https://padlet.com/emj477/vsw42gbmu0myf133 en-us 2022-02-17 14:37:59 UTC 2022-03-27 21:04:46 UTC hello@padlet.com emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053353180 Uses a walker 
Has difficulty walking long distances
Lower extremity weakness on assessment (bilat)
Pain may impact her mobility (Fracture, UTI)
Takes pain medication (naproxen and acetaminophen)- which are effective but she notes she has difficulty with some movements (lifting) d/t pain
Fall risk - impaired cognition, confusion with UTI
Osteoporosis and osteoarthritis - may cause her pain and create more difficulty with mobility 
Takes antihypertensives - may increase fall risk if she experiences orthostatic hypotension (common side effect)
Fatigue may impact Clara's mobility as she sleeps poorly at night
Takes zopiclone, may cause daytime drowsiness/dizziness that could impair mobility 

]]> 2022-02-17 14:47:26 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053353180 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053353961 Macular Degeneration (vision loss is a geriatric syndrome)
-Clara does not use glasses, has a magnifying glass to help with reading 
Hard of Hearing (hearing loss is a geriatric syndrome) 
Decreased sensation to lower extremities, equal bilaterally 
-may be related to diabetic neuropathy? May need further assessment ]]> 2022-02-17 14:47:47 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053353961 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053354584 Experiences pain in R shoulder
Pain on urination with chronic UTI
Difficulty with mobility, experiences pain, trouble getting places
Unsure what her medications are for, causes her worry and confusion
At times she is unsure which medications manage her pain
Finds relief when using pain meds
Difficulty with personal hygiene r/t pain, limited mobility, memory loss that causes discomfort
Incontinent periodically d/t chronic UTI

Finds comfort in Native Seniors Centre and being around people who speak Cree
Comfort in relationship with nephew
Psychosocial distress r/t strained family relationships, loss of relatives, trauma experienced in residential schools

]]> 2022-02-17 14:48:03 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053354584 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053355176 Death of husband and son
Strained relationships with her surviving children
Losing her independence, needing more support with ADLs
Loss of mobility -mentions she used to love dancing but now struggles to get around
Loss of culture through residential schools, surviving intergenerational trauma

]]> 2022-02-17 14:48:17 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053355176 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053355986 Overall has a positive attitude and outlook - great sense of humor
States feeling lonely
Misses family members she has lost in recent years (son, husband, cousin)
Difficulty speaking about trauma she experienced at residential schools 
Has experienced depression ]]> 2022-02-17 14:48:39 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053355986 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053356450 Sense of connectedness to Native Seniors Centre and hearing Cree spoken 
Positive relationship with nephew, Daryl 
Experienced abuse/loss of culture and language attending residential schools

]]> 2022-02-17 14:48:50 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053356450 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053386051 Currently taking nitrofurantoin for present UTI
Recent urinalysis indicates cloudy, amber coloured, foul-smelling urine with nitrates and glucose present
High lymphocytes indicate infection/inflammation

]]> 2022-02-17 15:01:34 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053386051 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053386638 Taking metoprolol and ramipril (antihypertensives)
Taking spironolactone (diuretic) 
Can cause blurred vision/visual disturbances]]> 2022-02-17 15:01:48 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053386638 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053387240 High blood glucose 
Upon d/c, BGM 3x daily for 3 days
Takes metformin ]]> 2022-02-17 15:02:05 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053387240 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053388573 May cause low specific gravity of urine
Low sodium
Taking spironolactone (diuretic)
Takes atorvastatin (lipid lowering agent, reduces risk of CAD and MI) ]]> 2022-02-17 15:02:39 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053388573 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053389140 Takes synthroid 
Can lead to muscle weakness
Can cause impaired memory
Sleep disturbances
Increased risk of CHF 
Depression 
Neuropathy 

]]> 2022-02-17 15:02:53 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053389140 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053390322 High urea, creatinine, ESR (inflammation may be d/t CKD)
Low GFR (70 - indicates mild CKD) 
Low specific gravity of urine
Low sodium
Taking calcitriol (indicated in CKD pts who have decreased calcium reabsorption)
Appears she may have anemia r/t CKD
-taking Eprex for this 
-is it effective? labs indicate she may be anemic 
May impact her sleep]]> 2022-02-17 15:03:23 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053390322 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053541876 Takes calcium carbonate (supplement), alendronate (reabsorption), taking calcitriol (vitamin D, promotes reabsorption of calcium)
Increased risk of falls/injury from falls]]> 2022-02-17 16:10:18 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053541876 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053542305 2022-02-17 16:10:30 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053542305 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053571754 Clara reports a dull, achy pain that has remained since fracture in 2016
Pain relieved by acetaminophen, naproxen
Impacts mobility ]]> 2022-02-17 16:22:59 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053571754 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053572549 Elevated uric acid levels
Takes allopurinol (antigout agent) 
Elevated CRP, WBC indicate inflammation
May cause increased pain]]> 2022-02-17 16:23:20 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053572549 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053582453 Residential school survivor 
Has persisted through numerous health challenges and losses of culture, family, and independence]]> 2022-02-17 16:27:37 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053582453 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053583695 Feels she "needs a new mind" and has some instances of short and long term memory loss
Has gotten lost after taking public transit recently 
Acute confusion r/t UTI]]> 2022-02-17 16:28:09 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053583695 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053585569 Clara notes having a strained relationship with her 2 surviving children, James and Connie]]> 2022-02-17 16:28:54 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053585569 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053587644 Son Dwight passed away "a few years ago"
Husband passed away in 2005
Reports missing both family members and thinking of them often 
Cousin passed away and she was unable to attend burial]]> 2022-02-17 16:29:46 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053587644 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053590375 Nephew Daryl lives out of town, but supports Clara when he is able
Expressed concern to Clara's care team that she was not managing meds well at home ]]> 2022-02-17 16:31:00 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053590375 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053591969 Visits Native Centre weekly ]]> 2022-02-17 16:31:43 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2053591969 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2066934189 Lives alone in assisted living
Has limited interaction with family - only one supportive nephew
Loss of husband and son, strained relationships with children
Main social interaction is visiting Native Seniors Centre once weekly 

]]> 2022-02-25 19:54:04 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2066934189 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067067410 Has gotten lost taking public transport
Limited family support 
Transportation arranged once a week to Native Seniors Centre]]> 2022-02-25 22:23:50 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067067410 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067092847 2022-02-25 23:08:17 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067092847 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067095213 Difficulty with mobility has impaired Clara's ability to get around on her own, and she is no longer able to dance, which was one of her previous hobbies
Changes in sight have impacted her ability to read, another hobby she enjoyed

]]> 2022-02-25 23:12:41 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067095213 emj477 https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067104270 Takes zopiclone]]> 2022-02-25 23:29:10 UTC https://padlet.com/emj477/vsw42gbmu0myf133/wish/2067104270