During this clinical rotation, you will take care of several clients. You will select one client, and write a scholarly paper based on your observation of and experience in the care of your assigned client.

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Mrs. Jones is an 85-year-old woman who was recently admitted to the hospital with a diagnosis of congestive heart failure (CHF). She has a history of hypertension, hyperlipidemia, and type 2 diabetes. Mrs. Jones lives alone in a one-story house and has two adult children who live in another state.

During your clinical rotation, you were assigned to care for Mrs. Jones. You observed that she was having difficulty breathing and had a persistent cough. Upon assessing her vital signs, you noted that her heart rate was elevated, her blood pressure was low, and her oxygen saturation was below normal. You also noted that her ankles were swollen, and she was experiencing shortness of breath.

As you began your assessment, Mrs. Jones reported feeling anxious and scared. You spent time talking to her and explaining the plan of care. You also provided emotional support and reassured her that she was in good hands.

During your care of Mrs. Jones, you administered oxygen therapy and medications to help manage her symptoms. You monitored her vital signs and reported any changes to the nurse in charge. You also assisted her with activities of daily living, such as bathing and dressing, and encouraged her to perform deep breathing exercises.

As Mrs. Jones improved, you worked with the interdisciplinary team to develop a discharge plan. You provided her with education on her medications, dietary restrictions, and the importance of follow-up appointments with her healthcare providers. You also worked with the social worker to arrange for home health services and support for Mrs. Jones once she was discharged from the hospital.

Through your care of Mrs. Jones, you gained valuable experience in managing patients with CHF and providing emotional support to patients and their families. You also learned about the importance of interdisciplinary collaboration and discharge planning in ensuring a patient’s successful recovery and transition back to their home environment.