The RN is developing a plan of care for an 86yearold patient

The RN is developing a plan of care for an 86-year-old patient who was admitted after falling at home. The patient is confused to place and time and has a right hip fracture that will be repaired tomorrow. The patient has an intravenous infusion of normal saline infusing at 100mL per hour, and is NPO after midnight. The patient’s vital signs are stable. The RN has included these nursing diagnostic labels in the plan of care:

Acute pain

Acute confusion

Impaired bed mobility.     

Answer the following three questions:

                Identify a strategy to cluster the assessment data.

               Describe how you used the identified strategy to cluster data for one (1) of the identified diagnostic labels.

               Write a 3-part nursing diagnostic statement for this patient.

Solution

RN can keep these points while planning care of patient

1. RN should give painkiller / analgesic to patient if he complain pain

2. RN should tell patient right posture so that fracture part pain less

3. RN should made aware of patient about surgery of fracture

4. RN should tell patients about post operative exercise and setting position

5. RN should follow doctor\' s prescription and patient should be made aware of different exercise after operation which can comfort patient and help in reviving patient soon