You are the nurse caring for an 81-year-old female client in an assisted living facility with a history of dementia, falling, hypertension, dysphagia, anxiety, insomnia, and depression. The client is regularly feeding with thin liquids. The client has a history of smoking and no other health problems.
Vital signs:
- Temperature: 99.2° F
- Heart rate: 91 beats/min
- Respirations: 20 breaths/minute
- O2 saturation: 93% on 2L oxygen via nasal cannula
- Blood pressure: 110/68 mm Hg
- Pain: “6/10”
- Focused assessment findings:
- Alert and oriented to person and forgetful
- He moves all four extremities, and refuses to ambulate, on a wheelchair
- The apical pulse is regular at 91 beats/minute
- Lungs clear to auscultation, diminished bilaterally
- Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
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medications - amlodipine 2.5mg-once a day
- furosemide 20mg-once aday
- atorvastatin 5mg-once a day at bedtime
- melatonin 5mg-once a day at bedtime
- memantine 10mg-twice a day
Using the information from the scenario, create a care plan using the attached template.
