[NPInfo] LTC Clinical guidelines for Paula

Sun Nov 4 22:17:23 PST 2007

Hi Paula,

  This is off the recent subject, but I was on www.npbusiness.org website and saw when you asked Barbara if there were any LTC clinical guideline forms. Did you ever get over to the website she mentioned?  You might have already, but in case you didnt this website has info on LTC cpg's... Carla

  http://www.amda.com/tools/toolkits.cfm

Paula Sumner <nurse_healer at yahoo.com> wrote:

Paula Sumner wrote: He will go into the snf wing when he comes back, and if not on hospice, I will put him on it. The facilty uses fall pads beside the bed.
I am sorry to read about your dad's experience,Carla. My mon had a silent MI that was missed-her arm pain they felt was from her falling into a door frame.
paula

Carla Anderson wrote:
One suggestion if it is possible as he is weak, make sure his studio in the AL has thick carpets with a thick pad, if he is not trying to roll a weelchair over. If they wont let you alter the rugs, get some thick fluffy portable non skid rugs in the bathroom and around the room, so if he falls he will not break a hip/arm. My dad broke two bone, and he had no osteoporosis, and the floors were like rock. He had only been there the one night, and I told him to take his walker from the bed to the bathroom, but he did not and fell. And that led to his death 3 days later. He could not recover, perhaps had a clot. It mortified me that places for seniors had floors like cement. Carla 

Paula Sumner wrote: no family here, son in ohio. the doc and i cared for him in AL (past 3 weeks). I don't know what his future is, but i expect him back on hospice. he had no resp sxs at all. Everything about him was not as one would expect it. 
paula

Carla Anderson wrote:
Was he a fall risk in assisted living? Did he have famiy there? Did he have secondary lung cancer with siadh syndrome? Did they do a CT scan that showed a lung cancer? and then ever a PeT scan? Who was caring for him in the assisted living? Family everyday, or did he have hospice? Carla Anderson, Oregon

Paula Sumner wrote: he had prostate ca several years ago and surgey. what is weird i that he had spine films and chest films-negative except his compression fracture last spring. He was failing in his apt so we put him in asst living-had a lot of muscle pain, was incontinent since prostate surgery, was bowel focused and needed help stooling. The pred nisone we started last week pretty much eliminated his pain, but his legs were weaker r>l, dev foot drop. that is when we admitted him. CXR shows a cavitation in a lung, ct scan shows his manubrium almost eat up (never c/o pain there), a mass in the kidney and maybe liver, and in his spine! 
paula

"Rogers, Barbara" wrote:
Paula
Do you know what the primary cancer is?

Barb

-----Original Message-----
From: npinfo-bounces at nurse.net 
To: npinfo at nurse.net 
Sent: Wed Oct 31 17:47:42 2007
Subject: [NPInfo] that PMR pt

That pt I asked for info on PMR about (and got the only list reply: send to rheumatology) -he dev foot drop so he was admitted to the hospital--has mets! what a shock. we came to like this guy, and care about him-it is just stunning news. 
Paula