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Comprehensive Care Plan - Essay

   

Added on  2021-05-27

10 Pages2483 Words259 Views
Disease and DisordersHealthcare and Research
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Running head: NURSING CASE STUDY Nursing case studyName of the student:Name of the University:Author’s note
Comprehensive Care Plan - Essay_1

1NURSING CASE STUDY Care of the post-operative patient in medical and surgical nursing is a critical care activitythat helps in the management of complications in surgery patient and ensures safety of patientduring the journey of care. Appropriate monitoring, repeated clinical assessment along withdevelopment of patient-centered care plan is crucial for speedy recovery of patient. The mannerin which surgical care is organized and arranged by nurse also defines patient-centeredcompetence of nurses. Patient-centered care is a necessary element in both patient safety andevidence based practice (Olsson, Forsberg & Bjerså, 2016). With this context, the aim of theessay is to discuss about post-operative assessment that is needed for Mrs. Grace Potter, a patientwith Hip replacement surgery and prioritize two nursing care for Potter. The essay also providesinsight into comprehensive care plan for Mrs. Potter to implement evidence based and person-centered care for a client. Reflection on the process of managing patient’s condition is alsoprovided. Mrs. Potter is a 67 year old woman who presented with rheumatoid arthritis of the righthip and she had to undergo total hip replacement surgery (THS) because of decreasing mobilityand worsening pain. Hence, the main health concern for Mrs. Potter is rheumatoid arthritis.Rheumatoid arthritis is a chronic inflammatory condition that affects joints and results in painand swollen joints. Apart from genetic factors, smoking, disruption in hormonal balanceimbalance of intestinal microbes is the risk factor of rheumatoid arthritis (Di Giuseppe et al.,2014). Cytokines play an important role in pathophysiology of rheumatoid arthritis anddevelopment of synovial inflammation. The complex interaction between genes and environmentlead to the breakdown of immune tolerance and synovial inflammation. Persistent inflammationresults in severe complication such as carditis and myocardial and cerebrovascular disease(Mateen et al., 2016).
Comprehensive Care Plan - Essay_2

2NURSING CASE STUDY Post THR surgery, Mrs. Grace Potter has been drowsy and complaining of pain. Toproperly manage Mrs. Potter’s post-operative outcome, conduction post-operative assessment isnecessary. It has been planned to conduct four types of post-operative assessment of patient. Thefirst type of assessment that is important for Mrs. Potter is vital sign assessment. Assessment ofvital signs like temperature, pulse, respiration and BP is necessary to understand the effect ofsurgery on vital parameters. It can give clear indication of complications like excessive bLeedng,infection and fluid volume deficit. It may also help to determine any fluid or electrolytedisturbance in patient. As Mrs. Potter is an elderly patient with A post-operative patient ishypovolemic too which may lead to pulmonary oedema in patient. Due to this reason, it isimportant to regularly check vital sign of post-operative patients like Mrs. Potter (Akhtar,MacFarlane & Waseem, 2013). Since patient is on PCA, vital sign assessment is necessary todetect effect of analgesics on pulse rate, BP and respiratory rate. The second nursing assessment that is important for patient is the observation andcharacterization of her surgical wounds. This is necessary for Mrs. Potter as there is small bloodoozing out from the dressing and assessment of wound may help to identify signs of infection inpatient. Prolonged wound oozing increases length of hospital stays and deteriorate woundhealing process. Hence, monitoring and characterizing wounds may help to identify factors thatdeteriorate healing process. As Mrs. Potter is a patient with poorly controlled diabetes, woundassessment is crucial to reduce risk of infection and other complications in patient (Jones,Russell & Huo, 2013). The third assessment that is necessary for Mrs. Potter is pain assessmentas pain was the major complaints for her post THR. Although THR is done to restore functionand relieve pain, however many patients develop chronic pain because of infection (Classen et al.2013). Therefore, by the use of pain assessment tools, severity and sensory quality of pain can
Comprehensive Care Plan - Essay_3

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