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
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
Chapter10: Infection Control
Section: Chapter Questions
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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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