Mrs. Smith is 89 years old. She has lived in a Long Term Care facility for 4 years as
she could no longer care for herself in her
own home. She has had problems with her
heart for many years and recently has
developed Congestive Heart Failure
(CHF). You are assigned to care for Mrs.
Smith today. When you go in to see her
you notice her breathing is noisy and she
has a rattling cough and is coughing up a
great deal of sputum. Her foot and ankles
are swollen. She appears tired and lacks
energy
a) Describe what CHF is and how it
affects Mrs. Smith
b) What type of positioning would be
most helpful to Mrs. Smith in bed and
when up in a chair?
c) What care and precautions would
you take when dealing with her oral care
and productive cough?
d) What type of diet and restrictions
would be appropriate for Mrs. Smith?
e) Mrs. Smith tires easily, how would
you organize your care?
270 Martly cloudy

Heyyy! drugs are not good for u. and u should know that! it can injure you or hurt u! drugs itself sounds dangerous! i'm pretty sure u heard many stories about the danger of drugs! even if u are addicted or just want to, pls don't do it! it's harmful even though maybe u don't realize it. until u realize it, it's going to be too late, and i don't want that to happen to u or to anyone. drugs shouldn't be your top priority, just think about it, why do u want to use drugs? u can do so many other things that can relive u, or things u like to do. i might not get what situation u are in, but drugs can't be the thing on your mind all the time, what if the ppl that cares about u gets hurt because, one day they get a call that u are in a hospital; injured or they can have a knock on there door telling them that u past away or something happened. it's not cool and upsetting, obviously i'm not someone who can force u to not do anything u want to do, but pls keep in mind, always think about the people who cares about u, and if u see a child younger than u by a lot, or just younger, u would tell them to not do drugs(maybe) if u do tell them that, u realize it's bad for them, which means u abounds do it either bc its bad. no matter the age, u shouldn't be doing stuff that would hurt u, bottom line is, i can't tell u what to do, u do u, but i'm younger than u, and just want to say pls don't get hurt.