Plan of Care for Osteoarthritis Patient

Assignment 1, part 1
PLAN OF CARE
PATIENT or NURSING
ORIENTED PROBLEM
OR PATIENT NEED
PATIENT ASSESSMENT
DATA
OPTIMAL PATIENT
OUTCOME or GOAL
1.
The primary assessment of
the patient was the problem
at the knee due to
osteoarthritis. The patient
was not able to stand the
pain.
The patient was suffering
from osteoarthritis in the
left knee therefore this
caused pain and affected
the mobility of the patient.
After operation he was
suffering from pain at the
incision site.
GCS 15, PERL. Pain score -
left knee 5/10
The disease osteoarthritis is a
disease of the bones which
most of the time leads to the
elevation of the risk of the
fractures. There are situations
where the patient often
suffers a chance of breaking
a bone, therefore the patient
is often considered to be
fragile. There are chances of
typical fragility especially in
the knee in the given
situation.
Actions should be taken to
verbalise the decrease or the
absence of the pain. It should
be decreased from 5/10 to
0/10.
It was required to verbalise
the understanding of the
importance of the
significance of both the
pharmacological and the
pharmaceutical therapies in
order to decrease the pain.
It is important to maintain
the integrity of the skin
around the wound area which
is evidenced by the lack of
the pressure ulcer
development (Gulanick &

Myers 2016). Being free
from any kind of injury.
Making the patient verbalize
regarding the absence of the
pain which is experienced
upon moving.
It is important to demonstrate
the relaxation techniques
along with the activities of
diversion for the aim of
decreasing the pain.
It is important to increase the
comfort of the patient and to
decrease the pain
experienced by the patient.
2.
He felt nauseated and was
shivering out of the pain.
RR 27, Sp02 94% on 60%
oxygen, equal air entry –
chest is clear. Verbal report
of feeling a little breathless.
Glucose 5.1. Nil hx diabetes.
Due to the surgery there was
a pain at the incision site
since there were plates and
screws inserted in order to
stabilise the tibia which is a
The patient will be able to
participate in the activities of
daily life along with the other
desired activities.
The patient will be made to
show willingness to
participate in the
interventions which will help

part of the procedure. the patient in improving the
conditions of mobility.
The patient needs to
verbalize the absence of the
back pain.
It is important to verbalize
about the significance of the
both pharmacological and the
non-pharmacological
therapies in order to reduce
the prevalence of the pain.
The patient should stay safe
from any injury.
3.
The wound site appeared to
be sutured and the skin at
the wound site appeared.
The assessment showed that
wound site is left knee,
sutures in situ, skin appears
‘tight’, swollen, shiny and
red. Warm to touch. Several
areas of dehiscence with pus
present.
It is important to report the
increase in the comfort along
with the reduction of the pain
at the injury site.
It is important to verbalize
the patient regarding the
education and the health
teachings that needs to be
imparted to the prevention of
the additional injury
(Dunphy et al. 2015).
.

4.
The patient was not able to
stand up without any
provided assistance.
Impairment of the physical
mobility and prevalence of
discomfort in the knee
area. Pain was experienced
on any movement. There
was some kind of guarding
behaviour as well.
IV cannula inserted. After
the surgery, there was
occurrence of an uneventful
post-operative period after
which the patient was
discharged after two days.
The patient was also given
anti-inflammatory
medication for pain relief.
The patient is able to
participate in the activities
which are applicable to the
real life situations in order to
enhance the change.
It is also required to show the
changes in the behavior in
order to restore a positive
self-image.
5.
The patient was perceived
to be unhealthy since the
scale showed 5/10. Risk for
development of any injury
like a fracture due to the
impact of the change in the
structure of the bone that is
secondary to the
osteoarthritis.
There was altered ADL
which was shown by the
It is important to make sure
to report the lack of the
complications that occurs
due to the lack of the
mobility. After a few hours
of nursing interventions, it
was required to the
maintainence the lack of the
chances of the additional
fractures.