Question

In: Nursing

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.

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

Suppose you computed the profit per surgery for each of 300 patients who underwent hip replacement...

Suppose you computed the profit per surgery for each of 300 patients who underwent hip replacement surgery at your hospital. Profit per surgery is approximately normally distributed and the mean and standard error of profit per surgery in this sample are $97 and $49, respectively. Recall that the 95th percentile of the standard normal distribution is 1.65 and the 97.5th percentile of the standard normal distribution is 1.96. The lower bound of the 95% confidence interval of profit per surgery...

Case Studies 1. You are a nurse caring for your newest admission, a 68-year-old retired teacher...

Case Studies 1. You are a nurse caring for your newest admission, a 68-year-old retired teacher who has a 50 pack-year history of smoking, which resulted in emphysema. She attends exercise classes at her local gym seeking to maximize her oxygenation. Recently, the patient has begun to contemplate the use of portable oxygen to decrease her workload to breathe. What respiratory accommodations would you expect to observe in your patient due to her COPD? How do the effects of emphysema...

Case Study A student nurse is caring for a 62 year-old client who underwent a great...

Case Study A student nurse is caring for a 62 year-old client who underwent a great toe amputation related to Type 2 diabetes mellitus 3 weeks ago. The client is admitted with a suspected infection of the wound. Upon initial assessment the student nurse observes that the client’s right foot is swollen, warm, and tender to touch, with red streaks extending upward approximately 1 inch above the ankle and has an oral temperature of102.6° F. The wound has yellow, odorous...

A 75 year-old man with a history of rheumatoid arthritis underwent a left hip replacement two...

A 75 year-old man with a history of rheumatoid arthritis underwent a left hip replacement two weeks ago. Initially, the wound was healing, but over the past 2-3 days, he noticed increased pain in the area, along with redness and swelling. Yesterday, he noticed a small blister over the middle of the incision, and today that area opened up and began to drain purulent fluid. He does not have any fever or chills. Upon examination, he is well-appearing, but has...

2. You are a visiting nurse caring for a 32-year-old writer who became paraplegic as a...

2. You are a visiting nurse caring for a 32-year-old writer who became paraplegic as a result of a motorcycle accident 1 year ago. He is recovering from a subsequent depression; your visits are to monitor not only his emotional outlook but also to encourage his hygienic self-care and offer strategies for his success. He wears a leg bag and is incontinent of stool. You are monitoring a red spot on his left buttock, which has progressed to a pressure...

. You are caring for an 11-year-old child who will be receivinga general anesthetic for surgery...

. You are caring for an 11-year-old child who will be receivinga general anesthetic for surgery to repair a fractured femur. Prepare teaching handouts for the parents and the child that address preoperative and postoperative needs.

You are caring for a 90 year old retired minister. What age-related changes might the nurse...

You are caring for a 90 year old retired minister. What age-related changes might the nurse expect to find in his/her vision? How were these consistent with your interviewee? How might they affect activities of daily living for your interviewee? Support your answer with in-text citations from current articles.

The nurse is caring for a frail, 84-year-old male patient in the hospital after surgery to...

The nurse is caring for a frail, 84-year-old male patient in the hospital after surgery to repair a bowel obstruction. The patient has a nasogastric (NG) tube to suction, through which all her scheduled drugs are given, oxygen at 1 liter/nasal cannula at night (home order), an indwelling urinary catheter, and a saline lock. The patient is weak and fatigued, has pain not relieved by IV opioids, and is reluctant to participate in any activities. 1. What is pathophysiology of...

1. Discuss interventions for the client who has had hip replacement surgery. 2. Discuss the signs...

1. Discuss interventions for the client who has had hip replacement surgery. 2. Discuss the signs and symptoms of common connective tissue injuries. Please cite the references. Thanks

An 87 year old female is admitted to the hospital with a diagnosis of a hip...

An 87 year old female is admitted to the hospital with a diagnosis of a hip fracture secondary to a fall in her home. What clinical manifestations would you expect to see when assessing this patient? What would be three nursing management considerations for this patient pre-operatively? What would be three nursing management considerations post-surgical repair? What would your neurovascular assessment of the lower extremity include? Are there any positioning considerations, if so what are they?