Nursing Case Study: Mrs. Smyth's Care Plan and Assessment Details

This document presents a detailed case study focusing on Mrs. Smyth, addressing her potential and actual health problems, including incontinence, fatigue, and swallowing difficulties. The assignment explores various interventions and risk prevention strategies for issues like poor hygiene, infections, and dehydration, including bladder training, pelvic muscle exercises, and medication management. It also covers the assessment of skin integrity, factors contributing to falls, and interventions to reduce fall risks. Furthermore, the document outlines client criteria for mobility/transfer assessments, nursing actions to support oral intake, and factors to consider before commencing direct care, such as maintaining hygiene, addressing confusion, and ensuring a friendly environment. This case study provides a comprehensive overview of nursing care planning and patient management.

CASE STUDY SHORT-
ANSWER QUESTIONS

1. State (3) three potential problems that Mrs Smyth may experience
 No control over urine and faces can led to poor hygiene
 Not maintaining hygiene can cause infection
 Chances of suffering from dehydration can increase due to poor skin turgor
2. State (3) three actual problems that Mrs Smyth may experience
 No control over urine and faeces
 Tired easily
 poor appetite and finds swallowing difficult.
3. Describe 2 interventions and risk prevention strategies that you would
implement for each of the three potential problems you identified in
Question 1.
interventions and risk prevention strategies for poor hygiene
 cleaning and changing cloths from time to time
 if possible, provide wet sponge bath from time to time
interventions and risk prevention strategies for infection
 Encouraging frequent voiding after every 2 to 3 hours to empty bladder
 Antibiotics can be provided to patient to reduce chances of infection
interventions and risk prevention strategies for chances of suffering from dehydration
 water intake can be increased
 exercise should be done to make replenishing fluids
4. Describe 2 interventions and risk prevention strategies that you would
implement for each of the three actual problems you identified in Question
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interventions and risk prevention strategies for no control over urine and faces
 bladder training can be provided for learning techniques to increase urinating need time
period.
 Pelvic muscle training can be provided to increase strength of pelvic floor muscles
interventions and risk prevention strategies to reduce tiredness
 Meditation and relaxing muscles can help in reducing tiredness
 Relaxation and counselling
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interventions and risk prevention strategies for poor skin turgor
 Hydrating body by drinking more water
 anti-emetic medication can also be used
5. Describe three (3) different aids that could be used to help manage Mrs
Smyth’s incontinence
 Pelvic muscle exercises
 Timed voiding may help in controlling bladder
 Biofeedback sensors can be used to make Mrs Smyth aware
6. Describe (4) four factors you should consider when assessing this clients
skin?
 While grasps the skin between two fingers it should be checked that skin is not hold tight
 For checking skin mostly lower arm or abdomen skin should be considered
 Such kind of skin snaps rapidly back to its normal position so it should be checked
 Holding Client skin tight can cause swelling
7. Describe five (5) factors which may make an individual more are
susceptible to falling?
 Lower control over physical functions
 Higher elevated roads can make individual more are susceptible to falling
 Increasing age as it increases risk of cognitive impairment and sensory deficits
 Excessive usage of medicine can make an individual lose control over their body
 Sudden lower BP can make an individual unconscious
8. For each of the five (5) factors listed in Question 7, describe 2
interventions/risk prevention strategies that you would implement to
reduce the risk of falls.
Lower control over physical functions Intervention
With increasing age older people should use sticks
Higher elevated roads can make individual more are susceptible to falling intervention
While walking on such roads one should walk on side holding something
Increasing age as it increases risk of cognitive impairment and sensory deficits intervention
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Never walk alone or walk with any mobility device
Excessive usage of medicine can make an individual lose control over their body
intervention
Medicines with sedative should be avoided
Sudden lower BP can make an individual unconscious intervention
Keeping oneself hydrated reduces chances of sudden drop of BP
9. Describe the four (4) client criteria which should be included when
conducting a client mobility/transfer assessment?
 Should maintain correct body alignment of client
 Do not force her for food or water intake
 First of all educate client about assessment
 Fall history of client should be asked
10. Briefly describe (4) four nursing actions which will help this client with
her oral intake
 Patient should be rewarded for cooperating with oral intake
 Beverages preferred by client should be considered
 Client should be motivated
 Changing need of client should be identified
11. Describe (8) eight factors you must take into account before commencing
direct care with Mrs Smyth?
 Mrs Smyth should not be focused for anything
 Before selecting treatment for direct care should be asked for permission from Mrs Smyth
 incontinent of both urine and faeces should be taken care off
 Her mild confusion should be treated first
 Friendly environment should be developed
 Hygene level should be maintained
 BP should be checked from time to time
 Temperate should be checked from time to time
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