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In: Nursing

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

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:

Solutions

Expert Solution

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


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