Assessment (Recognizing Cues): Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data. CASE STUDY: MOBILITY Mrs. Lydia Martin (LM), an 88-year-old widow, lives alone in her single-story home. She prides herself in being fully independent. During the middle of the night, LM fell in her home while walking to the bathroom. She was unable to get up, so she crawled to the telephone and dialed 911. She was transported to the emergency department and underwent diagnostic tests including hip and femur x-ray and computerized tomography, which confirmed a left femoral neck fracture. Her past medical history reveals anxiety, osteoporosis, arthritis, and cataracts. Within 24 hours of admission, LM underwent an open reduction internal fixation (ORIF) surgical procedure on her Left hip. On post-op day 1, the physical therapist began to work with LM; the goal of the session was to get her out of bed to a chair. During the attempted transfer, LM's surgical site was painful and her urinary catheter was pulled, causing pelvic pain. She screamed in pain and refused to continue the process. LM was anxious and fearful of pain; she also became worried that she would never walk again and would end up in a nursing home. She was unwilling to move and declined physical therapy the next 3 days. LM became constipated and lost her appetite. She also developed a stage 2 pressure ulcer over her sacrum. Eventually, on post-op day 4 LM agreed to work with the physical therapist. By this time, LM experienced significant weakness and fatigue and was unable to move independently. LM was later transferred to a rehabilitation center to continue regaining her mobility.
Hello, I am doing a concept map about a case but I need to answer some questions first. Can you please help me please?
The first question is:
Assessment (Recognizing Cues): Which client information is relevant? What client data is most important? Which client information is of immediate concern? Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data.
CASE STUDY: MOBILITY
Mrs. Lydia Martin (LM), an 88-year-old widow, lives alone in her single-story home. She prides
herself in being fully independent. During the middle of the night, LM fell in her home while
walking to the bathroom. She was unable to get up, so she crawled to the telephone and dialed
911. She was transported to the emergency department and underwent diagnostic tests
including hip and femur x-ray and computerized tomography, which confirmed a left femoral
neck fracture. Her past medical history reveals anxiety, osteoporosis, arthritis, and cataracts.
Within 24 hours of admission, LM underwent an open reduction internal fixation (ORIF) surgical
procedure on her Left hip.
On post-op day 1, the physical therapist began to work with LM; the goal of the session was to
get her out of bed to a chair. During the attempted transfer, LM's surgical site was painful and
her urinary catheter was pulled, causing pelvic pain. She screamed in pain and refused to
continue the process. LM was anxious and fearful of pain; she also became worried that she
would never walk again and would end up in a nursing home. She was unwilling to move and
declined physical therapy the next 3 days. LM became constipated and lost her appetite. She
also developed a stage 2 pressure ulcer over her sacrum. Eventually, on post-op day 4 LM
agreed to work with the physical therapist. By this time, LM experienced significant weakness
and fatigue and was unable to move independently. LM was later transferred to a rehabilitation
center to continue regaining her mobility.
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And the last question is:
Evaluation (Evaluating Outcomes): What signs point to improving/declining/unchanged status? What interventions were effective? Are there other interventions that could be more effective? Did the client’s care outlook or status improve?
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The next question is:
Implementation (Take actions) How should the intervention or combination of interventions be performed, requested, communicated, taught, etc.? What are the priority interventions? (Mark with asterisk)
by Bartleby ExpertPlanning (Generate Solutions)
What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted- Goal setting)
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Can you please help me with the next question?
3. Analysis (Prioritizing Hypotheses)
What explanations are most likely? What is the most serious explanation? What is the priority order for safe and effective care? In order of priority, identify the top 3 client conditions.
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The second question is:
Analysis (Analyzing Cues)
Which client conditions are consistent with the cues? Do the cues support a particular client condition? What cues are a cause for concern? What other information would help to establish the significance of a cue?
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