Question

Scenario: 78 y/o female with history of CHF and diabetes. admitted with urosepsis. lives alone. upon assessment patient has SOB, head raised, 2 ml oxygen given, lung sounds are crackled, o2 drops from 88% to 85%, small urine output that is cloudy, patient was given fluid bolus IV in ED for low bp, increase o2 over time to 6L/min, calls provider and cardio meds are given, patient falls out of bed and has a fractured hip so now she's put in bucks traction. patient also has stage 2 skin breakdown on coccyx, patient rates pain a 4 out of 10, ABG lab indicates patient is experiencing metabolic acidosis and distributive shock

ASSIGNMENT:

Develop a three-diagnosis care plan for the client who has a urinary tract infection. One

diagnosis should be related to discharge planning. Discuss the specific aspects of care for a

client who has multiple chronic condition

how can I make a diagnosis that is related to discharge planning?

Answer 1

Nursing diagnosis -careplan:

1.Impaired urinary elimination related to UTI as evidenced by cloudy urine.

2.Acute pain related to UTI as evidenced by PT complaining and from her expressions.

3.Knowledge deficit related to home care after discharge as evidenced by patient asking questions freequently.

Aspects of care:

1.Medications,instructions about time,dosage of medicines.

2.Diet.

3.Activities or exercise/

4.Treatments.

5.Follow up apointments.

6.s/s and symptoms to observe for

7.care of incisions,wounds,etc.