Hlten503B Contribute to Client Assessment and Developing Nursing Care Plans

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Assignment - student 1 Section 1 1. Case Study Mrs. Green Mrs. Green is a 55 year old female who had a total knee arthoplasty 3 days ago. The client is on 6 hourlyobservations. The last set of observation are: Temp 36.5 C, RR 22, HR 110, BP 170/86mmHg and SpO298% on room air. She has been complaining of ‘awful Pain’ in her knee. She has refused to have a shower and do her routine ROM exercise due to the pain in her knee. She required assistance to perform ADL’s at this stage and expresses feelings of embarrassment and frustration. Mrs. Green has also reported that she has not opened her bowels since the operation.Socioeconomic status: Mrs. Green lives with a husband and has three grown up children. 1. Write a nursing care plan for Mrs. Green:Provide two (2) actual and two (2) potential nursing diagnoses include interventions andexpected outcomes for each. Use the template provided.2. What are three (3) gender specific nursing care needs for Mrs. Green? Most patients require gender specific nursing care during treatment (Stainton et al, 2011). Themost important three gender specific nursing care needs of Mrs.Green are to have theassistance of a female physiotherapist in performing exercises and also the help and assistanceof a female care giver in performing ADLs. 3. Describe two (2) priority needs to be considered in planning for Mrs. Green’s discharge? The major priority needs that has to be considered in planning for Mrs. Green`s discharge areeducating the patient and the family regarding the after-discharge care and medical treatmentby initiating patient specific – care plans, establish patient referrals with other teams likephysiotherapy and primary care providers (Lees, 2004). In the case of Mrs.Green, nurse shouldgive priority in educating Mrs.Green and her family members regarding guidance on performingthe activities of

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