Jim Case Study - Side One
- Created by: sadiek04
- Created on: 10-01-23 09:25
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- Jim - Case Study
- About Jim
- Age - 93
- Ethnicity - White British
- Medication
- Frusemide
- Nifedipine
- Iron Tablets
- Nifedipine
- Frusemide
- Religion - Methodist
- GP - Dr Singh
- Multidisciplinary team
- GP
- Pharmacist
- Home Care Agency - Care Manager, Care Workers
- Consultant (Renal Medicine)
- Consultant (Cardiology)
- History
- Jim has been referred to a care home for support with his personal care, taking medication, supporting with breakfast and preparing a cooked lunch.
- Needs help in the home with laundry.
- Cleaner comes once a week
- He has been in hospital after a fall at home
- Recently diagnosed with heart failure and stage three renal failure.
- Has high blood pressure which is controlled by meds.
- Wife died 10 years ago.
- He has one daughter who lives about 60 miles away.
- He has lived in a bungalow for about 30 years and is close friends with his neighbour who is a similar age.
- Interested in football.
- Next door neighbour is also a keen footie fan, comes over and watches games with him also takes him to football matches occassionally.
- He had previously been playing bowls but is now frightened of falling so he does not always play.
- He attends the Methodist chapel in the village most Sundays.
- He is still driving although his daughter is concerned after an incident with another vehicle
- He feels driving is necessary for his social life.
- Maintaining a Safe Environment
- NEED - Jim has had several falls at home, He now has a lifeline alarm that he can press if he needs help.
- PLAN - Encourage Jim to check his lifeline is working - Sunday AM
- NEED - He likes to be independent however he tries to do everything for himself. Usually up and dressed when care staff arrive.
- PLAN - Ensure there are no rugs or other trip hazards on arrival and when leaving.
- NEED - He requires frusemide twice a day and warfarin once.
- PLAN - Ensure daily medication is taken.
- NEED - Collect medication from pharmacy and re-order repeat prescription.
- PLAN - Dispense weekly medication into the medidos wallet on Sunday PM, Ensure medication is stored safely, Last Friday of each month.
- NEED - Jim has had several falls at home, He now has a lifeline alarm that he can press if he needs help.
- Breathing
- NEED - Jim has no diagnosed respiratory problems but does get short of breath relating to his kidney failure.
- PLAN - Encourage Jim to sit down if he is short of breath.
- NEED - Jim has no diagnosed respiratory problems but does get short of breath relating to his kidney failure.
- Sleeping
- NEED - Jim is often tired due to his condition and dozes in his chair.
- About Jim
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