Case Study of John-Free-Samples for Students-Myassignmenthelp.com

Question: Identify two actual Nursing Diagnoses and one Potential Nursing Diagnosis relevant to Marya's Condition. Answer: Nursing Diagnosis: Acute pain Related to: It is related to post left hip replacement. John is complaining of pain and is reluctant to move out of bed, despite being encouraged by doctors and nurses. He also has arthritis on right hip and knee, which is impairing his ability to mobilise. He requires assistance with bathing. Desired outcome: To achieve and improve the state of the patient to improve comfort in the postoperative stage. Ongoing Assessment: Assessing the patient heart rate, blood pressure and respiratory rates. Assessing the John location of the colon surgical site, ensuring frequency , duration and intensity of the pain. Rationales: They provide baseline information. pain may cause increase in heat rate, changes in blood pressure and respiratory changes. They occur due to changes in associated with nervous system. Pain at this stage of Jones surgery, is excepted due to the manipulation of the tissues in the operative position (Koaier et al, 2015). Persistent pain may indicate may indicate complication in the surgical site. Hence providing appropriate pain management will enable John to rest and be able to effectively perform functions such as normal breathing, coughing and ambulation (Petrella, Decaria and Petrella, 2011). Therapeutic intervention : Use of PCA (Patient Care Assistant)- This allows patients to control their own drug medication by simply pressing the pump on the button, which guides small drug, (Levett-Jones, Tracy Phelain, 2013, pp. 181-190). Use of non pharmacological treatment measures- It is aimed at reducing the pain and its sensation. It enhances maximising the patient ability to tolerate the procedure side effects. Main use for patients with mild pain and can be used as a therapy regime in the postoperative stage exist as least toxic drug for pain management in cancer management., (Levett-Jones, Tracy Phelain, 2013, pp. 181-190). Managing pain through the use of analgesic drugs management - Encouraging and assisting the patient for deep breathing exercise with a minimum of 10 times every hour. Effective pain control management allows for deeper breathing patterns and coughing. Patients using patient controlled analgesia require reminders to push the action in the postoperative process until they fully recover. The deep breathing exercise allows for keeping the alveoli from collapsing and promoting return to full consciousness (Doenges, Moorhouse Murr 2013, pp. 243-244). In the post operative care, the needs of the patient should be prioritized with most care (Petrella, Decaria and Petrella, 2011). Due to greater risks of pain, infection, ineffective breathing, deep vein thrombosis and impaired wound healing, there is need to offer close family members who are providing care for patient John. Thus, there is need for consideration of various nursing care plans which will be of help in the recovery phase of the patient References Kozier, B, Erb, GL, Berman, A, et al., 2015, Kozier and Erb's Fundamentals of Nursing [3rd Australian edition]. Pearson Australia, Melbourne, VIC, Australia. Doenges, ME, Moorhouse, MF Murr, AC 2013, Nurse's pocket guide: diagnoses, prioritized interventions, and rationales, 13th edn, FA Davis, Philadelphia, USA. Levett-Jones, T and Fagan, A 2015, chapter 13 in Diagnosing, in A Berman, et al (eds), Kozier and Erb's fundamentals of nursing, vol. 1, Frenchs Forest, Pearson, pp. 180-290. Petrella RJ, Decaria J and Petrella MJ. 2011,Long term efficacy and safety of a combined low and high molecular weight hyaluronic acid in the treatment of osteoarthritis of the knee.Rheumatology Reports. 3(1):1621