Question

GERONTOLOGY CLINICAL CARE PLAN Case Study Mr. M, a 76 year old Hispanic woman has just...

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.

Homework Answers

Answer #1

Nursing Care Plan

1) a) Subjective Data:

  • I am having difficulty in walking
  • I am unable to do activities of daily living independently
  • I have pain during mobilisation

b) Objective Data:

  • Inability to move purposefully within physical environment, including bed mobility, transfers, and ambulation.
  • Inability to perform action as instructed
  • Limited ROM
  • Reluctance to attempt movement

c) Nursing Diagnosis:

Impaired Physical Mobility related to decrease strength and endurance as evidenced by reluctance to attempt movement.

d) Nursing Interventions:

  • Assist patient for muscle exercises as able or when allowed out of bed; execute abdominal-tightening exercises and knee bends; hop on foot; stand on toes.
  • Execute passive or active assistive ROM exercises to all extremities.
  • Promote and facilitate early ambulation when possible. Aid with each initial change: dangling legs, sitting in chair, ambulation
  • Show the use of mobility devices, such as the following: trapeze, crutches, or walkers
  • Let the patient accomplish tasks at his or her own pace. Do not hurry the patient. Encourage independent activity as able and safe.
  • Give positive reinforcement during activity. Patients may be unwilling to move or initiate new activity because of fear of falling.

2) Subjective Data:

  • I am having severe pain on my hips
  • I am not able to move due to pain
  • I need pain medication

Objective Data:

  • Numerical Pain Scale Score: 7
  • Increased Heart Rate
  • Patient is irritable

Nursing Diagnosis:

Acute Pain related to hip replacement surgery as evidenced by pain scale score of 7.

Nursing Interventions:

Provide measures to relieve pain before it becomes severe:

  • Perform a comprehensive assessment of pain to include location, characteristics, onset, duration, frequency, quality, intensity or severity, and precipitating factors of pain.
  • Reduce or eliminate factors that precipitate or increase Mr. C.’s pain experience
  • Provide nonpharmacologic pain management which includes include physical, cognitive-behavioral strategies, and lifestyle pain management.
  • Provide pharmacologic pain management as ordered.
  • Provide comfort measures with comfort devices like pillows.
  • Heat and cold applications.: Cold works by reducing pain, inflammation, and muscle spasticity by decreasing the release of pain-inducing chemicals and slowing the conduction of pain impulses. Cold is best when applied within the first 24 hours of injury while heat is used to treat the chronic phase of an injury by improving blood flow to the area and through reduction of pain reflexes.
  • Distraction: This technique involves heightening one’s concentration upon non-painful stimuli to decrease one’s awareness and experience of pain. Drawing the person’s away from the pain lessens the perception of pain. Examples include reading, watching TV, playing video games, guided imagery.
Know the answer?
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for?
Ask your own homework help question
Similar Questions
GERONTOLOGY CLINICAL CARE PLAN Case Study Mr. M, a 76 year old Hispanic woman has just...
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...
GERONTOLOGY CLINICAL CARE PLAN Case Study Mr. M, a 76 year old Hispanic woman has just...
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...
CARE PLAN: Mr. M is a 26 year old man who is Moslem. He'd just now...
CARE PLAN: Mr. M is a 26 year old man who is Moslem. He'd just now being told on this clinic visit that his HIV test was positive after a second test was done. Mr. M is now on the floor, crying, appears devastated. His CD4 count, CBC, CMP, PT/PTT blood work and U/A has been ordered. The LPN is the one collecting his specimen. The nurse stood over him and told him, "we need blood work and your urine,...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a...
Orthopedic Nursing Patient Scenario Mary Jane is an 81-year-old woman was admitted to hospital after a simple fall, complaining of hip pain and inability to walk. The affected right leg appeared internally rotated. Passive motion was painful, and active movement was impossible secondary to pain. The patient has several chronic medical problems including as DM, Hypertension and Ischemic Heart Disease. Treatment in the Accident and Emergency Department was centered around her diagnosis of a fractured right femur. She lives in...
Sally Jones, 75-year old Hispanic female, is brought to the ER by her daughter with complaints...
Sally Jones, 75-year old Hispanic female, is brought to the ER by her daughter with complaints of 3lb weight gain in a day, increase SOB (shortness of breath), swelling in her bilaterally lower extremities, and elevated BP. Her daughter stated she was coughing up a pink frothy sputum. She has a history of Heart Failure, CAD, MI 2 years ago, diabetes Type II, gout, HTN, Alzheimer’s Dementia, and COPD. She is 5’6” and weighs 210lbs. Sally is awake, alert, and...
Leukemia and Bone Marrow Transplant Case Study Clinical C.O. is a 43-year-old woman who noted a...
Leukemia and Bone Marrow Transplant Case Study Clinical C.O. is a 43-year-old woman who noted a nonpruritic nodular rash on her neck and chest approximately 6 weeks ago. The rash became generalized, spreading to her head, abdomen, and arms and was accompanied by polyarticular joint pain and back pain. She experienced three episodes of epistaxis in 1 day about 2 weeks ago. Over the past week, her gums have become swollen and tender. Because of the progression of symptoms and...
Case Study Mr. Grinch is a 68 year old male who presented to the Emergency Department...
Case Study Mr. Grinch is a 68 year old male who presented to the Emergency Department (ED) with severe shortness of breath (SOB), fatigue, and recent weight gain of 5 kg. It is two days after Thanksgiving and Mr. Grinch has been eating salted ham and a large amount of leftovers for every meal. He is having trouble speaking, but reports he has been having difficulty sleeping and states, “I feel like I’m drowning. I’ve tried using multiple pillows to...
Nursing Care Plan Assignment (1,2&3) Case Study Linda Shaw is a 56-year-old female who was brought...
Nursing Care Plan Assignment (1,2&3) Case Study Linda Shaw is a 56-year-old female who was brought to the hospital by EMS on December 23, 2019. She presented to the emergency department with complaints of shortness of breath. She has had a productive cough for 3 days with a fever. She is admitted to the hospital with pneumonia and septicemia. She has a history of cellulitis, iron deficiency, high cholesterol and hypertension. She has an allergy to penicillin and vancomycin. She...
Case Study Felicia Jones is a 25-year-old pregnant woman. She is married to Barry, a salesman...
Case Study Felicia Jones is a 25-year-old pregnant woman. She is married to Barry, a salesman at a new car dealership. This is her third pregnancy. Her first two pregnancies were uncomplicated, resulting in normal spontaneous vaginal deliveries at 39 and 40 weeks’ gestation. She recuperated well from her first two deliveries, and both mother and baby were discharged home in the usual 3 days. Mrs. Jones has not been employed outside the home since her first pregnancy. She devotes...
Mrs. S, a 78-year-old female, presents to the clinic complaining of difficulty catching her breath and...
Mrs. S, a 78-year-old female, presents to the clinic complaining of difficulty catching her breath and persistent indigestion. She is a well-established patient at the clinic. With the exception of today’s visit, she describes her overall health as good. Her medical history includes hypertension, dyslipidemia (both well controlled with medications and lifestyle management), and osteoarthritis. Her surgical history consists of a Cesarean section 40 years ago and a total right knee replacement 5 years ago without complications. She is recently...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT
Active Questions
  • Suppose that the time (in hours) that Irene spends on an untimed final exam follows an...
    asked 15 minutes ago
  • The following sample observations were randomly selected. (Round intermediate calculations and final answers to 2 decimal...
    asked 28 minutes ago
  • what type of graph is best suitable for data obtained from customer ratings. The ratings are...
    asked 31 minutes ago
  • Determine the cumulative 15-year 18 kip ESAL’s in the design lane for 2-lane highway for the...
    asked 39 minutes ago
  • Q: Dr.Grimace, the evil dentist, is trying to find out if his patients suffer from periodontal...
    asked 39 minutes ago
  • After collecting data on 19283 dogs, you find that male vallhunds have an average weight of...
    asked 41 minutes ago
  • Research Target Corporation and assess your satisfaction with the company you researched and make recommendations about...
    asked 42 minutes ago
  • Evidence suggests that 70% of FSU students like turtles. Suppose we randomly sampled 15 FSU students....
    asked 42 minutes ago
  • Ulrich challenges the appropriateness of the nearly universal symbolism of the spinning wheel as the marker...
    asked 43 minutes ago
  • Differential Equations: Please try to computer type, if not possible be clear and organize. Thank you...
    asked 43 minutes ago
  • In your opinion, what are the three (3) most important benefits an employer can give to...
    asked 49 minutes ago
  • In a test of the effectiveness of garlic for lowering​ cholesterol, 81 subjects were treated with...
    asked 51 minutes ago