Nursing Care Practice; a Case Study

Running Head: NURSING CARE PRACTICE
1
Nursing Care Practice; a Case Study
Student’s Name
Institutional Affiliation

NURSING CARE PRACTICE 2
Table of Contents
Overview of pathophysiology....................................................................................................3
Osteoporosis...........................................................................................................................3
Neck of femur fracture...........................................................................................................3
Wound Healing.......................................................................................................................3
Activities of Living Communication.........................................................................................4
Nursing Care & Rationale..........................................................................................................5
Maintaining a safe environment.............................................................................................5
Mobility..................................................................................................................................5
Sleeping..................................................................................................................................6
Ms. Marley’s Nursing care requirements and actions............................................................7
References..................................................................................................................................9

NURSING CARE PRACTICE 3
Overview of pathophysiology
Osteoporosis
This is a condition whereby the density and strength of a person’s bone decrease
thereby making the bones fragile and compressible. People suffering from this condition are
more susceptible to fractures compared to people with normal bones. Osteoporosis occurs
majorly after the age of 65 years and is very frequent in women especially after the
menopause stage (Qaseem, Forciea, McLean, & Denberg, 2017). Ms. Marley is 80 years old
and has a history of osteoporosis; this makes her vulnerable to fractures (Shiel, 2018).
Osteoporosis does not have any definite symptoms nor signs, its presence is noticed when a
person fractures his/her leg. However, it can be diagnosed and cured before a person suffers a
fracture (Cosman, et al., 2014). Patients suffering from Osteoporosis have a higher risk of
suffering from a hearing loss (Kshithi, et al., 2018). Ms. Marley is suffering from a hearing
deficit. This is probably due to the osteoporosis she is suffering from. Osteoporosis affects
women past the menopause stage and comes with the risk of a hearing loss. Ms. Marley is 80
years old and has Osteoporosis, this justifies her hearing deficit.
Neck of femur fracture
Fracture in the neck of the femur majorly affects older people who have decreased
density and strength of bones and are more prone to fractures. Ms. Marley is 80 years old
thereby faces a high risk of neck of femur structure. Neck of femur fracture occurs when the
femur breaks at the top, below the ball and socket joint. This condition is common among
patients suffering from Osteoporosis, especially women (Babu & Gaillard, 2009). Ms. Marley
suffers has a history of Osteoporosis and is very old, this makes her more vulnerable to neck
of femur fractures. Neck of femur fractures majorly occurs through falls among the older
people (Goh, Samuel, Ching Su, Chan, & Yeo, 2009). Ms. Marley tripped and fell thereby
suffering a fracture in the right neck of femur. She probably might have fallen on her hip and
the body twisted thereby fracturing her femur. Furthermore, Osteoporosis is the major reason
why Ms. Marley suffered the fractures. Her bones are fragile and weak.
Wound Healing
Ms. Marley had a surgery after she had a fall and fractured the right neck of her
femur. The surgical wound that developed after the surgery is a bit red and the nurses are
quite worried. Pain and redness is a sign of inflammation. In this phase, the damaged cells
release chemicals such as histamine, which in turn cause release of fluids into the blood
vessels thereby causing swelling of the skin (J.M. & H, 2012). In the proliferative phase, the
skin is recreated with a network of blood vessels and tissues which causes the wound to close