[Verified Answer]: Can someone please answer this for me, Thanks

Can someone please answer this for me, Thanks. Scenario 2: Mr Chok Chiang- [Falls, Parkinson’s, Hypertension, Dermatitis, AF (on anticoagulation)] Mr Chok is admitted to hospital after a fall and multiple wounds. Mr Chok explains that he tried to go to toilet and could not remember what happened next. He found himself on the floor with bleeding wounds from his right elbow and foot. Mr Chok has past medical history of Atrial Fibrillation (on apixaban), Parkinson’s disease, dermatitis and hypertension. After analysing the blood results and CT brain, he has a provisional diagnosis of Fall – multifactorial? Postural hypotension, mismanaged Parkinson’s. Mr Chok lives with his wife in a granny house next to his son’s family. Before this admission, Mr Chok was independent with his activities of daily living. He uses a walking stick to mobilise within the house and a 4- wheeled walker for outdoor mobility. Mr Chok is cared for by his wife who has been diagnosed with lung cancer and is in relapse currently. Mr Chok is sometimes non-compliant with use of walking aids while mobilising within his home. Wife stated that he cruises with help of furniture and side walls. Mr Chok and his wife are very anxious regarding the multiple falls and are worried that they won’t be able to manage their care at home by self. Mr Chok also expressed concerns that if his wife gets sick suddenly; he would be left alone and would not be able to care for himself. Mr Chok was given some IV hydration from emergency department and has an IV cannula on his left arm. Chok is allergic to Sulpha drugs and develops rashes all over the body if taken. As he is a patient with Parkinson’s disease, he is contra-indicated for dopamine antagonist medications. Wounds were dressed with some non adherent dressings and combine and bandaged around the elbow and ankle area. Enhancing Lives through Training Chok was reviewed by doctors in the ED and the following plan of care was advised till detailed review by consultant team is done. Plan of care: Baseline ECG, Postural blood pressures, full blood count, electrolytes, APTT and INR, X-Ray of Right hand, leg and hip, regular medication charted, Wound care, Analgesics (PRN only) Full Blood Count- 2 nd daily Medications Charted – Ramipril 2.5mg BD – Madopar 62.5mg 4 times a day (0700, 1100, 1600, 2100) – Apixaban 2.5mg BD – Moisturiser BD on all intact skin – Slow-K 600mg BD – Mirabegron 25mg OD mane – PRN o Oxycodone 2.5mg 4 hourly with max dose of 15mg/day o Paracetamol 1g 4 hourly with max dose 4g/day o Ibuprofen 400mg 6 hourly with max dose 1200mg/day o Coloxyl and senna 50/8mg 2 tablets BD o Ondansetron 4mg 6 hourly o Metoclopramide 10mg 8 hourly Examination findings LOC: alert and oriented Height: 167cm Weight: 72kg Vital signs: T= 36.20C, RR=20/min SaO2=98% on room air, Lying BP=130/82 mm of Hg, Standing BP= 82/50mm of Hg (patient feels dizzy) PR=86/min while lying and 112/min while standing. Observation: Wounds x 2 – dressing in situ. Strike-through is present in both wounds. When wound opened, found to have skin tears with skin folded inwards. Wound is still bleeding. Has generally very dry, flaky and fragile skin. No pressure injuries noted. Patient has many bony prominences. Auscultation: Air entry bilaterally equal in all lung fields. Bowel sounds present. Palpation: Pain: 8 out of 10 in the right leg aggravated by movement and touch. Pain 7/10 in right hand on movement. Investigations: BGL (Random) = 9.2mmol/L WBC = 11 x 109 cells/L [normal = 4.5-11 x 109 cells/L] RBC =3.8 x 1012 per Litre [normal = 4.1-5.1 x 1012 cells/L] Hb = 86 g/L Hematocrit=0.42 g/L [normal: 0.37 to 0.44 g/L] S. Iron = 8 [normal value = 10 to 30] Urinalysis – NAD ECG- rate controlled atrial fibrillation S. K+= 3.4 mmol/l S. Na+ = 135 mmol/l Mg2+= 0.96mmol/l X-Ray right hand- no fractures noted. Subcutaneous hematoma + tissue swelling noted. X-Ray right leg and hip- no fractures noted. Osteoporotic changes noted. CT Brain- no acute changes detected