Prince George Community College Patient Fall Concept Map & Analysis Paper

Prepare: Written Analysis and Concept Map based on this patient information;

Primary admitting diagnosis: Closed fracture of the neck of the right femur which was caused by patient fall. This led to ORIF of the right hip.

Labs ordered: WBC (8.85), Hemoglobin (13.1), Platelet count (189), RBC (3.45), MVC (110.40, MCH (38.0), MCHC(34.4), RDW (13), MPV (9.8).

Diagnostic test: Fluoroscopy, CT hip Right WO contrast, XR Pelvis Portable.

A) Come up with possible physician orders for this patient.

B) Prepare a table describing the pharmacotherapies: Medication, dose, frequency, route, class, top 3 side effects, indications. Here are the list of medications; –

ceFAZolin(ANCEF): 2 g/ Intravenous/ every 8 hours

HYDROcodone-acetaminophen (NORCO): 1 tablet/ oral/ once PRN

Enoxaparin (LOVENOX): 40 mg/ subcutaneous/ daily

fentanyl (PF) (SUBLIMAZE) injection: 25 mcg/ Intravenous/ every 5 mins

HYDROmorphone (DILAUDID) injection: 0.5 mg/ intravenous/ every 10 mins PRN

Metoclopramide (REGLAN) injection: 10 mg/ intravenous/ once PRN

Promethazine (PHENERGAN) injection: 6.25 mg/ intravenous/once PRN

Dexamethasone (DECARON) injection: IV/ as needed

Phenylephrine (NEO-SYNEPHRINE): 100 mcg/ml/ IV/ as needed

Propofol (DIPRIVAN): 10 mg/ml/ infusion

***** listed above are the medications including their dose, frequency and route. All you need to add is, the class, top 3 side effects, and indications. Then put all the information (medication, dose, frequency, route, class, side effects, indications) in table.

C) Using Gordon’s functional health patterns, list at least 3 Nursing Diagnoses (NDx) based upon analysis of the data (must have at least 1 actual physiological, 1 psychosocial, and 1 educational nursing diagnosis clearly identified). All identified NDx listed from highest priority to lowest priority.

D) Demonstrate appropriate use of nursing process: Select and prepare a plan of care for the patient’s priority Physiological NDx identified. All components included:
• NDx with all relevant data;
• Patient-centered goal (measurable and timeframe);
• 3 or more patient-centered expected outcomes in SMART format;
• 4 or more nursing interventions with evidence based (EBP) rationale and citation;
• Evaluation of interventions and whether met/unmet/partially met with plan for revision.

E) Demonstrate appropriate use of nursing process: Select and prepare a plan of care for the patient’s priority Psychosocial NDx identified. All components included:
• NDx with all relevant data;
• Patient-centered goal (measurable and timeframe);
• 3 or more patient-centered expected outcomes in SMART format;
• 4 or more nursing interventions with evidence based (EBP) rationale and citation;
• Evaluation of interventions and whether met/unmet/partially met with plan for revision.

F) Demonstrate appropriate use of nursing process: Select and prepare a plan of care for the patient’s priority Educational NDx identified. All components included:
• NDx with all relevant data;
• Patient-centered goal (measurable and timeframe);
• 3 or more patient-centered expected outcomes in SMART format;
• 4 or more nursing interventions with evidence based (EBP) rationale and citation;
• Evaluation of interventions and whether met/unmet/partially met with plan for revision.

G) **** Based on the selected nursing diagnosis, answer the following questions

1.Using Gordon’s as a guide, which nursing diagnoses are identified for this client? (Separate each Gordon’s pattern into a paragraph). “Problem” Related to “_____“ Evidenced by “____” format.

4.Which nursing diagnosis is second most important to address with this client? Explain how this was determined.

6.What is the goal for the client to show that the priority problem is reduced or resolved?

7.What would a nurse (you) need to do for the client to help the client meet the goal?

8.How would you know that the client has met the goal?

H) In one paragraph, write a discharge plan for this patient. It should include but not limited to this; helpful resources, patient education etc.

****** reference should be in APA format. Do not forget to include in text citations.