Question

Nursing Plan of Care Design plans for care specific to the older adult. Consider the scenario...

Nursing Plan of Care

  • Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y

Mrs. Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs. Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Due to Mrs. Y's long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y's case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y's home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse's findings were as follows:

  • Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
  • The client is noted to have moderate functional issues and ambulates with a cane.
  • The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
  • Mrs. Y states "I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently."


Consider Mrs. Y's current health status and functional decline, then address the following:

  1. Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.
    • File: Concept Map and Plan of Care worksheet
    • File: Concept Map and Plan of Care example
  2. Identify three (3) priority nursing diagnoses for Mrs. Y. Consider using the resource below to assist you.
    • eBook: Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client Care - Chapter 5 Nursing Diagnoses in Alphabetical Order
  3. Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
    1. "related to (r/t)" -- description of the client's problem
    2. "as evidenced by" -- description of the client's symptoms
  4. Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
    • Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient specific, measurable, actionable, realistic, and time limited.
    1. Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
  1. Complete the assignment using proper spelling, grammar, and APA.
  2. Concept Map:

    Primary Medical Diagnosis:

    Prioritized Nursing Dx# 2

    Prioritized Nursing Dx# 6

    Prioritized Nursing Dx# 5

    Prioritized Nursing Dx# 3

    Prioritized Nursing Dx# 1

    Prioritized Nursing Dx# 4

    please this one is due tomorrow

Homework Answers

Answer #1

NURSING DIAGNOSES

1. impaired physical Mobility

2. risk for Infection

3. risk for Falls

Goals -

· impaired physical Mobility - GOAL

· promote walking by physical and psychological support.

               

· risk for Infection- GOAL

· to prevent infections

· risk for Falls- GOAL

· care on walking

NURSING INTERVENTIONS

· impaired physical Mobility

1. EXERCISE THERAPY

2. IDENTIFY FACTORS AND ALLEVIATE

3. ALLEVIATE PAIN AND PAIN MANAGEMENT

· risk for Infection

1. ANITIOTIC THERAPY

2. PROER DRESSING OF WOUND

3. GOOD AND HEALTHY DIET

· risk for Falls

1. ASSESS AND DOCUMENT CLIENT’S FALL RISK USING A FALL SCALE

2. MANIPULATION OF THE PATIENT’S SURROUNDINGS FOR THERAPEUTIC BENEFIT

3. ENSURE THE PATIENT USE CANE WHILE WALKING AND THERE ARE NO SLIPPERY GROUND

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
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a...
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary caregiver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225 Identify primary, secondary, and tertiary interventions for each nursing diagnosis ( 3 nursing diagnoses). Complete template 3 nursing intervention ( 3 primary interventions, 3 secondary interventions, 3 tertiary interventions) Priority Nursing Diagnoses Primary Prevention needs Secondary Prevention...
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a...
Scenario Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary caregiver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225 Identify primary, secondary, and tertiary interventions for each nursing diagnosis ( 3 nursing diagnosis). Complete templeate Priority Nursing Diagnoses Primary Prevention needs Secondary Prevention needs Tertiary Prevention needs S.M.A.R.T Objectives for each Diagnosis Based on the diagnoses,...
Write a care plan with 3 nursing diagnoses and 3 interventions of each diagnosis for a...
Write a care plan with 3 nursing diagnoses and 3 interventions of each diagnosis for a 78y/o elderly woman who has been outgoing all her life and loves interacting with people but is stuck at home due to the lockdown and social distancing.
The gerontological nurse knows that in evaluating the plan of care for an older adult with...
The gerontological nurse knows that in evaluating the plan of care for an older adult with the nursing diagnosis of risk for injury related to delirium, which of the following evaluator statements best suggests a resolution of the problem? A.   Client attempted to climb over the side rails. B.    Client correctly stated the year and month but not the date. C.    Client manipulated intravenous pump, stating, “I can’t get this transformer to work.” D.   Client stated, “If we don’t hurry,...
Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private...
Robert, 52, newly diagnosed COPD patient. Currently works at a shipping company. Lives in a private home with his 96-year-old mother. He is her primary care giver. He has insurance supplemented by his employer up to 40%. He resides in zip code 11225 All scenarios are as follows: A client scheduled for discharge back to their community (zip-code area) from the acute care setting. As the Community Health Nurse assigned to be the Case Manager for this client, the student...
Scenario: Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician’s...
Scenario: Romel Jones is an 11-month-old infant who was seen this week at the developmental pediatrician’s office and was diagnosed with spastic cerebral palsy. The pediatrician’s office referred him because he is not rolling over or attempting to sit. He has hypertonia of the lower extremities. Romel is the fourth child of a 26-year-old single mother, who developed preeclampsia. He was born at 24 weeks’ gestation with a birth weight of 1 pound 4 ounces, and spent 3 months in...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer on her right medial malleolus while still living at home. She moved into our skilled nursing home care facility 3 days ago. The current plan of care is focused on promoting wound healing, improving venous return, and preventing skin breakdown. Background: Mrs. Morrow has a past medical history of chronic obstructive pulmonary...
Develop a plan of care recognizing TWO actual and ONE potential health problem for the following...
Develop a plan of care recognizing TWO actual and ONE potential health problem for the following patient. (NO MORE THAN 10 NURSING INTERVENTIONS) (15 mrks) Sandra Payne is a 66-year-old female who was admitted to surgical unit with a history of hyperthyroidism for thyroidectomy. Despite Mrs. Payne increase in appetite, she has lost 15 pounds within last month. She complains of intolerance to heat and sweats profusely. She also complains nervousness and irritability. Her vital signs are T37.6 P 108...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow...
Patient Introduction Location: Skilled Nursing Home Care Facility 0800 Report from charge nurse: Situation: Mrs. Morrow is an obese, 80-year-old white female who developed a venous stasis ulcer on her right medial malleolus while still living at home. She moved into our skilled nursing home care facility 3 days ago. The current plan of care is focused on promoting wound healing, improving venous return, and preventing skin breakdown. Background: Mrs. Morrow has a past medical history of chronic obstructive pulmonary...
Urinary Incontinence Case Study: Mrs. Kingsley A Case Study for Nursing Staff Goals: 1) Raise awareness...
Urinary Incontinence Case Study: Mrs. Kingsley A Case Study for Nursing Staff Goals: 1) Raise awareness of value of UI assessment 2) Raise awareness of resident quality of life related to UI 3) Raise awareness of improving dialogue between all levels of nursing staff and residents pertaining to UI 4) Raise awareness of the value of toileting programs for residents Part I Mrs. Kingsley moved into Gardens on the Green Care Center this afternoon. Her husband of 54 years suffered...
ADVERTISEMENT
Need Online Homework Help?

Get Answers For Free
Most questions answered within 1 hours.

Ask a Question
ADVERTISEMENT