Most of their friends have deceased, and they have little to no support in the community. She has been admitted to the hospital for further assessment and evaluation of her condition. In this assignment, a nursing case management plan will be designed based on nursing assessment and will be presented in the specified format. This will help in care delivery prioritized based on her needs. While presenting this there will be concurrent critical analysis of the care plan in order to justify it based on evidence from contemporary literature (White and Davidhizar, 2006, 46-47). In the nursing practice area, this is viewed as an organizer of care delivery, and in order to meet the standards and need of evidence-based practice, research is frequently used, and this assignment ensures that the care delivered to her is person centred. (Herleman, 2008, 235-244).
Mrs. Chang is an 82-year-old elderly, thin and frail woman with late stage parkinsonism with deficiency of information in this case study about the details of that condition. Generally, this condition presents as gradual slowing of voluntary movement, muscular rigidity, stooped posture, and distinctive rigid gait. She has also evidence of rheumatoid arthritis of both hands leading to severely restricted mobility. Moreover, age-related osteoporosis and osteoarthritis may accentuate her mobility problems further. Increase in frequency of fall is very common. Her current medications have not been mentioned, but she has been on ibuprofen. This indicates that she is on chronic pain, which can further compromise her mobility (Nolan and Tolson, 2000, 39-42).
The goal of nursing management based on this need will be to improvement her mobility. At the end of care, the patient will be more comfortable with decreased pain, so she will be able to perform her activities of daily living as the limits of the disease condition permits, and this will be manifested by maintenance of joint mobility and range of motion while exhibiting adaptive coping behaviour. Ultimately the goal of care would be improvement of her muscle strength and endurance above her current levels (Rubenstein, Powers, and MacLean, 2001, 686-693).
An impaired nervous system leading to a progressive disease can lead to subtle weakness and even drastic loss of mobility. Therefore goals of nursing management would be to slow the progression of the disease and improve the mobility and range of motion to the best possible levels. (Eliopolous, 2005, 1-53).
Intervention from the nursing management aspect should include provision of support and reassurance to help her cope with limited mobility. She would be encouraged to express her feelings about immobility and nodular joints. It is imperative that she and her husband would be included in all phases of care and in the care management plan. There will be all attempts to answer all of their questions honestly. There is a chronic analgesic prescription, but that must tailored to her needs. Self-care at her own pace will be encouraged. The patient will need to have adequate rest, and she and her husba