Magella Maria Lopez is an 86-year-old female who has lived in a long-term care facility for the last five years. Her husband died six years ago, and she could no longer look after herself at home. Her only child, Gemma, arranged for her mother to be moved to long-term care as she could not cope with her at home. She has a full-time job and three teenage children of her own.Magella has had hypertension and diabetes since she was in her mid-fifties. She had pneumonia in the winter and was very ill. However, she recovered with antibiotic treatment.In recent weeks, she has been eating less, and her fluid intake has reduced. She has also been refusing medications or spitting them out at irregular intervals – she will take them in the morning and then not at night or vice versa. Her vital signs showed irregularity, with her BP climbing over the last week. Her blood sugar fluctuates throughout the day. The nurses are concerned that she might have a CVA if her blood pressure remains high or that she might have a diabetic event. One of the nurses believes that her medications are essential and cannot be missed. She reveals to the others that she puts Magella’s medications in her morning oatmeal if she refuses them or spits them out. Another nurse states that she is not willing to do that as it would be unethical. In a care planning meeting, these issues are raised and discussed in full.Clearly and accurately identifies 4 areas within the BCCNM Standards of Practice that would apply to the case study? with resources and citation please
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