Background Information:
Patient R.S. is a 78-year-old male with a background in accounting; his career prior to retirement 13 years ago as an accountant. R.S. was diagnosed with COPD, community acquired pneumonia, impaired gas exchange, TURP and shortness of breath. R.S. appeared to be worn out and exhausted, he was wearing the hospital gown, had a Foley catheter in, two PICC lines bilaterally in the antecubital area, air compression legs wraps bilaterally, and heart monitor and was also wearing oxygen. He was very friendly and cooperative with having to have his vitals taken, medication given, and bed bath done. R.S. spoke in a low, happy voice. Most of the time he was smiling while we were talking throughout the day, even though he was concerned with his wife having surgery and being in the hospital.
Observations:
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was wearing a hospital gown, he looked exhausted, his gray hair needed to be brushed, and his skin was pale. He has oxygen therapy via nasal cannula, and needed to be adjusted on his face. His gown was pulled down some by the heart monitor he was wearing, and his blanket was falling off. The air compression leg wraps were compressing when I walked in the room. R.S. was unable to bathe himself, brush his teeth, or feed himself. His voice was soft and kind and he smiles a lot. R.S. had occupational therapy, physical therapy, and respiratory therapy throughout the day while I was there. All the therapies in a row seemed to exhaust him more, since they were back to