Case Study: A Patient with Visual Impairment

Case Study: A Patient with Visual Impairment Mrs. Owen is a 78-year-old woman who has just been admitted to the hospital’s rehabilitation unit. She is recovering from an open reduction with internal fixation of her right hip. She fractured her hip 5 days ago at home when she fell getting up to go to the bathroom in the middle of the night. The circumstances of the fall were not documented because she lives alone, but Mrs. Owen states, “I got my feet all tangled up in an electrical cord I was using to run the fan because it was so hot in my room. I just didn’t see it.” Mrs. Owen has a daughter who lives in a nearby town. The daughter states she is unaware of any other falls her mother may have had, but has noticed numerous bumps and bruises on her mother’s arms and legs within the past few months. Mrs. Owen denies this, saying, “Oh, I bruise easily. I always have. It’s worse since I’m taking an aspirin every day.” Additional medications include atenolol for hypertension, imipramine for depression, and pilocarpine eyedrops for glaucoma. Mrs. Owen has a regular primary care provider, but has not seen her eye doctor for several years. She states, “Oh, he never does a thing for me. He only tests the pressure in my eyes and says OK, you’re good.” a. Identify assessment data b. Formulate nursing diagnosis c. Formulate nursing care plan appropriate to the condition of the patient. NURSING CARE PLAN Nursing Assessment: Subjective data: Objective data: Nursing Diagnosis: Nursing Inference: Nursing Goal/Outcome: Nursing Interventions Rationale Nursing Evaluation:

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