Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs. She doesn’t drive so social connections are very limited Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints She has a good appetite and states that she adheres to her diabetic diet Her husband does the housekeeping, but the patient is able to cook their meals. Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies Relies on her husband to assist her with ADL’s due to her mobility Has difficulty at times changing her colostomy, husband assists her Patient has no deficits with hearing or communication, but wears glasses Has a supportive extended family Please choose two (2) Nursing diagnosis from the list below Potential impaired skin integrity related to reduced mobility Inability to manage hygiene ADL’s related to restricted mobility Potential acute pain related to surgical incision Altered ability to manage bowel elimination via colostomy related to immobility Potential falls risks related to reduced mobility Potential for impaired skin integrity related to surgical incision right leg

Phlebotomy Essentials

6th Edition

ISBN:9781451194524

Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)

Chapter1: Phlebotomy: Past And Present And The Healthcare Setting

Section: Chapter Questions

Problem 1SRQ

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Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet
Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs.
She doesn’t drive so social connections are very limited
Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints
She has a good appetite and states that she adheres to her diabetic diet
Her husband does the housekeeping, but the patient is able to cook their meals.
Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies
Relies on her husband to assist her with ADL’s due to her mobility
Has difficulty at times changing her colostomy, husband assists her
Patient has no deficits with hearing or communication, but wears glasses
Has a supportive extended family

Please choose two (2) Nursing diagnosis from the list below

Potential impaired skin integrity related to reduced mobility
Inability to manage hygiene ADL’s related to restricted mobility
Potential acute pain related to surgical incision
Altered ability to manage bowel elimination via colostomy related to immobility
Potential falls risks related to reduced mobility
Potential for impaired skin integrity related to surgical incision right leg

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