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Mrs. Brown is a 61 year old lady who lives at home with her husband.  She has a history of hypertension that is controlled with medication.  Mrs. Brown was walking through her home and tripped on the corner of one of her area rugs resulting in a fall with complaints of right hip pain.  Her husband called an ambulance and Mrs. Brown was transferred to hospital.  In the emergency department she was diagnosed with a minor pelvis fracture.  She was admitted to the orthopedic floor for pain management, physiotherapy and monitoring.

Her admission orders are:

  1. Vital Signs q4hr
  2. IV NS 0.9% 50ml/hr
  3. Morphine 2-5 mg IV q30 min prn
  4. Physiotherapy referral.
  5. Diovan 80 mg OD
  6. Naproxen 250 mg TID
Based on the above information:
  1. Due to the patients PMHx and current diagnosis and medication, what do you want to check prior to providing BP medication and assisting the client out of bed? (2 marks)
  2. Mrs. Brown is complaining about extensive pain, outline the pain assessment that you will perform with Mrs. Brown including the assessment tool that you will use.  Research pelvic fractures and outline pharmacological and non-pharmacological interventions to assist with her pain. (5 marks)
  3. Outline the health teaching that you will provide to Mrs. Brown before discharge to prevent falls within the home.  It is important to note that she will most likely need the assistance of a mobility device. (5 marks)
  4. Mrs. Brown requires assistance when she goes home and you decide that she needs a home care referral.  Outline the care and multi-disciplinary team that would be of assistance to Mrs. Brown in her home. (3 marks)
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