rehab ward post a fall at home. He has a Right fractured NOF (neck of femur), it was repaired 12 days ago under General anaesthetic.  His past medical history includes Congestive Heart Failure, Asthma, Bowel Cancer, Chronic Bronchitis, Type 2 Diabetes on insulin and is obese.Post his surgery he has lost 10kg within 2 weeks, Has an IDC insitu and his bowels have not been open for four days. He complains of constant thirst despite Polyuria. His skin is dry and lips are dry and cracked. He is reluctant to mobilise due to previous fall. He will only ambulate to the bathroom and back to his bed, refusing to walk any further due to increase anxiety.  His skin assessment reveals the following:  -Stage II Surgical wound on Right Hip 10cmX2cm without eschar. There is minimal serous exudate. The surrounding tissue is pink with poor capillary return. -Fresh category I skin tear on his Left forearm measuring 6cmX3cms -Stage II pressure ulcer to his sacrum measuring 2cmX2cm with minimal exudate or odour. In reference to the above case study construct a Nursing Care Plan including:   -Six (6) Nursing Diagnoses -Goals and Expected outcomes for each Nursing Diagnosis, they must be realistic & measurable.(Minimum two (2)) -Discuss the Nursing Interventions (minimum (6)), for each Nursing Diagnosis, giving the rationale for each Nursing Intervention -Evaluation (how would you evaluate your nursing Care) – In addition to the Nursing Care Plan, Provide a written Nursing handover using the ISBAR tool (Identification Situation Background Assessment Recommendations) which includes providing briefly, the information the nurse on the following shift would need to provide effective nursing care. Min 1500 words for each case study

Question Mr William Wright is a 95yr old male, He has been admitted to therehab ward post a fall at home. He has a Right fractured NOF (neck of femur), it was repaired 12 days ago under General anaesthetic.  His past medical history includes Congestive Heart Failure, Asthma, Bowel Cancer, Chronic Bronchitis, Type 2 Diabetes on insulin and is obese.Post his surgery he has lost 10kg within 2 weeks, Has an IDC insitu and his bowels have not been open for four days. He complains of constant thirst despite Polyuria. His skin is dry and lips are dry and cracked. He is reluctant to mobilise due to previous fall. He will only ambulate to the bathroom and back to his bed, refusing to walk any further due to increase anxiety.  His skin assessment reveals the following:  -Stage II Surgical wound on Right Hip 10cmX2cm without eschar. There is minimal serous exudate. The surrounding tissue is pink with poor capillary return. -Fresh category I skin tear on his Left forearm measuring 6cmX3cms -Stage II pressure ulcer to his sacrum measuring 2cmX2cm with minimal exudate or odour. In reference to the above case study construct a Nursing Care Plan including:   -Six (6) Nursing Diagnoses -Goals and Expected outcomes for each Nursing Diagnosis, they must be realistic & measurable.(Minimum two (2)) -Discuss the Nursing Interventions (minimum (6)), for each Nursing Diagnosis, giving the rationale for each Nursing Intervention -Evaluation (how would you evaluate your nursing Care) – In addition to the Nursing Care Plan, Provide a written Nursing handover using the ISBAR tool (Identification Situation Background Assessment Recommendations) which includes providing briefly, the information the nurse on the following shift would need to provide effective nursing care. Min 1500 words for each case study Health Science Science Nursing NURSING UNIT305 Share QuestionEmailCopy link Comments (0)