Resident Scenarios (Resident #20 - Mary Jones)

You know resident #20 as Mary Jones, a resident ‘at risk’ due to her Health Burden of 105 and who is therefore on your weekly check list.
Her checks revealed some new bruises on her arms and that Mary looks tired, although it’s not clear why.  Her Resident Health Profile shows that among her many health issues, Mary takes a blood thinner, and this alerts you to the possibility that her pro-time may be out of balance causing the bruising and a low blood count.  Although Mary has not raised any concerns, your nurse checks her and also sees additional bruises that are hidden by her clothing.

Health Burden Profile
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Resident Profile
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A doctor’s appointment is scheduled, revealing a mild anemia most likely due to a prolonged protime.  She was given supplemental iron, her coumadin dosage was adjusted, protime checked weekly rather than monthly for now.  Mary gradually improves over the next several weeks, avoids a trip to the ER and hospitalization, and remains a resident in your facility.