My Workload

1. Mr. A
CC: L) Basal ganglia stroke with dysphagia, dysarthria & impaired gait
PMHx:
- Nocturia due to bladder outlet obstruction secondary to enlarged prostate
- Oral Thrush
- CVD, 4 previous strokes; R) parietal stroke 1997 with severe L) hemiparesis
- Previous # L) tibia
- Type 2 DM with mild retinopathy
-HPN
- Dyslipidaemia

Plan:
- Regular oral cares; Nilstat QID
- BSL BD AC
- PACs
- Maintain on thickened fluids; Supervise and sit upright to decrease risk of aspiration
- Bladder scan/ PVR

2. Mrs X
CC: Myositis - gradual progression; Severe weakness R) hip, leg and knee
PMHx:
- CHF
- AF
- Normocytic normochromic anaemia - Mixed Fe defiecieny and chronic inflammatory disease; Hb -100
- Degenerative arthritis
- Osteoporosis with # L) NOF s/p L) THJR 2007
- Previous CVA 2006
- Glaucoma
- L) Cataract Sx

Plan:
- Supervise/assist all transfers
- For PT input
- Analgesia as needed

3. Mrs. C
CC: L) extracapsular # NOF - s/p L) DHS
PMHx:
- Recurrent UTIs
- R) inferior pubic ramus #
- R) THJR secondary to OA
- HPN
- GORD
- Bowel Ca - Hemicolectomy 2001
- Asthma
- Diplopia

Plan:
- Regular analgesia prior to mobility
- Assist with mobility and transfers
- TEDS
- Encourage to mobilise
- Monitor bowels

4. Mrs. B
CC: L) intertrochanteric # NOF - s/p L) DHS
PMHx:
- Postural hypotension
- Syncopal episodes
- HPN
- IHD
- DM type 2
- Hypothyroidism
- Past TB
- Macular degeneration both eyes
- ? BCC R) forearm

Plan:
- Maintain on thickened fluids; Supervise and sit upright when eating or drinking
- Encourage increase oral fluid intake. If fluid intake <600 mls, for fluid review; ? IVF overnight
- Oral cares
- PACS; Regular turns
- Food and fluid balance chart
- IDC - monitor output
- Oral Augmentin for LLRTI
- Withold laxatives; Discuss with team re ?Augmentin causing loose bowels

***
Yes, that explains why I am so tired today and for a Sunday, it is toxic. Need to have some much-needed and well deserved Zzzzzs.