Case Progression

Six months after the introduction of the higher level Home Care Package, you are contacted by the general practitioner.  She was asked to review Mrs Doherty by the care coordinator at home as Mrs Doherty’s breathing had deteriorated.  She believes Mrs Doherty has left lower pneumonia with a productive cough, fevers, worsening shortness of breath and crackles over the left base. Admission to hospital is recommended.

You attend to review Mrs Doherty in hospital. Unfortunately she seems too drowsy to speak with you.  You thus decide to assess her physically.