Friday, January 20, 2012

Help with diagnosing and writing a nursing care plan!?

Betty, an 82-year-old widow, arrives to an acute care facility by ambulance. Because Betty had not answered her phone since noon yesterday, her daughter went to her home to check on her. She found Betty lying on the kitchen floor, incontinent of urine and stool, with complaints of (C/O) pain in her right hip. Her daughter reports a past medical history (PMH) of hypertension (HTN), angina, and osteoporosis. Betty takes propranolol (Inderal), nitroglycerin patch, indapamide (Lozol), and conjugated estrogen (Premarin) daily. The daughter reports that her mother is normally very alert and lives independently. On examination you see an elderly woman, approximately 100 pounds, holding her right thigh. You note shortening of the right leg with external rotation and a large amount of swelling at the proximal thigh and right hip. Betty is oriented to person only and is confused about place and time. Betty's vital signs (VS) are 90/65, 120, 24, 97.5掳F; her Sao2 is 89%. She is profoundly dehydrated. Preliminary diagnosis is fracture of the right hip.





-Need to come up with 2 nursing diagnoses %26amp; prioritize diagnoses %26amp; list them in order of priority


- Develop a care plan


-provide the evidence subjective and objective data as to why chose the diagnoses


-indicate which diagnosis is the priority


-develop a client centered plan with measurable goals


-list references in APA format 6th edition|||Do your own damn homework.

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