Nursing Care Plan Assignment Example | Topics and Well Written Essays - 1500 words

Nursing Care Plan - Assignment Example The patient is left to recuperate and few visits by close relatives are allowed in the first few days. A nurse is close at hand to administer medicines and monitor BP and pulse rates, and for any other emergency needs. The condition of the patient is stable. The surgery has been successful. Muscle strength reduces considerably during the first few days post-operation. Enteral feeding was resorted to as the patient is aged and relatively weak as a result of her advanced years (Watters, J.M. et al). Self care is not possible due to the surgery. All cleaning and other hygiene based activities have to be carried out with the help of nurses. Self care deficit may also result due to inabilities related to muscular impairment, energy deficit, pain, anxiety, and decreased motivation (Nursing Diagnosis). The client is not in position to administer self-care. All post-operative care must be carried out by nurses. The patient is weak and immobile due to surgery. There is no way the patient can be expected to move or make attempts to move during the first few days post-operation. The nature of the surgery on the patient's femur which is central part of the functions of the human body makes it well nigh impossible for the patient to attempt movement during the first few days of the surgery. All activities connected to the patient's movement must... The nature of the surgery on the patient's femur which is central part of the functions of the human body makes it well nigh impossible for the patient to attempt movement during the first few days of the surgery. Interventions All activities connected to the patient's movement must be coordinated with the assistance of nurses. The patient is totally dependent on nurses to help with any movement activity because of the surgery and also because she is advanced in years. The patient may be gently coaxed to some movement involving her hands. The movement of hands and face will help provide some relief from the overall restrictions in mobility. Evaluate Constant follow up with the patient's temperature, BP, pulse rate, medication, and other organic symptoms such as functions of the heart, liver, intestines, etc. is necessary in order to ensure speedy recovery. The patient is not suffering from any disorder other than the surgery involving her femur. Her BP is, however, high and it is obvious that it was under control during surgery and is kept under control post-operation. Impaired Skin Integrity Plan Periodical cleaning of the skin with antiseptic is necessary to ensure patient is hygienically in good shape. Advanced age coupled with surgery raises the risk of skin impairment. There must be good plan in place to keep the immediate surroundings clean. The clothes and dressing of the patient must be changed are regular intervals. Client Outcome The treatment following the days after the surgery is critical to ensure fast recovery. The client is almost cent percent dependent on nurses to do all post-operative care including those required for prevention against skin breakdown. Change of bed sheet, pillow covers, etc. must be carried