Questions: Develop a nursing care plan for Ms.Asma by including fivenursing diagnoses with five (5) nursing interventio
Posted: Thu Mar 31, 2022 7:55 am
Questions:
Develop a nursing care plan for Ms.Asma by including fivenursing diagnoses with five (5) nursing interventions for each nursing diagnosis.
CASE STUDY DETAILS: Present Ms. Asma is a 56-year-old female admitted to the medical history accident and emergency unit with complaints of severe pain in the right leg after falling at home. X-ray confirmed a fracture of the right shaft of femur. The resulting fracture was managed successfully with a plaster-of-Paris cast application to immobilize the fracture. Ms.Asma is 72 hours post-op from a casa placement on the right leg. She is cooperative and pleasant but feels weak and fatigued and complains of severe pain (pain score 7) in the right casted leg. Her plaster casted right hand is elevated off of the bed at approximately 45 degrees Past medical She had coronary artery disease with a coronary artery history bypass graft 9 months ago. Since that time she has engaged in very mild exercises at home. Pertinent social Widow, lives alone. She has 3 children. I daughter who history: lives nearby and visits often Allergies: No known allergies Family medical Husband died due to sudden heart attack 2 years ago. Her history: father died of cancer at age 62: mother died of heart failure at age 79 Vital signs (most recent): Other findings: Temperature 102°F (39.3 C): • Height - 5 feet 3 inches: Pulse: 90beats/mt Weight - 118 pounds Respiration :16hreaths/mt Lab investigations: BP130mm of Hg: • Hemoglobin: 12 gldt Hematocrit 47% 02 Sat:94% (on2 Loxygen by nasal cannula) .Glycosylated hemoglobin 6% Pain-severe about 7 out of 10 • Red blood cell: 14.5% • White blood cells 4300mm 3 Lymphocytes: 4 x 109 L • Monocytes: -0.8 x 109/1 • Eosinophils: 0.42 x 109/ Other recent medication: 1. Tramadol injection 50 MG Iml: 2. Ranitidine HCL (INJ25MG- 1ML-BID: 3. Cefuroxime sodium injection 750mg/Ivail 4. Inj.Paracetomol Somg IV OD Intravenous line- She has a maintenance IV of DSNS infusing at 125 ml/hr in her left forearm. Nursing assessment findings: Objective data: Subjective data : • Skin at the plaster site is warmer I'm tired and I get severe pain. • Excessive swelling of the toes especially when I try to move • Severe or increasing pain under the plaster my right leg • Pain that is unrelieved by analgesia - I have pins and needles sensation • Limited and painful movement of fingers and pain in limb. Cast is tight and the client is uncomfortable. How does this plaster cast work? I am scared and How long do 1 Strong foul odor and Drainage on the cast need a plaster cast? - How should take care of my plaster cast? Physician's order Continue pain management Breathing exercises Neuro vascular assessment
Develop a nursing care plan for Ms.Asma by including fivenursing diagnoses with five (5) nursing interventions for each nursing diagnosis.
CASE STUDY DETAILS: Present Ms. Asma is a 56-year-old female admitted to the medical history accident and emergency unit with complaints of severe pain in the right leg after falling at home. X-ray confirmed a fracture of the right shaft of femur. The resulting fracture was managed successfully with a plaster-of-Paris cast application to immobilize the fracture. Ms.Asma is 72 hours post-op from a casa placement on the right leg. She is cooperative and pleasant but feels weak and fatigued and complains of severe pain (pain score 7) in the right casted leg. Her plaster casted right hand is elevated off of the bed at approximately 45 degrees Past medical She had coronary artery disease with a coronary artery history bypass graft 9 months ago. Since that time she has engaged in very mild exercises at home. Pertinent social Widow, lives alone. She has 3 children. I daughter who history: lives nearby and visits often Allergies: No known allergies Family medical Husband died due to sudden heart attack 2 years ago. Her history: father died of cancer at age 62: mother died of heart failure at age 79 Vital signs (most recent): Other findings: Temperature 102°F (39.3 C): • Height - 5 feet 3 inches: Pulse: 90beats/mt Weight - 118 pounds Respiration :16hreaths/mt Lab investigations: BP130mm of Hg: • Hemoglobin: 12 gldt Hematocrit 47% 02 Sat:94% (on2 Loxygen by nasal cannula) .Glycosylated hemoglobin 6% Pain-severe about 7 out of 10 • Red blood cell: 14.5% • White blood cells 4300mm 3 Lymphocytes: 4 x 109 L • Monocytes: -0.8 x 109/1 • Eosinophils: 0.42 x 109/ Other recent medication: 1. Tramadol injection 50 MG Iml: 2. Ranitidine HCL (INJ25MG- 1ML-BID: 3. Cefuroxime sodium injection 750mg/Ivail 4. Inj.Paracetomol Somg IV OD Intravenous line- She has a maintenance IV of DSNS infusing at 125 ml/hr in her left forearm. Nursing assessment findings: Objective data: Subjective data : • Skin at the plaster site is warmer I'm tired and I get severe pain. • Excessive swelling of the toes especially when I try to move • Severe or increasing pain under the plaster my right leg • Pain that is unrelieved by analgesia - I have pins and needles sensation • Limited and painful movement of fingers and pain in limb. Cast is tight and the client is uncomfortable. How does this plaster cast work? I am scared and How long do 1 Strong foul odor and Drainage on the cast need a plaster cast? - How should take care of my plaster cast? Physician's order Continue pain management Breathing exercises Neuro vascular assessment