Predictors of poor Post- Discharge outcomes: patient J.O. is 73 year old, so his age is not greater than 80. He is not hospitalized in the last 6 months or within last 30 days. He doesn’t have history of depression or non-compliance. He gets adequate support system. He has no active health problem and generally very healthy. Patient states that he was a recent body builder and has kept his body in a very good shape. He will need some assistance as the laparoscopic procedure was painful for him and the full recovery might take a couple weeks. It would be challenging for him to be back to her normal life as before as he was very independent. He might self-rate his health from fair to good as he just had an operation and cannot ambulate as he used to. So in summary, he might have problems with daily activities related to ambulation and pain; however, with time and his enthusiasm to adhere to all therapies, he will be able to take care of himself independently. Medication evaluation: He is prescribed for Heparin,, Tylenol, Hydromorphone PCA, and Zofran. With these medications, he might have some adverse effects such as: constipation, diarrhea, bleeding, abdominal discomfort, nausea and vomiting. According to Beer’s list, he’s not at risk for any adverse effect or potential health problem as he will not be taking any medications on the list. He reports that he takes multi vitamin and the physician encouraged him to keep taking them as prescribed. Patient was prescribed the PCA pump and had only press the button twice (2 x 0.2 mg) in the shift. He states that the pain is greatly reduced quickly after the procedure. However, patient is monitored closely for any abnormal signs and symptoms while on the unit for safety and comfort. Any abnormal values will be reported quickly and correctly.
Patient J.O. is 73 male, who came to the Mills-Peninsula hospital on February 25, 2014 for laparoscopic procedure to correct his inguinal hernia. Patient had the procedure done in the morning and there were no complications. He currently lives at home and has a partner that he has been committed to for many years. During his stay, there were many visitors which show that he is well loved but his social peers. He has no medical history and generally healthy. He states that he used to be a body builder and has been taken care of his body for a long time. He has retired from that hobby and his work as a florist and has been spending time running and keeping healthy lifestyle. He reported no use of alcohol, tobacco, or other drugs. At the time of initial assessment, he was alert and very cheerful. He stated that the pain was very minimal and had been doing cough-breathing exercise. His vital signs were within normal limits and his pain was under controlled. After the multisystem and some other assessments such as fall, nutrition, function, or Branden scale are performed, he is appropriate to be discharged to home where his partner will assist him until he can provide complete self care.
Social supports: J.O. lives alone at home but has a long-term partner that frequently stays over with him. He frequently talks to him on the phone. Moreover, there were many friends who came throughout his stay to visit. He has ensured us that his partner will assist him in anything he might need after