Question

In: Nursing

Create 3 nursing diagnosis with nursing interventions and expected outcomes using the case scenarios as guide....

Create 3 nursing diagnosis with nursing interventions and expected outcomes using the case scenarios as guide.

Mrs. A is an 82-year old female living alone, independent in her activities of daily living. She

has history of non-insulin dependent diabetes mellitus requiring insulin, hypothyroidism,

osteoarthritis, hypertension, ischemic heart disease, obesity and gastroesophageal reflux

disorder (GERD). Mrs. A recently suffered a hip fracture following a fall for which she

underwent a hip replacement surgery. Her post-operative course is complicated by a urinary

tract infection and two episodes of colitis. She was transferred to geriatric rehabilitation unit.

Patient height 160cm: weight 94kg (BMI=37kg/m2)

Solutions

Expert Solution

Hip replacement surgery: A surgical procedure in which the damaged or pain ful hip joint is replaced with prosthetic implants. It may be a total or hemi replacement surgery.

Nursing Diagnosis: for Mrs.A

1. Impaired physical mobility related to surgery, pain and discomfort as evidenced by reluctance to attempt movement and reports of pain movement.

Expected outcome:

Client will display increased function and strength of affected joint and limb and participate in rehabilitation/ ADL programme.

Nursing Interventions:

* Maintain operated extremity in prescribed alignment and support the position with pillows.

* Turn on the unoperated side using an adequate number of personnel

* Administer analgesics before and after activities , to prevent muscle spasm andbpain

* Demonstrate and assist with transfer techniques and use of mobility aids such as Walker.

2. Risk for infection related to high glucose level and or Urinary tract infection

Expected outcome:

* Demonstrate lifestyle changes, techniques to prevent development of infection.

* Identify interventions to reduce or prevent risk of infection.

Nursing Interventions:

* Observe the surgical site for the signs of infection , and inflammation such as fever , wound drainage, cloudy urine.

* Maintain strict aseptic techniques for all medical procedures for the patient such as site care, IV insertion etc.

* Hand hygiene have to maintain before and after the procedures .

* Administer antibiotics as per physician's order ; To prevent infection.

3. Imbalance nutritional status more than body requirements related to over intake of calories as evidenced by the BMI of 37 kg / m2

Expected outcome:

* Assist the patient in planning for designing the dietary modification to meet the patient's long term goal of weight control.

* Patient verbalizes the factors that contributing to weight gain / benefits of weight loss

* Patient achieves the desired weight loss in a reasonable period.

Nursing Interventions:

* Suggest the patient to keep a dairy for food intake and to check the adherence to the modified food plan.

* Assist in providing active exercises to the unaffected extremities and joints and passive exercises to the affected extremity.

* Provide / Have a low calorie heart healthy diet with moderte amount of protein.

Nightingale answered 1 year ago

Next > < Previous

Related Solutions

Create 3 nursing diagnosis with nursing intervention and expected outcome using the case scenarios as guide....

Create 3 nursing diagnosis with nursing intervention and expected outcome using the case scenarios as guide. A 45-year old man presents with difficulty falling asleep and staying asleep. The problem started after the death of his sister 2 months ago. He is unable to sleep until at least an hour after going to bed. He has no previous sleep problems. A general practitioner he consulted had prescribed low dose anti- depressant as sedation but Mr. Tan was unable to tolerate...

Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include...

Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include patient teaching, growth and development, self-concept, and lifestyle issues both in the present and going forward. Ashley is a 17-year-old Type 1 diabetic. She was diagnosed at the age of 14 and is managing her insulin needs "mostly" independently, but in the office because she is going to start using a lispro insulin pump for control, with a basal rate and boluses as needed...

Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include...

Develop a nursing care plan with a priority diagnosis, outcomes, and interventions. Be sure to include patient teaching, growth and development, self-concept, and lifestyle issues both in the present and going forward. You are the RN assigned to George, age 62, who was admitted to the hospital with hyperglycemia and a diabetic foot ulcer. His medical history includes diabetes Type 2 (diagnosed 15 years ago) and pre-proliferative retinopathy. He is obese but states, “I am working really hard to keep...

I need 3 nursing diagnoses and 3 interventions for each diagnosis(9 interventions) for a patient with...

I need 3 nursing diagnoses and 3 interventions for each diagnosis(9 interventions) for a patient with Bipolar disorder, please. I need it asap. My assignment is due tonight. Thank you.

Transient Ischemic Attack(TIA) Nursing Diagnosis Interventions Rationale for intervention Nursing Diagnosis: Nursing Diagnosis: Nursing Diagnosis:

Create a concept map using case scenarios as a guide. A conceptual map should include pathophysiology,...

Create a concept map using case scenarios as a guide. A conceptual map should include pathophysiology, medical diagnosis, signs and symptoms, and risk factors if any. Nursing diagnosis, nursing interventions, medical management (medication and procedures), expected outcomes. Abe, a 14-year old boy who stoked a fire in a wood-burning stove and was hurt by a subsequent explosion. He was transported to the local burn ICU (BICU). He sustained an 82% total body surface area (TBSA) thermal burn. Abe’s burns included...

Create a conceptual map using the case scenarios as guide. Conceptual map should include pathophysiology, medical...

Create a conceptual map using the case scenarios as guide. Conceptual map should include pathophysiology, medical diagnosis, signs and symptoms, and risk factors, if any. Nursing diagnosis, nursing interventions, medical management (medication and procedures), expected outcomes A 37-year old man with chronic renal failure who was secondary to chronic glomerulonephritis had been on peritoneal dialysis for approximately 6 months without any episode of peritonitis. In December 2019, he was admitted to the hospital for fever, vomiting, abdominal pain, diarrhea, and...

Write down sample nursing diagnoses, interventions and expected outcomes for the following client: Elaina, 27years old,...

Write down sample nursing diagnoses, interventions and expected outcomes for the following client: Elaina, 27years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. she also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. she intends to keep the baby and would rather not tell her partner because "they don't have that kind...

I need 3 nursing diagnoses and 9 nursing interventions (3 nursing interventions each) for this Client:...

I need 3 nursing diagnoses and 9 nursing interventions (3 nursing interventions each) for this Client: A psychiatric consultant was called to evaluate depression in Victor Alvarez, a 76-year-old-man who appeared dysphoric the day after surgery to repair a broken hip. It was late in the evening, and no one from the admitting team was available, but a social work note in the chart indicated that the patient’s fracture appeared to have been the result of his tripping in his...

#1) Write down sample nursing diagnoses, interventions, and expected outcomes for the following client: Elaina, 27 years...

#1) Write down sample nursing diagnoses, interventions, and expected outcomes for the following client: Elaina, 27 years old, visits a prenatal clinic to confirm a positive pregnancy test. Elaina tells the nurse that she is not married and has no support system. She also states that she is making minimum wage at a restaurant with no health insurance and cannot afford prenatal care. She intends to keep the baby and would rather not tell her partner because “they don’t have that...

Subjects