∙Basic Care and Comfort 6-12% ✔ ∙ Pharmacological and Parenteral Therapies 12-18% ∙Reduction of Risk Potential 9-15% ✔ ∙ Physiological Adaptation 11-17% Copyright © 2019 Keith Rischer, d/b/a KeithRN. All Rights reserved. I. Scenario History of Present Problem: William “Butch” Welka is a 72-year-old male with a history of heart failure, COPD, hypertension, diabetes type II and dementia who has been hospitalized for exacerbation of heart failure three times the past six months. He has been a resident of Pineville Estates, a local long-term care facility, the past four months because his dementia progressed and his wife, Rita, was unable to care for him. Personal/Social History: Butch has been married to Rita for 51 years. They have three adult children who visit him weekly. Rita comes to visit Butch every day after work. Butch was a salesman for 35 years before he retired seven years ago. Butch believes he is at Pineville Estates for rehab, but his family is concerned that it is no longer safe at home if he were alone. Rita was recently awarded guardianship due to his declining mental status. He is a full code. What data from the histories is important & RELEVANT; therefore it has clinical significance to the nurse? (Reduction of Risk Potential) RELEVANT Data from Present Problem: Clinical Significance: -heart failure -COPD -Hypertension -diabetes type II -dementia -previous hospitalization Has excessive cardiac, circulatory, and neurological history that are all contributing to a decrease in health. RELEVANT Data from Social History: Clinical Significance: Married for 51 years with 3 kids Good support at home Retired Not on a schedule Thinks he’s at rehab Family lying to him about not being at rehab Not safe at home Why he is in an assisted living facility Full code 72 years old with extensive medical history and is full code II. The Dilemma Begins… Current Concern: When the nurse enters his room to administer his morning medications, she notices that Butch does not respond verbally. When she approaches him, she notices that his color is pale and is diaphoretic. His radial pulse is faint and thready, and his respiratory rate is labored with a rate of 30/minute. Butch calls out, “Please help me!” and becomes