152-OO-3-IIII
[Transcriber’s note: This page, along with OO-3-JJJJ, OO-3-LLLL, and OO-3-MMMM are Nursing Care Plan charts. All pages, including KKKK1 and KKKK2, are written in fine cursive and the scan quality isn’t great. The columns provided on the Nursing Care Plan chart are Date, Number, Problem, Nursing Intervention, Expected Outcome, and the last one is illegible on all three scans. The header rows are Patient Name, Diagnosis, Family Members on Project and Other Interested Persons, and Medications and Treatments.]
Mary Coleman 13/08/77
[Medications] HCTZ 50 mg tab daily • Potassium daily
[Date] 05/01/78
I – Nearly Blind – leave things pt is familiar w/ in some place. When some thing new arrives do explain thoroughly. – Pt can be sulf sufficient long time – [Illegible]
II – Watch weight not over 160 – Limit food intake. Keep wt below 160 for pts health sake – Will be able to do self help if not too heavy – Monthly
III – Watch fluid intake and output – offer fluids at least 5x daily – To help maintain fluid balance – Daily
IV – Watch for edema in feet and legs – Have proper fitted shoes No elastic in hose. Nothing to restrict circulation – No edema Good circulation – Daily
V – Personal appearance – Nearly blind need help is keeping + staying neat. Help to get dressed w/ [bath?], hair do’s, good shoes etc – To be well groomed Have a sense of security – Daily
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153-OO-3-JJJJ
Middleton, Virginia [Note at right illegible] CVA
[Medication] Dilantex 300[?] daily, Allamel 250 god
HCTZ 50gd Potassium daily Valium 5 mg PRN
[Date] 07/07/78
I – Difficulty in expressing self Listen – When pt is trying to express self – [bulpatient and riskier aggrivate?] – listen closely Pt gets hostile if can’t make you understand – Can [Illegible] messages – Daily talk better [Illegible] + talk [Illegible] talking
II – Idle – Encourage to work to help w/ other pts but rest when tired (an old nurse) – Will be doing a service for others – Wkly [Illegible]
III – fluids – Encourage to drink 5 or 6 8oz glasses of H20 daily – better kidney function less constipation less edema – [illegible]
IV – Exercise – Encourage exercise [illegible] or w/ senior program – better circulation + well being – daily
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154-OO-3-KKKK1
Commensalism – when organs live together + don’t harm each other
Life Cycle
200,000 eggs a day – Child develops sooner than adult because child has smaller intestines.
Eggs go to [illegible] & become embryos [illegible] Look like a clear [illegible] or granules. 2 wks in soil -inside egg you can see a small developing
worm (embryos)
Stays as long as it takes to survive, + has to survive in human body
Finger
Fecal
Food
Flies
Goes esophagus + to stomach
acid digests protein shell
loose embryos / 1 millimeter or less in sm[all] intestines
Penetrates wall + enters blood stream
Enters portal vein + drain into liver + to heart [?]
heart to lungs + if heavy enough
Symptom after back to lungs
1, Can’t Breathe 2. Infection
[On right] Child had cough or cold pneumonia, cough a little sputum
Once it enters blood stream
Allergic response – Another sign
[On right] Swelling lip- finger, asthma, fever & blisters – swelling in larynx
Crawl up airway + get into back of throat
+then back into intestine to become adults they then
create 200,000 eggs a day. Live in intestines
They get so large until is causes blockage of bowels
Indicates
Direal
Constipation
Feeling distended in abdomen
Increased desire to eat
Coughing
Sneezing
[On right] (Lungs [illegible] Free) Bacterial New [illegible] 1. Chills 2. High Fever
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155-OO-3-KKKK2
Hook worm – goes through [illegible] goes through some life cycle or the 18 mos. Intestinal diseases. Have up to [illegible]
1. Tapeworm
2. Flulfs – Eliminated in China (Egypt) carried in human species + passes through snails SKELETON until large [illegible]
3. Gastritis
Rules for Cleaning
- Clean beds for cobwebs top to bottom
- Clean baseboards
- Sweep floor (use knife to clean cracks)
- Mop floor
- Clean ceiling for cobwebs
- Make beds-move material from under beds
- Clean + organize clutter on shelves
- Empty pee buckets – sterilize with Detd
- Clean front porch – Knife for cracks
- Clean back porch
[Remaining notes illegible.]
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156-OO-3-LLLL
[Transcriber’s note: Another Nursing Care Plan chart.]
Zipporah Edward’s 05/12/77
[Interested persons] Sister: H. Thrash [Hyacinth Thrash]
[Medication] Multi-Vitamin PeSo4 325mg + P.O.tid
[Date]07/06?
I – Wt loss – [Illegible throughout]
[II] – [Illegible] – Encourage plenty fluid; exercise [illegible] May have to give a lax once or twice – [Illegible]
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157-OO-3-MMMM
Fair, Sylvester 28/07/77
[Interested persons] Wife: Amanda Fair
[Medication] Crash Diet
[Date] 12/06/78
I – Urinary – Keep [Illegible] area clean + dry. Shower daily w/ plenty of water + soap. Change and wash clothing daily to be free of odor. Drink plenty f H2O to be free of odor. – No [Illegible] Clean [Illegible] No odor, well [illegible] – daily
II – Wt gain – Inspect pt [illegible] to cut back more – [Illegible] – daily