What additional subjective data will you be assessing for? Are there any national guidelines you want to consult for the postoperative rehabilitation care of this patient with an ORIF related to osteopenia of the left femur? What will you want to order as part of this follow-up visit? Are there any new differential diagnoses you need to consider? What is your plan of care? Are there any additional community resources to consider? Will you be looking to add any referrals for this patient?
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How will you use the information to prepare for todays visit?
Todays Visit: Chief Complaint "I am still recovering from my fall last month What additional subjective data are you seeking?
What additional subjective data will you be assessing for?
Are there any national guidelines you want to consult for the postoperative rehabilitation care of this patient with an ORIF related to osteopenia of the left femur?
What will you want to order as part of this follow-up visit?
Are there any new differential diagnoses you need to consider?
What is your plan of care?
Are there any additional community resources to consider?
Will you be looking to add any referrals for this patient?
This case study has several sub parts to it. We will cover one by one.
Subjective data is the data collected from the patient. It is defined as what the patient tells. When a patient complaints of falls and says, he hasn't recovered from it, then it is a red flag to collect more details.
There are tests to be ordered, guidelines to be followed.
Patient also needs other referrals for a holistic care.
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- Scenario T.M. is a 3-year-old boy with cerebral palsy (CP) who has been admitted to your unit. He is scheduled for surgery tomorrow morning for a femoral osteotomy and tendon lengthening to stabilize hip joints and to help reduce spasticity. You are orienting the parents to the unit and have a nursing student assisting you. Case Study Progress You and the nursing student finish a health history with the family and determine that T.M. has impaired vision corrected with glasses, a speech impairment, and a seizure disorder and has had poor weight gain and feeding issues since birth. He has a skin-level feeding device (Mic-Key button) and receives supplemental tube feedings in addition to oral intake. He is not able to ambulate without braces and wears ankle-foot orthotics. He receives physical, occupational, and speech therapy on an outpatient basis. T.M. is verbal and able to answer questions with simple phrases and responds to commands. T.M. weighs 12 kg. T.M. returns to your unit the…The nurse determines further teaching is necessary when the client with osteoarthritis (OA) says: Men are more likely to have osteoarthritis than women The pathogenesis of osteoarthritis is in articular cartilage O Age is one of the strongest risk factors for osteoarthritis O The most frequently affected joints are the hips, knees and lumbar and cervical vertebraeAnswered: 2. Describe the basic X G formed in units called osteons th X 9 Online Course Viewer 9 Schoology b My Questions | bartleby A polaris.jackson.sparcc.org/common-assessment-delivery/start/5408732054?action=onresume&submissionld=662878427 Q Update : E Apps S Home | Schoology HAC Login S miers 2 A ap google E Copy of Morgan_A.. Your Sets | Quizlet topic O Close Reading of A... topic ap college board ini Television Advertisi... Reading list >> 5 O1 7 Section B. Tissue and Structure Identification Identify the connective tissue types below and the cells, matrix, fibers, cell membranes, nuclei, or other specialized structures within each one. Look at terms from your sketches to help if you are unsure of labels to use below. 38. space ceir locared within 39 structure 40. tunnels reached through 41 layers of solid bone full unit/ structure 36 a 36 b. technical name of CT general name of CT 37 cell type located here :: adipocyte :: blood :: canaliculi :: cancellous bone :: chondrocyte…
- Mrs. Roberta White is a 63 yr old woman with a history of Osteoarthritis. At 1345 hours she calls you and states she has severe pain in her right shoulder and requests urgent pain relief. Mrs Roberta White did not have any PRN medication. * Your Task: Assess s pain, review medication chart, consider complementary therapies, manage pain of the client and document. * Assess pain, review medication chart, consider complementary therapies, manage pain of the client and document. Please write the progress note using the above senario.a A 39) In assessing a 10-year-old newly diagnosed with osteoarthritis, which information is most important for the nurse to obtain? 40) 2 W S A. Culture heritage and beliefs B. Recent occurrences of infections C. Occurrence of increased fluid intake D. Family history of bone disorder A 6- #3 E D $ 4 R F to % 5 T G < 6 are Y & 7 H U * 00 8 J in 1 ( 0 ۔ 9 K OBI -0 L P U LInpatient admission: The patient fell from a tree that he was pruning on his farm. He was able to drive himself to the hospital, but it was apparent on admission that his left arm was fractured. He underwent an open reduction and internal fixation of a fracture of the proximal humerus and open reduction and Internal fixation of the comminuted fractures of the radial and ulnar shaft. He recovered without incident and was discharged to follow up in one week. Discharge diagnosis: Comminuted left radius and ulnar shaft fractures, 2) displaced left proximal humerus fracture. 7 total codes (4 of the 7 are external cause codes)
- What are the major nursing considerations to be followed during ostomy careMr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. Name the three types of healthcare agencies he has used. What are the strengths of each of these?Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. 1. What are the services being needed by Mr. X? What other members of the health care profession would most likely be on the team…
- Mr. X is an 83-year-old married man. He has a history of severe osteoarthritis leading to bilateral hip replacement and one knee replacement. He has mild hypertension controlled by oral medication. At this time, he developed a severe urinary tract infection resulting in weight loss, fatigue and weakness. After stabilizing, he was sent to the skilled nursing unit of the hospital for 2 weeks until ready to go back home. Occupational therapists consulted with him and his wife during hospitalization. He lives in a three-story house with the bedrooms on the top floor, kitchen and living room on the middle main floor and family room on the bottom floor. He has not driven since the last operation but would like to. He has smoked cigars for years and sits on the front porch to smoke. Physical therapists have come to the house three times a week for several months. How can you relate this scenario to the national or global health situation? Name the three types of healthcare agencies he has…N, a 65-year-old woman, had sustained a fall at home causing hip fracture. She had undergone a Dynamic Hip Stabilization (open reduction and fixation) 5 days ago.Currently she is in the post-operative unit. Medical history Type 2 diabetes since 15years Hypertension since 20years Coronary artery disease 2 years ago, was resolved by PTCA Ischemic stroke 5 years ago that left her with some residual right-sided weakness. Medications Tab. Metoprolol 50 mg OD Tab. Lisinopril 40mgOD Tab. Atorvastatin 10mg OD Tab. Aspirin 75mg OD Tab. Metformin 500g BD Tab. Multivitamin 1 OD Assessment You are the nurse assigned to her this morning. You notice that Ms. J.N. is increasingly drowsy and lethargic as compared to the previous day. You are doing physical examination, Ms. J N is pale, diaphoretic, and lethargic. She arouses to voice but is able only to state her first name.Her vital signs are as follows: Blood pressure, 78/60 mm Hg; Heart rate 70 Respiratory rate, 26; Temperature, 36.9°C.…N, a 65-year-old woman, had sustained a fall at home causing hip fracture. She had undergone a Dynamic Hip Stabilization (open reduction and fixation) 5 days ago.Currently she is in the post-operative unit. Medical history Type 2 diabetes since 15years Hypertension since 20years Coronary artery disease 2 years ago, was resolved by PTCA Ischemic stroke 5 years ago that left her with some residual right-sided weakness. Medications Tab. Metoprolol 50 mg OD Tab. Lisinopril 40mgOD Tab. Atorvastatin 10mg OD Tab. Aspirin 75mg OD Tab. Metformin 500g BD Tab. Multivitamin 1 OD Assessment You are the nurse assigned to her this morning. You notice that Ms. J.N. is increasingly drowsy and lethargic as compared to the previous day. You are doing physical examination, Ms. J N is pale, diaphoretic, and lethargic. She arouses to voice but is able only to state her first name.Her vital signs are as follows: Blood pressure, 78/60 mm Hg; Heart rate 70 Respiratory rate, 26; Temperature, 36.9°C.…