Nursing Care Plan for Patient with Submandibular Sialoadenitis

Running head: NURSING CARE PLAN 3 1
Nursing Care Plan 3
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Professor
Institution
Date
Nursing Care Plan 3

NURSING CARE PLAN 3 2
Part A: Medical Diagnosis (Introduction to the Care plan)
Our hospital, The Kingstone Centre, admitted a patient named Alexiou Lambros (male)
aged 80 on 9th November 2018 as he suffered from submandibular sialoadenitis. The past
medical history of the patient involved a stroke (left hemiparesis), hypertension (HTN) and Type
2 Diabetes Mellitus (T2DM). The patient had dysregulation of metabolism in the form of insulin
resistance and hyperglycemia, which impacted profoundly on the vasculature and structure of his
brain. The patient needed guidance in urinary incontinence.
a. The Age of the Individual
Ageing causes a person high chances of contracting chronic illnesses such as stroke,
diabetes, hypertension, dementia, and depression. These conditions often lead to appetite loss
and inability to swallow, which all result to nutritional status impairment as well as altered intake
of food by the old adults. Alexiou, being aged 80, suffered most of these illnesses. His past
medical history showed that he had suffered from hypertension, stroke and type 2 diabetes
mellitus. He seems to be experiencing life stressors which come in later life of old age, such as
vital capacity loss and functional ability decline (Chambers & Ryder, 2009). The patient suffers
from chronic pain, reduced mobility, frailty and other health challenges that need individualised
long-term care. The psychological distress of being lonely must have caused Alexiou
hypertension due to the associated depression and dementia. Dementia causes an individual to
have a deteriorated memory, behavior, thinking and the capacity to carry out daily activities. It is
familiar for old people as a part of their ageing (Delves-Yates, 2015).
b. Risk Identification

NURSING CARE PLAN 3 3
Using the information gathered about the patient, I found Alexiou to have the following
risks concerning his age, cognitive status, nutritional status, pain, and mental health condition as
well as deep vein thrombosis, pulmonary embolism and venous thromboembolism (Carpenito-
Moyet, 2009).
i. Age
Old age increases the risk to contract chronic diseases such as diabetes, hypertension,
osteoporosis and heart diseases. Alexiou was diagnosed earlier with type 2 diabetes mellitus. He
can stop further advancement of the disease by seeking treatment to control it and improve his
long-term health. Alexiou is at risk of losing his mobility due to osteoporosis which results from
old age. Loss of mobility may be caused by falling, thus fracturing part of the body (Chambers &
Ryder, 2009). Alexiou is therefore at risk of reduced quality of life due to osteoporosis.
Furthermore, as a person advances in age, his risk factors of suffering from heart-related
diseases such as high cholesterol, high blood pressure or stroke, increases. Alexiou, having been
diagnosed earlier with stroke, falls under a high risk of suffering from high blood pressure. All
the conditions can be managed by early diagnosis and treatment as well as living healthily.
Physical exercises such as nature walks, mountain climbing, and jogging help improve body
metabolism and increase physical body fitness (Fero, Herrick & Hu, 2010).
ii. Cognitive Status
As people age, they are likely to experience cognitive impairment which tends to affect
their daily life operations. Additionally, embarrassment, frustration, changes in family roles as
well as social status, bereavement, loneliness and loss of self-confidence can lead the aged to
lose their cognitive status. Alexiou seems to be undergoing cognitive impairment because he had

NURSING CARE PLAN 3 4
contracted hypertension. Reassuring the patient, active engagement of their families in the care
management plan, adjusting the immediate surrounding of the patient to reduce their distress and
reducing stimulation are strategies for the management of cognitive impairment (Barker, 2012).
iii. Deep Vein Thrombosis, Venous Thromboembolism, and Pulmonary Embolism
Alexiou suffered from a stroke, which is heart disease. He, therefore, is at risk of
contracting other heart-related dysfunctions such as deep vein thrombosis, pulmonary embolism,
and venous thromboembolism. Osteoporosis and stroke can lead to paralysis, which causes lack
of muscle contractions, thus preventing the free circulation of blood in the body of the patient.
Due to this, Alexiou is at high risk of blood clots. He can manage the condition by numerous
physical exercises while taking care not to fall and sustain fractures (Bern-Klug, 2010).
iv. Anaesthesia and Surgery
Alexiou had a procedure for a surgical operation to remove the painful lump and unblock
the salivary duct in his submandibular glands. The patient faces the risk of postoperative
cognitive dysfunction due to loss of memory during the surgery (Bern-Klug, 2010).
v. Mental Health Condition
Alexiou is likely to suffer from depression and dementia, which are mental illnesses.
Depression can cause him great suffering and impaired functionality in his daily life. Health
promotion among the aged can help improve the mental health of ageing patients. Creation of
living conditions which support their wellbeing can allow the old to lead healthy lives
(Barker, 2012).
vi. Nutritional Status