You are a nurse caring for an 87-year-old retired teacher who underwent hip replacement surgery 2...

You are a nurse caring for an 87-year-old retired teacher who underwent hip replacement surgery 2 weeks ago and has transferred to your rehabilitation unit for physical therapy and nursing care until she is physically able to return home. Before her surgery, she lived alone, maintained an immaculately clean house, and was very active socially, with several events scheduled throughout her week. She travelled extensively but limited her personal driving to daylight hours. Upon admission to your rehab unit, the patient wonders aloud how she’ll return to her former lifestyle and who will help her.

What data can you gather based on available patient information?
How should you assist the patient to facilitate maximal health
What questions should you ask yourself when caring for this patient to help ensure quality of life?

Develop a plan of care for this patient,

Identifying what you feel is her highest priority nursing issue
Determine an appropriate outcome (remember this should be SMART)!
Develop 3 interventions to help achieve this outcome.
- .
Also include an expected evaluation of the plan of care.

Solutions

Expert Solution

Data/Assessment

Patient having selfcare deficit
Patient anxious
Pain and related problems of surgery
Living alone
Usually Socially engaged and loves travelling

Assistance for maximal health

Help with activities of daily living to promote healing
Ensure prescribed medication
Good diet
Psychological support

To help ensure quality of life

Her general health
Feeling of pain
How she need help with daily activities
Her food preferences

Care plan /nursing diagnosis

Anxiety related to outcome of treatment.
Risk for infection related to surgery.
Risk for complications related to surgery.

Priority nursing issues

Anxiety
Inability to perform activities of daily living
Pain of surgical incision

Outcome

The patient will perform activities of daily living safely as evidenced by absence of complications.

Interventions

Assess the range of selfcare deficit
Assess the level of anxiety
Clear doubts

Evaluation

Patient shows improved level of activities

Nightingale answered 1 year ago

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