Mr. Stanley Frank, A Continual Case Study
Modules 5 and 6
Mr. Frank has consented to participating in an elderly interview with a nursing student. The student knows about his history in advance and wants to discuss nutritional needs for a person with heart failure.
Mr. Frank tells the student that he is very happy with his life and that he loves his retirement. He keeps himself busy and he enjoys doing activities while he still can. He does have some concerns about his health but feels that he is doing fine.
Mr. Frank has been started on ondansetron and dexamethasone for occasional nausea from a “stomach bug”. He has also been taking aluminum hydroxide for indigestion. Mr. Frank has noticed a decrease in his appetite and states he isn’t eating “as much as I should, and I know my pants are getting loose around my waist”. He also confides that he does like cheeseburgers off the dollar menu at the local fast-food place but eats them “in moderation”.
1.What types of questions can you ask Mr. Frank about his family life?
2.Thinking of Erickson, what stage of development is Mr. Frank in? How would you describe his task completion for this stage?
3.How would you assess Mr. Frank for dehydration? What are the common signs and symptoms of this?
4.How would you assess Mr. Frank for overhydration? What are the common signs and symptoms of this?
5.What foods should he consume more of?
6.What foods should be avoided?
7.Does he need to be concerned about his fluid intake? Explain your answer.
8.Mr. Frank also needs education regarding the following medications. Create a teaching plan for the following:
9.Ondansetron
What is its therapeutic classification and what does it do?
When should he take it?
What are common side effects?
What are additional things to teach?
10.Dexamethasone
What is its therapeutic classification and what does it do?
When should he take it?
What are common side effects?
What are additional things to teach?
11.Aluminum hydroxide
What is its therapeutic classification and what does it do?
When should he take it?
What are common side effects?
What are additional things to teach?
12.What are the top two nursing diagnoses?
Complete three-part nursing diagnosis Goal Interventions Assessment
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Modules 5 and 6 of Mr. Stanley Frank’s Continual Case Study Mr. Frank has agreed to take part in a nursing student’s elderly interview. The student is aware of his background and wishes to address the nutritional requirements of a person with heart failure. Mr. Frank informs the pupil that he loves his retirement and is extremely satisfied with his life. He keeps himself occupied and likes participating in activities while he still has the opportunity. He is concerned about his health, yet he believes he is in good health.
For occasional nausea caused by a “stomach bug,” Mr. Frank has been prescribed ondansetron and dexamethasone. For indigestion, he’s been taking aluminum hydroxide. Mr. Frank has seen a drop in his income.
