An 105 years old lady - She fell down on her buttock 2 weeks ago and had refused to walk or get up from bed since. One of her daughters gave her...

Question Answered step-by-step An 105 years old lady- She fell down on her buttock 2 weeks agoand had refused to walk or get up from bed since. One of her daughters gave her Tramadol 50mg twice a day because she often cried out in pain. – Today she could barely eat or drink. She started to have serious abdominal distention and pain so that her second son decided to bright her to ER. – Unknown underlying disease- Before the falling she could take good care of herself, she was very hygiene person and would like to take a shower 3 times a day. She could walk around with a walker and no assistant. She now didn’t do house work / shopping / going out alone. Her memory was quite good, although some impaired in new short term memory, and had never become confuse.- Due to the falling she was diagnosed to have compression spine fracture at L3, L4 level, and acute kidney injury from urinary retention. The family refused surgery so that she was admitted in our hospital for 6 weeks for supportive treatment and rehabilitation.- During admission she developed fever from UTI and aspiration pneumonitis, 1 grade 2 pressure ulcer at coccyx, Closstridium diffici diarrhea, multiple electrolytes imbalance, and many episode of hypoactive delirium.- On discharge date she weighed 41kg (used to be 45kg) , Ht couldn’t be measure but not taller than 150cm. She was bed bound, needed continuous 3 LPM home Oxygen. She could eat per mount but very little, also she refused to have NG tube putting in.- She had now living 7 children and more than 10 grandchildren. They often have different ideas about taking care of her and always needed very long discussion for every medical procedure, including IV fluid. – Bottom line, all family member addressed that she always said that she didn’t to go to hospital, she didn’t want to be in pain, and she insisted that she would pass away in her own bed.***Please recommend proper assessment needed according to her conditions. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)