You are caring for Polly, an 87-year-old African American female who resides in a local extended care nursing facility. In report, you are informed that Polly is frail (85 lb), immobile with medical diagnoses of end-stage COPD, insulin-dependent diabetes, and debilitating osteoarthritis. Polly is a G12P10 and has developed stage IV uterine prolapse. Due to her complex medical conditions and fragility, Polly is not a surgical candidate for treating her prolapse nor does she have a pessary. Additionally, Polly is incontinent of bowel and bladder. (Learning Objectives 1 and 2) a. What factors described above contributed to Polly’s development of pelvic organ prolapse? b. What are the management and nursing interventions related to caring for Polly’s severe uterine prolapse? c. Why do you think Polly is not a good candidate for a pessary?
[Expert Solution]: You are caring for Polly, an 87-year-old…
Need help with your Respiratory & Gas Exchange case study or NCLEX preparation? Connect with a verified Nursing expert now.