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Nursing assesment and its role in care planning - Essay Example
Pages 10 (2510 words)
This paper will seek to discuss the typical presentation of a fractured neck of femur by facilitating prompt admission to trauma and orthopedic care and by conducting a rapid and comprehensive assessment of elderly people with fractured neck of the femur. …
The paper tells that fractured neck of the femur is more common among older people and women and affected individuals are likely to experience significant distress, physical pain, complications, and possible incapacitation. The acronym FALLS served as assessment guidelines for older people who have fallen. FALLS stands for falls history, assessment, locomotor problems, loss, and social circumstances. The Hendrich II Fall Risk Model is used in assessing the degree of risk of falls among elderly population whereas the In Ottawa knee rules identifies the need for further investigation, imaging, or X-ray. The case scenario of Patient X identified nursing care needs in peripheral circulation, safe discharge, and independent rehabilitation. To improve tissue perfusion in peripheral areas, nurses need to: perform patient assessment and monitoring which includes ABCs, C-spine and hemorrhage control to aid the nurse in discovering overt/covert changes in patient’s status at frequent intervals; perform neurological exam such as Glasgow Coma Scale and note vital signs at frequent intervals to early recognize changes and to provide timely and appropriate care; and perform capillary refill checks and assessment of neurovascular function of the immobilized extremity to determine status of tissue perfusion. Discharge plans follow as tissue perfusion is resolved. An effective discharge plan follows the Department of Health’s key principles in discharge planning and is holistic, promote active and equal partnership, well-coordinated, and maximized to the full potential. ...
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