Healthcare Analysis of Osteoarthritis Disease

Running Head: HEALTHCARE
HEALTHCARE
Name of the student
Name of the university
Author note

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Introduce the patient
The patient about whom the nursing care plan is devised is Mr Christopher Collins.
He is a 54-year-old male who is suffering from osteoarthritis which is significantly affecting
his mobility and causing extreme discomfort. It was decided by the physicians that surgery
will be conducted to relieve the patient of the pressure in the left and help him regain the
mobility efficiently. However, after the surgery has been conducted, he was discharged after
two days with some medication for pain relief with a crutch for assistance for walking and a
supportive knee brace (Strickland et al. 2018). There was no post-operative care carried out
which would ensure proper treatment and recovery from the operation. He has been an avid
sufferer of asthma since his childhood and is on Seretide accuhaler (Wayne et al. 2019).
It is important for nursing professionals to assess the condition of the patient when
they are being re-admitted because of the complications (Seo et al., 2016). The area where the
operation has been conducted, it was observed that there are sutures which have become red
and swollen and can discharge pus any time (Laidlaw, Diduch and Werner 2019). Hence, it
can be understood that a proper assessment regarding the positive health outcome for the
patient should be part of the nursing care plan in accordance to the identification of the health
problems that are probable in the health condition of Mr Collins (Doenges, Moorhouse and
Murr 2019). Thus, the report will be including the identification of the health problems that
are prevalent in the patient considering his medical condition. In addition, the report will also
highlight the interventions that could be devised by the nurse such that a positive health
outcome is ensured for the patient.
Assessment
The assessment of the patient information that is shared is to be analysed by the
subjective and objective data. When the patient is being admitted to the hospital, it is the duty

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of the nurse attending to ask certain questions and conduct some tests such that the medical
condition of the patient is understood. The subjective data in the case of Mr Collins is the
complaining of discomfort and inability to mobilize him because of osteoarthritis in the left
knee (Willy et al. 2019). There has been constant knee pain for which the physician had
recommended for left high tibia knee osteotomy. After the operation has been conducted, it is
observed that the condition of the patient deteriorated further and caused the wound to gather
pus and not recover as was expected. In addition, during the admission process, he told the
nurse that he was experiencing nausea and also felt shaky and shivery (Samieirad et al. 2018).
The objective data that are to be retrieved from the patient define the lab results that
are conducted on the patient while he is being admitted to the hospital. The lab data obtained
in the case of Mr Collins is that his blood pressure 98/57, body temperature around 38.3 oC,
white blood count is 18.4 and the platelet count is 276. It is after this that the partial carbon-
dioxide and oxygen concentration is measured. The partial carbon-dioxide concentration is 21
and the partial oxygen concentration is 80. The Glasgow Coma Scale was conducted on the
patient and received a score of 15 (Reith et al. 2016). The left knee of the patient experienced
pain for which the PERL pain assessment was conducted. The score that was obtained by the
patient received 5 out of 10 on their scale. The urine output of the patient was measured over
a stipulated period of time and was observed to be normal. The urea level is 5.4 while the
sodium level is 141 and the potassium level is 4.2. The glucose level in the urine output was
assessed to be 5.1 which deemed under the normal range. Ventolin is a drug that opens up the
medium and enormous aviation routes in the lungs (Matera et al. 2018). It is utilized to treat
asthma, including asthma assaults. Beginning of activity of the breathed in form is ordinarily
inside 15 minutes and goes on for two to six hours (Anderson et al. 2018). Basic reactions
incorporate insecurity, cerebral pain, quick pulse, unsteadiness, and feeling on edge. Genuine
symptoms may incorporate exacerbating bronchospasm, sporadic heartbeat, and low blood

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potassium levels. In the case of Christopher, these symptoms have been observed in
moderation which is controlled because of the constant oxygen supply. However, if they
would not have been applied, the situation would have deteriorated and resulted in a near
collapse because of the inability to distribute oxygen to the cells in the body (Vasileiadis et
al. 2019). In addition, the lactate level in the blood is quite high than the normal range. A
high lactate level in the blood implies that the infection or condition an individual has is
making lactate collect (Benes et al. 2015). By and large, a more prominent increment in
lactate implies a more noteworthy seriousness of the condition. When related to the absence
of oxygen, an expansion in lactate can demonstrate that organs are not working appropriately.
It is assumed that lactic acidosis might be brought about by the nearness of sepsis in the body
of the patient (DeFronzo et al. 2016). Thus, it is expected that the patient might be
experiencing gentle sepsis in view of which high lactate levels are watched.
Health Problems
The medical issues that are recognized for Mr Christopher Collins are the post-
operative consideration that was given by the nursing professional to the patient which
brought about the blunder of the surgical region and the imbalance in the fractional weight
which could prompt an asthma assault and demonstrate to be deadly for the patient
(Masrouha and Saghieh 2017). It is the obligation of the medical attendants assigned by the
senior attendant to give ideal consideration to the patient is subject to give the best care and
guarantee a raised wellbeing result. It is significant to deal with the careful territory fittingly
and guarantee the organization of appropriate prescription for a decent recuperation. The
expanding instability and anxiety in the patient decide the failure of the essential organs to
capacities as they are intended to (Rose and Mealey 2015). Henceforth, an appropriate
consideration plan is to be concocted for the recuperation of the patient.

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The following issue that is seen by the medical caretaker is the awkwardness in the
fractional weight of carbon dioxide in the patient faces the issues of lactic acidosis. Hence,
the patient may be experiencing medical problems with an indication of hypoventilation
(Suetrong and Walley 2016). As the patient was not feeling better and was continually feeling
disgusted, there ought to be an appropriate appraisal of the patient for the investigation of the
circumstance. It is additionally seen that the patient may create sepsis and the essential
purpose behind this complexity is her body lopsidedness because of over the top substance
yield. Subsequently, this ought to likewise be recognized that every one of these viewpoints
ought to be evaluated and distinguished in the consideration procedure.
Health Outcomes
The consequences of the patient evaluation and examination uncover that there is a
need to take appropriate consideration of the patient. So as to treat the patient appropriately, it
is necessitated that the medical caretakers perform legitimate consideration examination and
ought to assess the patient (Ammouri et al. 2015). This should be possible by consistent
checking of the patient and furthermore by the investigation of the circumstance of the
patient. The wellbeing result of Christopher is that the patient had asthma and in this manner,
the medical attendant should check and screen the oxygen level of the patient. This will assist
the medical attendant in observing the oxygen level of the patient.
Because of the patient suffering from nausea and shakiness, it can be understood that
he is suffering from a mild electrolytic imbalance in addition to the high levels of lactate in
the blood (Carson and Clare 2019). For this, the physician in charge of the patient is needed
to be informed about the prevailing condition of the patient. Hence, if the doctor is informed,
it is likely that thorough monitoring of the vital signs and the assessment will be carried out
which will enhance the health outcome for the patient.

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In addition, the surgical area has been experiencing major symptoms which, if
untreated, may cause sepsis in the patient. Sepsis is an infection that is caused in a part of the
body where an open wound is observed and manifested by microbial contaminants. It leads to
the dysfunctionality of the immune system to carry out its functions and fight off the
contaminants (Cavaillon and Chrétien 2019). Hence, it is highly likely for the patient to
experience pain and discomfort. In addition, the patient may also need to amputate the part of
the body as the infection may spread to other parts of the body (Karasu et al. 2019). Hence, if
proper management of the wound is maintained, the area where the surgery is conducted can
recover with the administration of appropriate medications on their stipulated time.
PLAN OF CARE
PATIENT or NURSING
ORIENTED PROBLEM OR
PATIENT NEED
PATIENT ASSESSMENT DATA OPTIMAL PATIENT OUTCOME or
GOAL
Patient problem/issues/need -
which is related to <insert>
Patient problems/issues/needs
can be actual present and
occurring now
Or potential when the patient is
considered to be ‘at risk of’.
As evidenced by (or how do we
know this problem exists)
Objective patient data
Subjective patient data
Lab and other test results
What do we (patient and nurse) want
to achieve:
Specific, measurable, attainable,
realistic and time orientated (SMART
goals)
1. Difficulty in breathing The subjective data obtained from
the case study is the information of
Christopher being an asthma patient.
The objective data that is used is the
level of PaCO2 and PaO2.
S – To provide oxygen to the patient
when needed
M – To observe the level of oxygen
A – To perform tests to check the
level of oxygen
R – To check the patient history
T –Till he patient condition improves
2. Wound mismanagement The objective data is used to
appropriately show the pain score of
5 in the left knee. The subjective data
which can be used are the redness
and the swollenness of the adjacent
area of the wound.
S – to improve the wound condition
M – by reducing the pus level and
administering medication
A – perform pain tests by pressing
the area gently
R – check the details of the patient
T – until the swollenness of the area
decreases
3. Notify the doctor on duty
about the condition of the
patient
The pus discharge and the impact of
the operation on the patient is critical
and requires critical attention from
the physician.
S – To notify the doctor considering
the criticality of the patient
M –To perform routine meetings
with the patient
A – To teach the patient about his

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condition
R – To consult with a physician
T – Until the condition improves
4. The post-operation exercise
should be taught to the
patient
The subjective data mentions in the
case study that the patient has an
uneventful experience after the
operation have been conducted
S –To provide the best post-operative
care to the critical patient.
M –Administer exercise for 15
minutes
A – Conduct an assessment
continuously to check on
improvements
R –The daily activity of the person is
enhanced
T–6 months

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