Mrs. Brady is a 58 year old woman who is admitted to your unit post op from an ORIF (open reduction internal fixation) of the left hip. She is now three days post-op and has started physiotherapy. Her pain has been manageable since her surgery and she is keen to go home. Her Foley catheter was removed yesterday evening.
You arrive for your day shift and find Mrs. Brady in the bathroom. She tells you that she feels as though she needs to void, but that she has tried multiple times overnight and nothing has happened. She reports 6/10 pain to the pelvic region and appears to be in discomfort as she is unable to stay still and is diaphoretic.
You assist Mrs. Brady back to her bed and perform your head to toe assessment. Her vital signs are as follows: T- 36.8 C, P- 110 bpm and regular, BP 145/80, Sp02- 95% on room air and RR- 16 per minute, easy and regular. Her cardiovascular and neurological assessments show no abnormalities. She denies any gastrointestinal symptoms. On assessment, you are able to palpate her bladder above the symphysis pubis. She reports discomfort on palpation and says it makes her feel as though she needs to void again. You decide to ask the clinical instructor to assist you in bladder scanning the patient. The bladder scan shows 450 mL of urine in the bladder. Mrs. Brady tries once again to void and is unable to.
One week later, you are caring for Mrs. Brady again. Her orders read:
Dressing change today and remove alternate staples.
5. Please describe six points that you would assess and document about Mrs. Brady’s dressing change/incision (6)
6. After removing alternate staples, gaping of the incision is evident. What are your next steps? (list a minimum of 4 steps) (6)
7. Mrs. Brady asks you if there is anything she could be doing to help her incision heal faster. Using current evidence based literature, please provide at least three suggestions for Mrs. Brady. (6)
5. Please describe six points that you would assess and document about Mrs. Brady’s dressing change/incision
6. After removing alternate staples, gaping of the incision is evident. What are your next steps?
7. Mrs. Brady asks you if there is anything she could be doing to help her incision heal faster. Using current evidence-based literature, please provide at least three suggestions for Mrs. Brady.
Mrs. Brady is a 58 year old woman who is admitted to your unit post op...
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