An 84-yr. old cognitively impaired person transferred from a…

An 84-yr. old cognitively impaired person transferred from a nursing home to an acute care facility (hospital).  The patient has history of dementia. The pt has become increasingly agitated and combative in the last few days and requires minimal assistance for functional mobility; this is unusual for the patient. The patient is typically able to walk independently with a walker at the nursing home.  Laboratory test reveals a urinary tract infection. The patient is beginning to receive antibiotics for the infection. Communication with patients is an integral skill for a health care worker. The following is an example of ineffective communication with the above patient :

Pt is a 45 yr old male mechanic with shoulder impingement al…

Pt is a 45 yr old male mechanic with shoulder impingement also has pain when reaching overhead. This patient is unable to work due to his inability to reach overhead because he spends most of his day with his arms in an elevated position.  What is the impairment?