This nursing care plan provides a comprehensive guide for managing patients with lower back pain and mobility issues. It includes assessment, planning, implementation, and evaluation strategies. Suitable for nursing students and professionals.
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STUDENT NAME NUMBER1 NURSING CARE PLAN Name: Institutional affiliation:
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STUDENT NAME NUMBER2 Assessment / CuesProblemPlanning/ implementationEvaluation Mrs Denise Palmer complains of lower back pain BMI of 30 Fall at home Decreased mobility related to lower back pain resulting from a fall The nurse collaborates with the physiotherapist to provide musculoskeletal exercise. The nurse educates the patient to educate their lower extremities to prevent deep venous thrombosis. The nurse educates and ensures that Mrs Palmer can use anti- embolic stockings appropriately (Rae, 2016) Ensure Mrs Palmer is turned every two hourlies to relieve pressure from the bony prominences. In collaboration with the Mrs Denise Palmer lives a near normal life while encouraging independence and mobility.
STUDENT NAME NUMBER3 Mrs Denise Palmer is under instructions of strict bedrest Lower back pain Hygiene deficit related to decreased mobility, lower back pain and strict bedrest nutritionist the nurse encourages a high fibre diet which decreases the risk of constipation while encouraging easy bowel movement. The nurse should encourage Mrs Palmer to use a pillow in between her knees to ease the back pain The nurse ensures the bed rails are in place to prevent falls as Mrs Palmer has poor vision The nurse provides Mrs Palmer with warm water for a bed bath. The nurse provides Mrs Palmer Mrs Denise Palmer maintains high standards of hygiene while encouraging her to perform activities independently.
STUDENT NAME NUMBER4 with warm water to brush her teeth. The bath water should have soap and an absorbable bathing towel The nurse conducts a general head to toe assessment especially observing the skin. There should be privacy/screening when Mrs Palmer is having the bed bath. She should feel comfortable. The nurse encourages Mrs Palmer to massage pressure areas and apply massage oil. The nurse ensures the linen is changed to avoid wetness which
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STUDENT NAME NUMBER5 Braden risk of 9 Skin tear on lower legs (Break in skin) Risk of pressure injury related to break in skin and BMI of 30. may contribute to pressure sores. The nurse performs 2 hourly turning of the patient to relieve the pressure of the bony prominences (Jocelyn Thiara, Lopez & Shorey, 2018). Daily dressing of the wound by aseptic technique according to the physician’s instructions Educate patient regarding their obesity and the necessity to cut down weight through various means. Head to toe assessment of the Mrs Palmer maintains skin integrity free of pressure ulcers and wound heals without delay.
STUDENT NAME NUMBER6 Difficulty in sleeping due to the noise in the ward Disturbed sleep pattern related to environmental noise evidenced by difficulty in sleeping bony prominences while performing bed bath to assess risk (Chamblee et.al 2018) The nurse ensures the linen is changed to prevent wetness which may contribute to pressure sores. Educate patient on relaxation technique which she can use to sleep calmly (Rodriguez, Dzierzewski & Alessi, (2015). Ensure all the distractions are removed for example switching off lights and noisy areas such as the nursing station and procedure Mrs Denise Palmer should demonstrate a normal sleeping pattern of 8 hours.
STUDENT NAME NUMBER7 Strict bed rest Hyperlipidaemia History of cardiovascular disease in the family. Hypertension Self-care deficit regarding nutrition and toileting due to bed rest. rooms The nurse can liaise with the senior nurse so she can be given a room of her own If possible, relaxing music can be played at low volumes The nurse should liaise with the physician to advocate for use of melatonin which can help her sleep. The nurse should discourage Mrs Palmer from sleeping during the day which may affect her sleep routine. The nurse collaborates with the Mrs Palmer should have an adequate nutritional balance and able to eliminate properly.
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STUDENT NAME NUMBER8 nutritionist to plan Mrs Palmer meals which include a low fat, high fibre, high protein and low salt diet (Tietge, 2018). The nurse encourages and educates Mrs Palmer regarding their diet which is tailored regarding to her conditions. The nurse administers antihypertensive as ordered by the physician The nurse encourages a high fibre diet and high-water consumption to decrease the risk of constipation. The nurse provides Mrs Palmer
STUDENT NAME NUMBER9 Mrs Denise Palmer is a single mum of five children She has two children with special needs. Ineffective individual coping related to situational crisis of being hospitalized whilst she has a family to take care of with a bed pan when required for her to meet her elimination needs. The nurse auscultates for bowel sounds to ensure there is active bowel movement. The nurse provides Mrs Palmer with privacy when she is using a bedpan At night Mrs Palmer should use a diaper which is changed as soon as possible to avoid wetness. Any wet linen from urine or faecal soil should be changed. The nurse should organize with the counsellor and physician to Mrs Palmer should demonstrate proper coping skills regarding her health condition whilst in hospital.
STUDENT NAME NUMBER10 hold a family conference whereby Mrs Palmer will discuss her health condition with her sister and other members (Pranis, 2017). The nurse encourages Mrs Palmer to voice her needs and perceived threats and she/he listens to her Her sister is encouraged to visit Mrs Palmer in hospital to provide consolation and inform her about the welfare of the children. The spiritual welfare of Mrs Palmer is encouraged by allowing the fellow Catholic Church members to visit her and console
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STUDENT NAME NUMBER11 with her (Sajja & Puchalski, 2017). The nurse engages with the occupational therapist who will engage Mrs Palmer in activities she enjoys distracting her. The nurse educates Mrs Palmer regarding her conditions and the progression of the disease to ensure she adheres to her medication even after discharge. The nurse should be empathetic while communicating with Mrs Palmer. Encourage relaxation techniques such as listening to music which
STUDENT NAME NUMBER12 may help her calm down. Engage the social workers who will ensure they follow up on the welfare of her children and her medical bills. Necessary consultation with the counsellor who may be skilled in handling situational and mental crisis. REFERENCES Chamblee, T. B., Pasek, T. A., Caillouette, C. N., Stellar, J. J., Quigley, S. M., & Curley, M. A. (2018). CE: How to Predict Pediatric Pressure Injury Risk with the Braden QD Scale.AJN The American Journal of Nursing,118(11), 34-43. Jocelyn Chew, H. S., Thiara, E., Lopez, V., & Shorey, S. (2018). Turning frequency in adult bedridden patients to prevent hospital‐acquired pressure ulcer: A scoping review.International wound journal,15(2), 225-236.
STUDENT NAME NUMBER13 Pranis, K. (2017). Conferencing and the community. InFamily Group Conferencing(pp. 40-48). Routledge. Rae, L. M. H. S. M. (2016). How can the pressure in anti-embolism stockings be.Journal of Phlebology,6(1), 9-14. Rodriguez, J. C., Dzierzewski, J. M., & Alessi, C. A. (2015). Sleep problems in the elderly.The Medical clinics of North America,99(2), 431. Sajja, A., & Puchalski, C. (2017). Healing in modern medicine.Annals of palliative medicine,6(3), 206-210. Tietge, U. J. (2018). PURE and simple? A new perspective on the impact of diet on hyperlipidemia and cardiovascular risk.Current opinion in lipidology,29(3), 273-274.