Assignment on Nursing - health care
Added on 2020-02-24
6 Pages1543 Words58 Views
Running head: NURSING ASSIGNMENT Nursing AssignmentName of the student:Name of the university:Authors note:
1NURSING ASSIGNMENT This assignment is about Mr. X who is a 65-year-old farmer. He was involved in a tractoraccident and suffered from a mid-shaft fractured femur. There are several surgical options forMr. X such as intra medullary nailing and it can be performed by two methods such as antegradeor retrograde. In this method, a special metal rod is inserted in the canal of femur. The rodprovides support to the leg and keeps it intact. An intramedullary nail is inserted inside the canalin the knee or in the hip region by making a small incision. It helps in maintaining the position ofboth the nail and the bone during the healing process. There are other treatment methods such asfixation of plate and screw and external fixation. The method of fixation depends on the type offracture as well as injuries associated with it. During the fixation of plates and screws, thefragments of bone are initially brought in their normal alignment. External fixationinvolvesfixing of metal pins or screws in the bone above and below the site of fracture. The potential post-operative complications which may lead to a negative impact on themortality and morbidity of patients following surgical repair of a fractured femur are potentialrisk of infection to the surgical wound, blood clot and fat embolism leads to the risk of DVTand improper positioning of the bone fragments due to fracture. The infection at the site offracture can be controlled by keeping the wound clean and taking antibiotics as prescribed by thedoctor. Nurses should also follow ANTT technique (Aseptic non-touch technique for woundcare) which involves a few steps to prevent infection. The surface of wound should be cleanedwith clean hands and the materials required should becollected beforehand. The wound iscleaned by taking proper precautions such as disposal of waste. Nurses should be alert at alltimes and protect Mr. X from all the risks of dangers and harmful situations. If they come acrossany adverse situations they should inform the management team and ask for professional healthservices (Swiontkowski & Resnick, 2015).
2NURSING ASSIGNMENT Since, Mr. X has a past history of deep vein thrombosis (DVT) and hypertension he hasbeen prescribed nifedipine (CR) 60mg and warfarin 10 mg on a daily basis Nifedipine is used tocure the patient suffering from high blood pressure and warfarin is an anticoagulant which isused in thinning of blood. Hence, she should take his medicines regularly to prevent blood clotand fat embolism which increases the risk of DVT.The doctors and the nursing staff have to be careful while performing the surgery so thatthe bone fragments are placed in a correct position to avoid to chances of surgery in the future.There are various tools for the assessment of pain that can be used if he is feeling discomfort.The nurses and other healthcare professionals should help him and provide psychosocial carealong with palliative care so that he gets well soon.It is very crucial for the nurses and other health care professional to keep a track on thehealth parameters such as blood pressure, pulse rate and oxygen saturation to prevent any risk infuture and provide proper care. They should follow six rights of medication which involvesgiving him proper drug by considering his allergic reactions to drugs and expiry date, properroute of administration such as oral, mouth, buccal, sublingual, gastric tube, and nasogastrictube, correct timing, right client or patient, proper dosage as prescribed by the doctor anddocumenting about the drug given to the patient (Murray et al., 2015). There should be monitoring in appropriate manner and clinical assessments should berepeated in order to keep a track on the signs and symptoms so that surgical complications arerecognized in an adequate manner. Monitoring of infection at the site of injury can be done byregular checking of the wound and by making sure that there is no pus formation and foul smell
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