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You are advised to develop a Concept

You are advised to develop a Concept Map follow by the case Scenario below. Ms. Shirley Grace a 68 year old Female, single and lives alone, and presents with chief complaints of pain to left hip, radiating to left leg rating pain level “11” on the numeric scale 0 – 10. Client is currently admitted with a medical diagnosis of Left Hip Fx. On this admission, client reports medical h/o HTN, CAD, Obesity, DM, Chronic pain > 3 months to left Hip, Hyperlipidemia (HLD), smoke one pack cigarette a day, client denies elicit drugs and alcohol. Client Denies Claudication and paresthesia symptoms at the affected site. Current medications: Oxygen 2 liter via N/C, continuous Metoprolol Tartrate 25 mg 1 tab oral two time Heparin injectable 5,000 unit subcutaneous every 12 hours Insulin Garglene injectable (Lantus) 20 unit Subcutaneous at bedtime Pantoprazole 40 milligrams 1 tablet oral every day Simvastatin 10 my 1 tab oral daily at bedtime Meds PRN Acetaminophen 325 mg 2 tabs oral every 6 hours as PRN (needed )(1 – 3) Hydromorphone injectable 1 mg IVP every 6 hours PRN (as needed) (7 – 10) Oxycodone 5 mg/Acetaminophen 325 mg 2 tabs oral every 4 hours PRN (as needed) 4 – 6. Physical assessment findings: Ms. SG appears anxious, moderately dyspneic at rest. Color WNL for ethnicity Vital signs (V/S) B/P 130/80, HR. 110, R. 22. oxygen oxymetry: 92% in 2 L via N/C ABG: PC02 45, PAO2 92%, PH 7.38 Weight: 170 Lbs, height: 5.4 Labs: On admission Peak Flow Rate (PFR) 60% which indicates mild dyspnea. Lungs clear on auscultation CBC: Hemoglobin 14 and Hematocrit 45 (H/H) 16/49, WBC: 5,000. Review of system information (ROS): Neurological: Alert and oriented to time, place, and person. Good historian Respiratory: Mild Dyspnea Breath sounds: inspiratoty = expiratory, and on auscultation Adventitious sounds: None findings bilaterally Cardiovascular: Heart rate 110 strong and regular Jugular venous distention: Negative on assessment Peripheral edema 2 + Elimination Pattern Gastro intestinal (GI): Abdominal soft. nondistended Bowel sounds present in all four quadrants Bowel habits: Consistent. Last BM: 9/16/2022: Stools characteristics: Firm Genitourinary (GU): As per patient states, no abnormality upon urination. Void frequently, color: Clear yellow urine Mobility: Mobile with unsteady gait Integumentary (skin): Dry, warm, and intact Skin color: WNL for etvhnicity Diet: 2 grams sodium as ordered Oral fluids: No restrictions Assignment requirements Develop a patient Plan Of Care (POC) using Concept Map Tamplate on the case scenario listed above Identify subjective and objective data Define two nursing diagnosis/problems Define two short term goals Define six nursing interventions, briefly explain your rational for each intervention Evaluate the outcomes of your treatment plan Complete a medication list using medication template include Name, dose, route, frequency, class, indications, side effects, and adverse effects (complications) How is the medical diagnosis associated with the nursing diagnosis. What atre the probable causes of the Hip FX result findings What factor contribute to the result finding: ? What interventions can you anticipate? Lastly: Complete Hydromorphone medication and Systems Disorder of Active Learning Template to complete assignment tools

 
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