- Joined
- Feb 8, 2015
- Messages
- 506
- Reaction score
- 799
The situation:
70+
#NOF for a hemiarthroplasty.
Mechanism of injury; rolled out of bed.
Patient at baseline health.
Baseline:
Palliated several months ago and discharged to high level of care nursing home. Prognosis at that time - days to weeks.
Made NFR, not for I+V, not for ICU/HDU, not for admission to hospital unless symptom control unable to be handled in high level of care nursing home.
Reason for palliation: End-stage COPD.
Baseline SpO2 75-80% on 10L hudson mask 24/7 since discharge to nursing home.
Severe pulm. HTN. mPAP 85mmHg.
Medically managed, actively secreting pheochromocytoma - blockade ceased when medications were rationalised several months prior during palliation process.
Neurofibromatosis type 1 (severe).
Action:
Over to you guys.
(During the planning phase the patient was happy to be talked about for education, but will still keep it relatively vague).
70+
#NOF for a hemiarthroplasty.
Mechanism of injury; rolled out of bed.
Patient at baseline health.
Baseline:
Palliated several months ago and discharged to high level of care nursing home. Prognosis at that time - days to weeks.
Made NFR, not for I+V, not for ICU/HDU, not for admission to hospital unless symptom control unable to be handled in high level of care nursing home.
Reason for palliation: End-stage COPD.
Baseline SpO2 75-80% on 10L hudson mask 24/7 since discharge to nursing home.
Severe pulm. HTN. mPAP 85mmHg.
Medically managed, actively secreting pheochromocytoma - blockade ceased when medications were rationalised several months prior during palliation process.
Neurofibromatosis type 1 (severe).
Action:
Over to you guys.
(During the planning phase the patient was happy to be talked about for education, but will still keep it relatively vague).