Question

the following is a movie project. The title of the movie is the Soloist.

below here is the question I want from the review.

Clinical Movie Assignment

Client: _______________________________ Age: ____________ Date: __________________

I. Identify five areas of functional impairment (physical/psychological/social). Include the presenting symptoms that support the impairments:

1.

2.

3.

4.

5.

II. Potential labs which might be drawn and expected results, if any.

III. Identify the top 3 nursing diagnosis in order of highest priority. (Include data, interventions, and outcomes)

Nursing Diagnosis 1:
Data to support the Intervention:	Interventions: 1. 2. 3.	Measurable Outcomes/Expectations:
Nursing Diagnosis 2:
Data to support the Intervention:	Interventions: 1. 2. 3.	Outcomes/Expectations:
Nursing Diagnosis 3:
Data to support the Intervention:	Interventions: 1. 2. 3.	Outcomes/Expectations:

Answer 1

Name: - Silambarasu

Age: - 33 years

Date: - 14th July 2020

Diagnosis Pot’s Spine

Impairments:

a. Physical impairment: - paralysis of the lower limbs –loss of movements

b. Neurological impairment: - loss of sensation in lower limbs

c. Mental impairment: - depression – sad and refusing to socially interact

d. Bowel impairment: - constipation

e. Vision impairment: - short sightedness (myopia)

Diagnosis:

Pot’s spine diagnosis: - Mantoux test, CBC, spinal fluid culture and sensitivity, blood culture and sensitivity, urine culture and sensitivity, and X-ray chest, spinal cord.

a. Physical impairment: - History collection and physical examination of Head to Foot assessment will provide the results

b. Neurological impairment: - Glasgow coma scale, and sensory scales along with MRI , CT SCAN

c. Mental Impairment: - Mental Health Screening, Depression test

d. Bowel impairment: - stomach harness, difficulty in passing stool, bloating, and flatulence

e. Vision impairment: - Snell’s Chart along with vision tests

Sl No	Nursing Diagnosis	Interventions	Measurable outcomes / expectations
1.	Impaired physical mobility	Assess patients ability to perform 0 – completely independent 1 – requires equipment’s to mobile 2 – requires help from other person 3 – requires help from other person and equipment’s both 4 – dependent and do not participate in physical activity	In this the patient is level 4 and bed ridden and does not participate in physical activity
Assessment of ROM (range of motion)	To plan for care
Evaluate need for assistive devices	Here the client needs lumbar support belt
Check for thrombophlebitis, assessment of calf pain, homan’s sign, raise in temperature.	Prevents any further complications
Log rolling every 2 hours	Prevents bed sores
Physiotherapy	Physiotherapy helps in improvement of ROM

Sl No	Nursing Diagnosis	Interventions	Measurable outcomes / expectations
2.	Impaired mental ability, depression	Assessment of depression using depression test, it consists of 5 point rating scale the higher the value shows more depression lower the value shows less depression and middle values show average depression	Helps plan the action plan
Encourage client to expresses feeling	to vent out emotions
Arrange crisis counselling	It creates network resource help
Initiate the activities which require minimum concentration	Distracts the person from the dependency
Bed stories and group therapy on bed	Helps in interaction
Self-occupation	Work that is incentive based and can be performed easily

Sl No	Nursing Diagnosis	Interventions	Measurable outcomes / expectations
3.	Impaired bowel ability, constipation	Assessment of abdominal hardness by palpation, bloating by assessing abdominal girth, assessment of abnormal sounds if any	Helps plan the action plan
Encourage client to take lot of fluids	Helps in bowel movements
Provide soft and fibre rich diet	Help in reliving the condition
Provide enema if necessary	To expel the waste
Provide probiotic enzymes	Helps in digestion
Prevent over feeding and less feeding	To meet the nutritional need