Question

GERONTOLOGY CLINICAL CARE PLAN Case Study Mr. M, a 76 year old Hispanic woman has just been admitted to the Dumfries Rehab Nursing Center after undergoing right hip replacement surgery 5 days ago. She has a history of Osteoarthritis, DM II, GERD, Rt Knee replacement surgery 5 years ago. She speaks little English.NKDAMeds--Januvia 100mg daily, Glucophage 1000mg BID, ASA 81mg daily, Calcium 600mg Three times/week, MVI 1 tablet daily, Prilosec 20mg daily.Social--Widow with 10 children, 5 of them in the United states and many grandchildren and great grandchildren, never smoked nor used illicit drugs, occasional alcohol on special occasions; retired housekeeper at age 72, with no pension. Family has raised money for her to be able to able to be in rehab. Patient is on limited social security income. Her husband, who died last year has been the supporting his wife with his own business and had been able to provide health insurance while he was alive. But the business is not doing well at the moment and the children are thinking of closing it down, since no one wants to run it.

Design a nursing care plan for the above patient --DO NOT USE PAIN AS YOUR NSG DX --THIS IS INDIVIDUAL WORK; STUDENTS WITH SIMILAR WORK WILL RECEIVE A GRADE OF 0. --PLEASE TAKE YOUR TIME TO USE YOUR CRITICAL THINKING SKILL TO COMPLETE THIS CARE PLAN. --2 NSG dx, at least 3 SUBJECTIVE & 3 OBJECTIVE, 6 interventions.

Answer 1

Nursing diagnosis include ;

1, impaired physical mobility related to hip replacement surgery as manifested by bed ridden.

Subjective data: patient said that I cannot move from bed.

Objective data: patient is bed ridden, hip surgery done, on bed rest

Interventions

Provide position change to the patient periodically at least in every 4 hours.

Assist patient in his activities

Provide psychological support to the patient.

Arrange the articles near to bed side.

2, ineffective communication related to little knowledge in English as evidenced by speak little English, lack of knowledge etc.

Objective data: patient knows little English , unable to understand explanations.

Interventions

Explain every procedure as the patient can understand.

Assess the knowledge level of patient and explanations provided according to knowledge level of patient.

Use nonverbal communication more than verbal communication.