Aisha
  1. First time assessment of a patient in a critical situation by an intensive care physician.

  2. Follow-up of a patient in a critical care unit by a specific physician.

  3. Follow-up of a patient by a specific physician or team of physicians at home.

  4. Home care of a patient after a diagnosis and treatment at a critical care unit.

  5. Critical care unit record

  6. Bereavement
Last updated:November 1, 2016
What is the name of the patient? First Name: Aisha
Favourite Name(Nickname):Mummy
Photograph:
Address: Gulistan Amin, Lalbazar, Srinagar, Kashmir.
What is the location of the critical care unit?
Where is she now?
Critical care unit
King Hospital Srinagar is the former SMHS Hospital.
Anthropometric measurements: Height: 169 cms 5.5 feet
Weight: 54 kgs 118.8 lbs
Eye Color: Brown
Hair Color: Black
Diagnosis:COPD
Language: Kashmiri
Urdu
English
Religious Preference: Muslim
What should be the focus of oxygen saturation by pulse oximeter in respiratory cases that need 100% oxygen inhalation?
95% or above oxygen saturation by pulse oximeter.

What needs to be accomplished?
Oral rehydration therapy
Adjusting the Dose of Bronchodilator

Last Updated: November 1, 2016
April 14, 2015
December 31, 2015
Aisha (mummy), age 77, at Srinagar, Kashmir, on November 7, 2016.

What specific physician or team of physicians is responsible for taking care of this patient?
A specific physician or team of physicians is responsible for following up on the patient in the hospital and at home.

What will you remind a specific physician or team of physicians responsible for taking care of this patient?
Oxygen saturation must remain above 95%.
She must be able to drink fluids orally without the use of a ryles tube.

Who among specific physicians from the local hospital in Srinagar, Kashmir, are responsible for following up with this person?
What is the profile of the specific local physician or team of local physicians responsible for following up with this person?
How often will there be follow-up?
Will there be follow-up at home, in the hospital, or both?
What is the exact day, date, time, and location of follow-up?
Who will take care of the patient at home?
What is the schedule for every 24 hours at home?
Who among nurses can provide home care for this person in addition to other family members?
How is she now?


What best describes a specific physician in a critical care situation?
A specific physician or team of physicians responsible for taking care of a specific patient.
A specific physician related to or concerned about the patient.
A specific physician who guides other specific physicians, patients, relatives, and well-wishers of the patient from a distance through the Internet.

Home care of patient after diagnosis and treatment at a critical care unit.

What seems to be the issue?
Critical care hospital oxygen therapy 95% saturation on November 2, 2016.
Home oxygen therapy 85% to 89% saturation on November 7, 2016, at 6:30 PM local time in Srinagar.

Can you review the quality of oxygen therapy at home?

Refusing to eat/drink among the elderly

What are the causes of refusing to eat/drink among the elderly?
Severe depression
Environmental factors
Dementia
Alzheimer’s disease
More than 90 years old
Other causes

An elder refuses to eat: What should a caregiver do?
Try and try again.
Put a glass of water in front of the patient, who is in an upright sitting position, every 2 hours.
If the patient refuses to eat/drink, try again 2 hours later.

Home care of a patient after a diagnosis and treatment at a critical care unit.
Name of the person: Aisha (mummy)
Age: 77
Date and time of evaluation: November 24, 2016, at 7PM local time in Srinagar.
Evaluation by: Doctor Nadia/Doctor Asif Qureshi

The often asked question that usually arises from family members is, “How long is she going to live?” Doctors usually give their educated guesses based on knowledge and experience. Some doctors refrain from answering for fear of instilling false hope.

It must be understood that, as long as the heart is beating and the brain is functioning any decision taken to end one’s life due to pain, suffering or other reasons is against Islamic principles and considered intentional harms; an act forbidden in Islam.

Prayers

Bismillahi rahmaneer Raheem

Dua
Recite Sura Yaseen, Sura Saffaat, Sura Ahzaab, Ayatul Kursi, the 54th aya of Suratul A'raaf & the last 3 ayaat of Suratul Baqara.
It is also recommended to recite Dua Adeela.

What was the day, date, month, and year of death?
Friday, November 25, 2016 5PM
Lalbazar, Srinagar, Kashmir, Asia.