The latest case study to be discussed is about Mrs B. – an 80 year old female living alone with no relatives. She uses a frame which helps her independency in daily living activities. However she is house-bound and the neighbour dies all her shopping.
She has developed a chest infection and is in bed. A local doctor prescribes her antibiotics which she takes. But she does not improve and over the next few days she became confused, incontinent of urine and cannot eat or drink.
Mrs B. is admitted into medical ward in the local hospital. She improves with intravenous fluids and antibiotics. She is kept in bed to rest.
A week after admission, she was to be discharged but the social worker pointed out that living alone she would never be able to manage as she is not even walking. Arrangements are then made for Mrs B to be transferred to a nursing home with a diagnosis of ‘immobility and dementia’ written on the discharge report.
1) Do you agree with the diagnosis and management of Mrs B’s case?
2)How would you recommend to manage her problems?
thank you….. any help , ideas or advice on how to manage the patient from your own work ecperience would be greatly appreciated
I would be suspectful of a UTI not dementia.
Thank you for your help, I was also thinking delirium more than dementia. UTI as well, thank you 🙂 Happy New Year
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