Question

Fatima is 86 years old female admitted to emergency room complains of skin tear of her right leg. She states she fell down and cut her leg. You use a septic technique to clean the skin tear and remove the clotted blood. You positioned the skin flap to approximate the edges of the wound. And then you covered the entire wound bed with a sterile non-stick dressing and bandage. You asked Fatima to come back in one week for reassessment of the wound. You instruct her on how to protect the area, the importance of keeping it clean and dry and signs of infection she needs to be aware of. She demonstrates a reasonable understanding of your instructions. Four days after Fatia has attended the hospital, she re admitted to ER complaining of throbbing pain in her leg at the location of skin tear but radiating up and down whole leg. She rates her pain as 8 out of 10. When you examine leg wound you found it is inflamed in the surrounding tissue and moderate amount of thick yellow exudate being discharged from the wound. Fatima vital signs taken were

BP – 189/92 mmHg

HR – 92 beats/minute

RR – 24 breaths/minute

T – 39.2°C

SpO2 – 95% on room air

She was admitted to the hospital for more active treatment of the wound, including antibiotics.

Questions :

1. Develop a nursing care plan for Fatima taking in consideration nursing process steps ( assessment, diagnosis, planning, implementation, and evaluation)

Answer 1

Pain is of the priority need ofe the patient.

NURSING CARE PLAN on pain need .please please upvote if you find it satisfactory comment if any doubt.