Write and submit a nursing care plan; 1) One from the musculoskeletal diagnosis

Write and submit a nursing care plan;

1) One from the musculoskeletal diagnosis

Solutions

Expert Solution

Let us take an example of rheumatoid arthritis

The common problems/needs are

pain
inability to walk
inability to meet their needs
feels bad/disturbed about the body imaGE
difficulty in adhering to the treatment regimen

The possible nursing diagnosis are

acute pain
impaired physical mobility
self care deficit
disturbed body image
non compliance
anxiety
knowledge deficit
risk for comnplications

1. Acute pain

Assessment

subjective data: patient may complain of pain;

Objective data: look for dullness, sad face, irritable look/talk, pain score:---/10

Goal: patient's level of pain is minimised

Nursing Interventions with rationale:

Assess the level of pain - to plan the care
position the patient comfortably - to promote comfort
provide comfort device- to reduce the direct pressure
provide divertional therapy in varioous forms like music, reading /listening to news - to divert the mind from thinking about pain
apply hot / cold applications as per order if there are no contra indications - to reduce joint stiffness
advice/ allow a close relative to be with the patient - to divert from thinking about pain
administer analgesics as per order - to reduce the pain

Evaluation

The patient's pain level has reduced from ---- to -----

2. Impaired physical mobility

Assessment

Subj. data - patient may complain of inability to walk
obj.data - patient's level of activity is restricted; inability to carry out daily activities, inability to perform gross / fine motor activities

Nursing diagnosis - Impaired physical mobility

Goal - patient's level of mobility is improved

Nursing Interventions

Assess the level of mobility - bed mobility, supported and unsupported sitting , transition movements like turning etc - to plan the care
monitor and record client's abiolity to tolerate activity - to provide activity
observe for and treat pain before activity - to enhance the activity level
perform passive ROM or teach active ROM as per need - to improve the activity level
offer any assistive devices as per need - to help in mobility
use a walking belt if needed when ambulating - to prevent injury
set achievable goals - to enhance sense of participation
gradually improve the levelof activity - to improve tolerance

Nightingale answered 1 year ago

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