Plese help me. I have case study

Plese help me. I have case study but don’t have any reference. please read it carefully. Mrs. Rose centers is a 71 year old female who is admitted to hospital yesterday via ambulance. She had a fall at home, she is a previously healthy woman who loves in a condo with her husband in the city. She has two kids and a couple of grandchildren who also live in the city and are supportive. She has a history of hypertension for which she is on medications and suffers from insomnia. So she fell at her condo states. She did not hit her head. She slipped in some water on the kitchen floor and she was on the floor for about three hours or so. Her husband came home called the ambulance right away. She is alert and oriented to person, place and time. Her purpils are reactive light and she has minimal pain at this time. Vital signs are normal, BP98/75, P85, RR22, SPO2 98% on RA. Pulses are palpable, she has a bruise to her right knee and side of her leg. She says she is not in any pain at this time, also the nurse checked her head for any sort of injury or laceration and there’s none at this time. During the pain assessment Mrs. Rose provides the following information: She has allergies to penicillin She’s complaining 3 out of 10 for pain in her right leg where she had fallen in hurt herself. This is the new onset of pain from the fall that is progressively getting worse and jurts more with movement. she describes the pain as a throbbing adult ache. it is localized to her right leg where she has the bruising and a bit of swelling. the skin is intact. she has not had andthing for pain yet but I think we do need to give her something to help relieve her of the pain. After assessment the nurse wants to give her 650mg of Tylenol. Because while she rated at three out of ten for pain and has not received anything as of yet. Normally we should start with a non-opioid analgestic for mild pain. Use the nursing process to identify the following from the information provided in the case study. Assessment: Assessment Data for the patient Diagnosis & Analysis: What is the priority problem being experienced by the patient? This is your diagnosis. Planning: How and When does this need to be fixed? What are the priorities? Intervention: What nursing interventions both pharmacological and non-pharmacological can you use to support this patient’s care needs that DIRECTLY will impact the priority problem? How do you know this is an important intervention? Evaluation: This is your outcome! What do you expect will happen after the intervention is implemented? What is the timeline that it should be completed within? Your care plan must include: 1) Diagnosis – choose ONE that pertains to the client 2) 2 goals related to the above diagnosis 3) For EACH goal you are required to have two interventions; one related to social determinants of health the other anatomical/physiological 4) Each intervention needs an outcome statement please ensure you include a TIMELINE Rubric: Care Plan Assignment Requirement Grade Comments Template Completed /2 Assessment Complete patient assessment by systems Areas of concern and/or symptoms identified Similar areas of concern and/or symptoms grouped/clustered together Areas of concern and/or symptoms are prioritized, highest to lowest Actual or potential problem indicated and listed /5 Nursing Analysis & Diagnosis One priority problem identified that shows evidence of critical thinking and that there is an understanding of the client’s condition PES statement Nursing diagnosis identified and supported by defining characteristics and related findings Defining characteristics and assessment data relevant to identified nursing diagnosis transferred to Assessment column of NCP template /10 Outcomes/Goal Two goals written relating to nursing diagnosis and specific to the patient’s needs Each goal written as an action (SMART) Goal is focused on resolving symptoms /10 Interventions and Rationales Interventions are appropriate for the specific patient and outcome/goal and show evidence that client’s condition and developmental level is understood Rationales provided for each intervention and supported by nursing theory and scientific evidence (Referenced) Evidence of critical thinking References are appropriate and scholarly Two interventions identified for each outcome/goal /10 Evaluation Evaluation statement indicates when and how the client outcome/goal will be evaluated as met or unmet for the specified timelines /5 TOTAL GRADE /42 CARE PLAN TEMPLATE Nursing Diagnosis/Priority Problem: I need one diagnosis Goal 1 Form Assessment Data/ Defining Characteristics (Signs and symptoms supporting the chosen nursing diagnosis) Client Outcomes (SMART: specific, measurable, achievable, realistic and time specific) Nursing Interventions (Nursing initiated actions based on the medical plan of care and client outcomes) Rationale/Evidence Based (Reasons why each intervention is expected to work; connect to nursing theory, pathophysiology, APA cited) Evaluation (Expected Outcomes achieved? Not achieved? What is next? Future plan) Goal 2 Form Assessment Data/ Defining Characteristics (Signs and symptoms supporting the chosen nursing diagnosis) Client Outcomes (SMART: specific, measurable, achievable, realistic and time specific) Nursing Interventions (Nursing initiated actions based on the medical plan of care and client outcomes) Rationale/Evidence Based (Reasons why each intervention is expected to work; connect to nursing theory, pathophysiology, APA cited) Evaluation (Expected Outcomes achieved? Not achieved? What is next? Future plan)

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