This essay analyzes the case of Mary Tonkin, a 77-year-old widow with multiple health issues, including a recent diagnosis of atrial fibrillation and a history of stroke and diabetes. The essay focuses on Mary's need for skin integrity and pressure injury care, given her fragile skin, medication regimen (including warfarin), and limited mobility due to a femur fracture. It explores the role of a registered nurse in assessing Mary's condition using tools like the Braden Scale, providing appropriate skin care, and coordinating her transition to a residential aged care facility. The essay emphasizes the benefits of such a transition, including better access to medical care, social interaction, and person-centered care. It highlights the importance of a patient-centered approach, considering Mary's early-stage dementia, and the advantages of residential care over home care in this particular case, including better communication with emergency services and comprehensive care planning.
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