Wednesday, May 6, 2020

The Challenges Of Nursing A History Of Vascular Dementia

This is a new admission transferred from Florida got here last night with a history of vascular dementia with the addition of head trauma in 05/2016. The patient has minimal communication skills and all of this is related by her daughter, Linda Abrams. Linda tells me that her mother was born in Brooklyn, graduated from high school, worked both at Macys and a ladies dress factory that her father owned. Around the age of 22, she married had three children. Linda Abrams lives in the Briar Creek area of Durham. Arlene Lambert the second daughter lives in Reno, Nevada. The third daughter is deceased. Apparently, Beulahs husband and she lived in Brooklyn, but in 1954 moved to Edison, New Jersey where he worked in the vending machine†¦show more content†¦She was still fairly independent in her ADLs while living at home, but obviously, some cognition problems because the daughter described that she would subscribed every magazine ad that came along, that she made contribution s inappropriately to every organization, and apparently, she did a lot of shopping for multiple items that she really did not need. All of this culminated in the fact that she was moved to an assisted living in Jacksonville, Florida near where her brother lived in 03/2016. She was just there a few months, in 05/2016 sustained another fall, actually had a fracture of her frontal bone and had an associated intracerebral hemorrhage as a result of that. Following that fall and injury, she was referred back to the same assisted living facility, no longer ambulatory but she was admitted to their memory care unit where she has remained up until the time she came to Mayview yesterday. I have very few records from Florida, but I do have a physician making house calls note from 09/16/2016. Apparently at that period of time, she had a DVT in the left lower extremity. She was on Xarelto 15 mg a day. She was going to see a vascular surgeon for a Greenfield filter. She was getting some ph ysical therapy through home health nursing but had very poor endurance and tone. She had a sacral ulcer at that time and a history of having a previous DVT one year earlier. It saidShow MoreRelatedChildren With Dementia And Parkinson s Disease1488 Words   |  6 Pages 1. 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