This paper will seek to discuss the typical presentation of a fractured neck of femur by facilitating prompt admission to trauma and orthopedic care and by conducting a rapid and comprehensive assessment of elderly people with fractured neck of the femur. …
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ing alarm/rescue, and frequency/pattern of falls; assessment include emergency care fundamentals such as airway, breathing, circulation, disability, and exposure; locomotor problems include physiological effects of aging; loss refers to reduced or loss of vision; and social circumstances include history of social circumstances, support network people, and type of housing or social contact (Jones, Endacott & Crouch 2003, p. 82). Applying the assessment tool, the nurse has gathered the following assessment data: Patient X fell on the ground at 5:00 pm. She has been lying still on the ground for 3 hours in her house until help is sought by a concerned neighbor. Assessment of fall history revealed a misplaced placemat on the floor as a hazard for the occurrence of fall. The patient only regained consciousness when she’s in the hospital and clearly recollects incident of fall and other previous experiences. Patient X has no method of raising alarm/rescue and there were no other frequency/pattern of falls except for the current incident. Nursing assessment revealed a patent airway and a regular breathing pattern (20 breaths /minute). Circulatory perfusion is assessed using the neurovascular examination and found a 3 seconds toe capillary time which indicate that the circulation in the lower extremity are starting to be compromised (Brunner et al. 2009, p. 2100). Neurological assessment described Patient X as lethargic upon admission and GCS scores totaled to 12 because of lapses in verbal responses due to confusion and disorientation and withdrawal of motor responses when pain is experienced. A full physical assessment were done presenting fall impact on the lateral aspect of the hip, pain the groin with radiation to the knee, pain exacerbated by movement, and inability to...
The paper tells that fractured neck of the femur is more common among older people and women and affected individuals are likely to experience significant distress, physical pain, complications, and possible incapacitation. The acronym FALLS served as assessment guidelines for older people who have fallen. FALLS stands for falls history, assessment, locomotor problems, loss, and social circumstances. The Hendrich II Fall Risk Model is used in assessing the degree of risk of falls among elderly population whereas the In Ottawa knee rules identifies the need for further investigation, imaging, or X-ray. The case scenario of Patient X identified nursing care needs in peripheral circulation, safe discharge, and independent rehabilitation. To improve tissue perfusion in peripheral areas, nurses need to: perform patient assessment and monitoring which includes ABCs, C-spine and hemorrhage control to aid the nurse in discovering overt/covert changes in patient’s status at frequent intervals; perform neurological exam such as Glasgow Coma Scale and note vital signs at frequent intervals to early recognize changes and to provide timely and appropriate care; and perform capillary refill checks and assessment of neurovascular function of the immobilized extremity to determine status of tissue perfusion. Discharge plans follow as tissue perfusion is resolved. An effective discharge plan follows the Department of Health’s key principles in discharge planning and is holistic, promote active and equal partnership, well-coordinated, and maximized to the full potential.
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cerebral vascular accident (CVA) is pertaining to “a sudden loss of brain function resulting from a disruption of blood supply to a pert of the brain” (Johnson, 2004, p. 235). Basically, this study will focus in analyzing the case of a 52-year old patients who is at risk of suffering from ischaemic stroke.
Nurses conduct their activities in a wide variety of specialties working as independent individuals also being part of a working team to plan, implement and evaluate nursing care. A nursing care plan refers to the part of the nursing process which clearly outlines the main plan of action to be implemented in nursing and medical care of a specific patient.
Heart disease remains the leading cause of death in the United States with an estimated cost of approximate¬ly $142.5 billion just in 2006, but certainly not all people who arrive in every ED with the complaint of chest pain are experiencing heart disease (Miranda & Crown 2009).
In that sense, nursing as a profession is unique because it addresses the responses of the individuals and families to actual and potential health problems in a humanistic and holistic manner. Contemporary nursing requires that the nurse possesses knowledge and skills in a variety of areas.
Although with the advent of managed care, the traditional columnar nursing care plans have been replaced by clinical pathways and standards of care, it is still regarded as an important tool in the nursing clinical practice and nursing education since it has practical utility in care delivery of any patient due mainly to its pathophysiological correlations (Vizoso et al., 2008).
It is generally accepted that discharge planning should start prior to admission (for planned admissions) or at the time of admission (for unplanned admissions). Medicare defines discharge planning as "A process used to decide what a patient needs for a smooth move from one level of care to another."
These plans should be developed in collaboration with the service user. Care plans should also contain details of intervention that are to be provided to help the individual service user during their recovery from their mental health issues (Tunmore et al., 2000;
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