Health Medical Homework Help

Course Project Case Study : Mr. Clooney is a 76-year-old Caucasian male who was admitted to the rehabilitation hospital following a 6 week stay in a local acute care hospital. He suffered a T3 burst fracture after a MVA and the site was surgically stabilized.  He is paralyzed in his lower extremities and has no sensation below the clavicles.  He is incontinent of bowel and bladder and has a stage 3 pressure ulcer to his coccyx.  Medical history includes asthma, substance abuse (alcohol), obesity, constipation, prediabetes (has not progressed to type II diabetes) and tested positive for Covid-19 in November 2020 after experiencing shortness of breath and fever.

Mr. Clooney is single and lives alone in a second story apartment.  His son lives three states away and he has no relatives in the area.  He is a retired construction worker, denies any religious affiliation, and speaks English.

Orders include:

Full resuscitation 

PT, OT TID, 5 days per week

Dressing changes to sacral pressure ulcer: cleanse with wound wash, alginate dressing daily

Cervical collar when OOB

Transfer with sliding board per PT

Regular diet

Ensure high protein shake BID

Foley catheter to dependent drainage

Cleanse catheter site with soap and water BID 

Medications Include:

Dulcolax suppository every 3 days rectally

Baclofen 5mg PO QID

Midodrine 10 mg PO at 0800, 1300 and 1800

Albuterol inhaler: 180 mcg (2 puffs) every 6 hours PRN

Metformin 500 mg PO BID

QUESTION

EVIDENCE-BASED PRACTICE (EBP)

Summarize your client’s case. Then, search for three EBP articles from a nursing journal published within the last 3 years.  Using these articles, describe how you could use these best practices to improve the care you provide to this patient.  Information shared should aim to restore, maintain, or promote health and wellness for the assigned patient.