Gretel is 78 years old and live in an apartment alone since her husband Einar died unexpectedly twenty years ago. Throughout time she has established a rule in her life that she is not eager to change. Jenna, a paramedic in the home care, who comes to her twice a week to monitor her blood sugar, notices one morning that Gretel is getting a burning sensation in her left eye. when she talks to Gretel, she is very lazy answering the question. when Jenna repeats the question, Gretel says that she only bumped into the edge of the bathtub when she was brushing her teeth before bed. Jenna doesn't leave it at that, but carefully asks Gretel when she usually takes her sleeping pills for the night. Gretel says she takes it an hour before she gets ready for bed, has done so for the last ten years and has no intention of changing it. Jenna knows that the sleeping pills started working before Gretel arrived up in bed, which increases the risk of tipping over. 1. You perform a breakthrough assessment on Gretel. a. How does Gretel get out of the accident? Use your imagination b. Which aspects of the turnaround assessment need to be looked at in more detail? Use your imagination 2. How can you prevent this from happening again? (Gretel does not want to change the medication schedule.)

Intro To Health Care
4th Edition
ISBN:9781337338295
Author:Mitchell
Publisher:Mitchell
Chapter10: Infection Control
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Gretel is 78 years old and live in an apartment alone since her husband Einar died unexpectedly twenty years ago. Throughout time she has established a rule in her life that she is not eager to change. Jenna, a paramedic in the home care, who comes to her twice a week to monitor her blood sugar, notices one morning that Gretel is getting a burning sensation in her left eye. when she talks to Gretel, she is very lazy answering the question. when Jenna repeats the question, Gretel says that she only bumped into the edge of the bathtub when she was brushing her teeth before bed. Jenna doesn't leave it at that, but carefully asks Gretel when she usually takes her sleeping pills for the night. Gretel says she takes it an hour before she gets ready for bed, has done so for the last ten years and has no intention of changing it. Jenna knows that the sleeping pills started working before Gretel arrived up in bed, which increases the risk of tipping over. 1. You perform a breakthrough assessment on Gretel. a. How does Gretel get out of the accident? Use your imagination b. Which aspects of the turnaround assessment need to be looked at in more detail? Use your imagination 2. How can you prevent this from happening again? (Gretel does not want to change the medication schedule.)
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