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Essay / Clinical Reasoning Essay - 1066
Smith is an 89-year-old woman who was admitted to an aged care facility a year ago as requiring nursing home level care. One morning, while taking my medication, I found her very distressed and crying. My immediate response was to calm Ms. Smith and I began to have a conversation regarding her concerns. Ms. Smith said she did not sleep all night because of pain in her lower abdomen and the urge to go to the bathroom all night to urinate. Her main concern was that she didn't want to eat or drink because it would force her to get up and keep going to the bathroom. She also expressed dissatisfaction with the dinner she had been served the day before and felt her special diverticulitis diet was not monitored by nursing staff. Smith's medical history includes arthritis, diverticulitis, hypertension and arterial fibrillation. Her current medications are felodipine, quinapril, aspirin, and warfarin. She also receives a Panadol tablet, as needed. She has no medications or food allergies and is very faithful to her intake..