Question

01 Add-ons Help All changes saved in Drive Normal text Calibri BIU AO ESTEET 2 3 4 Using the nursing process as a framework, administer nursing care to the patient with 5 6 the following selected mobility problems: Fractures: Surgical correction of herniated lumbar/cervical disks 2. Hip fractures treated with total hip replacement or open reduction with internal fixation 3. Total knee replacement 2 Describe complications associated with fractures and related nursing measures to prevent complications Explain nursing care issues related to the treatment modalities of traction and casts complete a neunavascilacasseng Collaborate as na cated propriate health care professionals in order to address rehabilitation des annian home care needs Revies the processor Module Sensory nrohlems and related concepts seen within the perioperative

Answer 1

Assessment	Nursing Diagnosis	outcome	intervention	Rationale	Evaluation
Subjective data:patient has fracture or a surgical correction for herniated disk and cervical .	Impaired Mobility related to post-operative status secondary to herniated disk	At the end of 6 hrs patient is able to perform passive range of motion at the end of 24 hours patient is able to perform ADL with minimal dependenc	Assess the patients range of motion,skin integrity,completion of activities of daily living Perform passive and active range of motion by physiotherapy. Turn the patient every 2 hourly. Assist the patients to perform ADL . Encourage the patient for self mobilization on bed	To get a baseline data To prevent contractures To prevent pressure sores For hygiene and good feeling To help the patient gain confidence in mobilization	Patient is able to perform activities of daily living with minimal assistance
Patient operated case of Total hip replacement	Risk for infection related to surgical wound secondary to hip fracture	at the end of 48hrs patient has no fever ,no raised WBC,no ozzing from the surgical site	Assess the patient for any signs of infections like fever ,raised counts. Administer antibiotic prophylaxis.preoperatively Follow sterile technique during the surgery. Use of clippers for shaving and preparations Provide chlorhexidine bath preoperatively. Perform dressings in a sterile way	For a baseline data. To prevent infection. To reduce the biological burden on the body	Patient discharged from hospital without surgical site infection.
Patient case of TKR	Acute pain related to surgical procedures	patient verbalize a reduced pain from 8-4 at the end of 6hrs on a scale of 0-10	Assess the pain for intensity,duration, characteristics Provide a comfortable position using pillows,comfort devices. Provide diversional therapy like music Administer analgesic as per order	To reduce pain	patient at the end of 48 hours reports no pain