HIP DISLOCATION<\/p>\n
Name<\/p>\n
Date<\/p>\n
Background information:<\/p>\n
Age: A.G Gender: MALE Ethnicity: AFRICAN AMERICAN Religion: BAPTIST <\/p>\n
Occupation: RETIRED <\/p>\n
Code Status: FULL CODE Allergies: BENAZEPRIL HCL and AMLODIPINE BESYLATE<\/p>\n
Presenting symptoms (include history of present illness)<\/p>\n
DISLOCATION OF HIP JOINT PROSTHESIS (Right Hip)<\/p>\n
Past Medical History<\/p>\n
HYPERTENSION<\/p>\n
AVASCULAR NECROSIS OF BOTH HIPS<\/p>\n
Past Surgical History <\/p>\n
HIP SURGERY- BILATERAL HIP REPLACEMENT OF BOTH HIPS<\/p>\n
-123825-390525Physiologic<\/p>\n
If more space is required, please use this box, instead of the box on page one.<\/p>\n
Neurologic: <\/p>\n
Cardiovascular<\/p>\n
Respiratory<\/p>\n
Gastrointestinal<\/p>\n
Urinary<\/p>\n
Musculoskeletal<\/p>\n
Integumentary<\/p>\n
Reproductive<\/p>\n
00Physiologic<\/p>\n
If more space is required, please use this box, instead of the box on page one.<\/p>\n
Neurologic: <\/p>\n
Cardiovascular<\/p>\n
Respiratory<\/p>\n
Gastrointestinal<\/p>\n
Urinary<\/p>\n
Musculoskeletal<\/p>\n
Integumentary<\/p>\n
Reproductive<\/p>\n
Primary diagnosis: physical therapy; <\/p>\n
Secondary Diagnosis: Total hip replacements; implants<\/p>\n
Pathophysiology <\/p>\n
Prescribed medications at home:<\/p>\n
Generic & trade name<\/p>\n
& classification of medication Dose\/route Frequency Purpose<\/p>\n
GEeneric name: <\/p>\n
Phenylbutazone<\/p>\n
Trade name:<\/p>\n
Cotylbutazone<\/p>\n
1-2 months depending on the severity of injury 2 tablet 2 times daily Relieving pain<\/p>\n
Medications ordered this hospitalization: <\/p>\n
Generic & trade name<\/p>\n
& classification of medication Dose\/route Frequency Reason administered<\/p>\n
to this client Effects of medication<\/p>\n
on this client<\/p>\n
.) Ondansetron Hcl. Zofran injection 4mg<\/p>\n
.) Acetaminophen. Tylenol <\/p>\n
.) Valsartan. Diovan<\/p>\n
.) Al Hydrox\/ Mg Hydrox\/ Simethicone. Maalox<\/p>\n
.) Mupirocin Bactroban Nasal 2%. Ointment<\/p>\n
.) Magnesium Hydroxide. Milk of Magnesia<\/p>\n
.) Hydromorphone Hcl. Dilaudid<\/p>\n
.) Hydrochlorothiazide. Hydrodiuril 4mg IV<\/p>\n
650mg PO<\/p>\n
160mg PO<\/p>\n
15ml PO<\/p>\n
1 gm NS 2000 ONE<\/p>\n
30ml PO<\/p>\n
0.5mg IV<\/p>\n
12.5mg PO Q8HR PRN<\/p>\n
Q6HR PRN<\/p>\n
QDAY SCH<\/p>\n
Q6HR PRN<\/p>\n
DAILY PRN<\/p>\n
Q3HR PRN<\/p>\n
QDAY SCH For Nausea and Vomiting<\/p>\n
Temperature greater than 105<\/p>\n
For upset stomach\/indigestion<\/p>\n
For constipation<\/p>\n
For Pain Dizziness<\/p>\n
Activity<\/p>\n
Pain relief<\/p>\n
Diarrhea <\/p>\n
Insomnia<\/p>\n
Irritation<\/p>\n
Diagnostic studies:<\/p>\n
Test & definition Initial admission test results &<\/p>\n
date performed Significance of results<\/p>\n
to client\u2019s condition Most recent test results (if test repeated) & date performed Significance of repeated test results to client\u2019s condition<\/p>\n
Physical therapy<\/p>\n
Surgery<\/p>\n
10\/09\/2012<\/p>\n
12\/09\/2012 <\/p>\n
Pain relieving<\/p>\n
Treatment Test not repeated<\/p>\n
Test not repeated Not applicable<\/p>\n
Not applicable<\/p>\n
Based on your assessment data and the chart above, identify as many problems as possible, for example: Pain, Anxiety, Infection. (List Below)<\/p>\n
1. Confusion<\/p>\n
2. Panicking<\/p>\n
3. Asthenia<\/p>\n
4. Depression<\/p>\n
5. Bone pain<\/p>\n
6. Joint pain<\/p>\n
7. Headache<\/p>\n
8. Severe skin reactions<\/p>\n
9. Dyspepsia<\/p>\n
10. Bone loss<\/p>\n
Based on the problems you have listed, identify the top three problems, and prioritize them.<\/p>\n
Severe skin reactions <\/p>\n
Depression <\/p>\n
Bone pain <\/p>\n
Using the problem with the highest priority, identify an appropriate nursing diagnosis based on NANDA and develop a Care Plan for your client. <\/p>\n
Prioritize 3 nursing diagnoses for your client and write a plan or care.<\/p>\n
#1. Nursing Diagnosis<\/p>\n
Related to: Severe skin reactions<\/p>\n
As evidenced by: Diagnosis process of the Hip dislocation<\/p>\n
Subjective data: Primary diagnosis<\/p>\n
Objective data: Secondary diagnosis<\/p>\n
Goal: Permanent and long lasting remedy to the three prioritized effects<\/p>\n
Expected Client Outcome<\/p>\n
(in behavioral terms, time referenced, measurable) \u201cClient will. . . \u201c Prioritized Interventions: Rationale(s) for Interventions Evaluation of Client Outcomes:<\/p>\n
(state date achieved)<\/p>\n
Then client will be relieved from pain, recover and be discharged after a rigorous treatment for a period of two months. The diagnosis will be done at a very slow rate to ensure that the patient is fully treated. Giving a combination of physical therapy and recommended drugs to the patient Perpetually mitigating the conditions On 07\/10\/2012, the patient fully recovers.<\/p>\n
All the problems solved<\/p>\n
#2. Nursing Diagnosis<\/p>\n
Related to: Depression<\/p>\n
As evidenced by: Nurse<\/p>\n
Subjective data: Primary diagnosis<\/p>\n
Objective data: Secondary diagnosis<\/p>\n
Goal: To permanently relieve the patient from depression<\/p>\n
Expected Client Outcome<\/p>\n
(in behavioral terms, time referenced, measurable) \u201cClient will. . . \u201c Prioritized Interventions: Rationale(s) for Interventions Evaluation of Client Outcomes:<\/p>\n
(state date achieved)<\/p>\n
The patient is to be mentally stable and regain full consciousness after a two week therapy (French, Linda M. and Dietz, F., 2004). Counseling therapy to be carried out. The patient will be seriously counseled on the best steps to take in order to lead a more comfortable life.<\/p>\n
The patient fully recovers on 1\/10\/2012<\/p>\n
#3. Nursing Diagnosis<\/p>\n
Related to: Bone pain<\/p>\n
As evidenced by: The nurse<\/p>\n
Subjective data: Primary therapy<\/p>\n
Objective data: Secondary therapy<\/p>\n
Goal: To solve the problem of bone loss<\/p>\n
Expected Client Outcome<\/p>\n
(in behavioral terms, time referenced, measurable) \u201cClient will. . . \u201c Prioritized Interventions: Rationale(s) for Interventions Evaluation of Client Outcomes:<\/p>\n
(state date achieved)<\/p>\n
The patient is expected to recover within one month Use of pain relieving drugs: Acetaminophen Hydrocodone and <\/p>\n
Acetaminophen Tramadol Floyd, R.T., 2009). Permanently relieving bone pains from the patient The patient fully recovers on 6\/10\/2012.<\/p>\n
References<\/p>\n
Floyd, R.T. (2009). Manual of structural kinesiology. New York, NY: McGraw-Hil<\/p>\n
French, Linda M. and Dietz, F. (2004) Screening for Developmental Dysplasia of the Hip. American Academy of Family Physicians.<\/p>\n","protected":false},"excerpt":{"rendered":"
HIP DISLOCATION Name Date Background information: Age: A.G Gender: MALE Ethnicity: AFRICAN AMERICAN Religion: BAPTIST Occupation: RETIRED Code Status: FULL<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-38799","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"\n