Phlebotomy Essentials
6th Edition
ISBN: 9781451194524
Author: Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher: JONES+BARTLETT PUBLISHERS, INC.
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Question
Mrs. Smith is an 88-year-old female who lives alone in her home. She walks with a walker. Last night, Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room. In the emergency room, the patient states, “She lost her balance in the bathroom when she was washing her hands and fell to the floor.” According to the daughter, her mom has lost her balance many times but never fell. She doesn’t always use her walker in the house. Her daughter also states, “She needs help getting dressed, taking a shower, and making her meals.” Mrs. Smith states her pain is an 8 out of 10 on a numeric scale of 0 to 10. She also states the pain is constant, worse with movement, and radiates down her leg. Her legs feel weak. The nurse performs an assessment on the patient. She is unable to stand in and apply weight to her legs. The patient is weak in the upper extremities and lower extremities. She is unable to lift her legs off the bed. She is unable to turn from on her side without assistance. She is unable to pull her body up in the bed.
Read the case study.
Write a posting of at least 500 words including the following:
A list of the subjective and objective data, clustered by similarities
An explanation of the significance of the data
An analysis of the data—Why is the data significant according to Maslow's Hierarchy of Needs?
Three nursing diagnoses for this patient
Problem-focused nursing diagnosis has three components:
Problem
Etiology
Symptoms
Reasons you choose each nursing diagnosis
Three outcomes for each nursing diagnosis—outcomes must be specific, measurable, attainable, realistic, and timed
Nursing actions for each nursing diagnosis
Think about the patient holistically. This should be a fairly comprehensive list.
Include all necessary interventions related to each nursing diagnosis, must be measurable and specific.
Provide rationales for each intervention.
Ask two questions for your peers to respond to related to this case
Remember to include citations for your information where appropriate
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