her left arm is flaccid, and she tells you she “can’t feel it at all.” She has been incontinent of urine since the stroke and is wearing an adult continence product. She seems alert (oriented to time, place, person) but has been noted to be “a bit confused and weepy at times.” Her status has been nothing by mouth (NPO) for the past 48 hours, in preparation for a swallowing assessment. (She is currently receiving only IV normal saline.) Her daughter tells you that Mrs. Lamont “has been eating like a bird” for the past few weeks.When you come to the bedside, she is lying on her right side and has difficulty moving without help. She is too weak to ambulate and needs assistance to sit in a chair.  -What is her score on the Braden Risk Assessment Tool? -From the score results, what interventions would be appropriate? -How often would you reassess your patient for risk of skin breakdown?  Health Science Science Nursing BIO 250 Share EmailCopy link Comments (0)

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