Care Plan A Nursing Assignment Example | Topics and Well Written Essays - 1000 words

Care Plan A Nursing - grant ExampleThe method of prioritization has also been clarified in the beginning of the discussion part. The paper stresses the importance of heart-whole nursing practices and steady and prompt intervention coupled with preventive measures and advanced examinations. Discussion Method of Prioritization The diagnoses suck been prioritized as per the emergency valuement of each. The fear of risk along with lack of mobility is most unspoilt since thither can be sudden accident due to the patients low confidence and proboscis balance problems. The diagnosis of bruising and skin split can be indicative for more serious conditions a desire pressure ulcer. Polypharmacy is a relatively less severe condition since it can be bit by bit addressed. Bowel irregularities are the most chronic and common condition, so this problem is at the end of the priority list. Diagnosis 1 Mrs. Blackwell, aged in her 80, fell at home and subsequently underwent a castigate total h ip anthroplasty. Now she has qualified mobility due to previous falls and recent surgery. She expresses fear of travel again and she finds it hard to use the walking frame. All these facts prove that she has fear of fall along with restricted mobility. Goal To help Mrs. Blackwell improve her Get Up and Go Test rank by 75% in the next 5 weeks. Also, Falls Risk for Older People in the Community paygrade for her should be bettered by 80% in this timeframe. Rationale I will plan low colour and low impact work out schedule for Mrs. Blackwell to initiate effective nursing intervention in this case. Exercises like Tai Chi (Harling and Simpson, 2008) can help her regain her body balance and confidence. This exercise also helps in minimizing depression. This sort of intervention has been widely supported by modern research. Instead of medication and psychiatric treatment it is wise to emphasize the importance of light physical exercise. Physical therapy approach can help in reducing fr acture and fall risk among the older adults to a considerable extent (Karinkanta et al, 2010). Physical exercise and therapy should be such that they help in restoring body balance. Restoration of body balance can be effectively achieved by the means of individual adaptive and specialized programmes. Group training is a probatory initiative in this direction (Halvarsson et al, 2011). Therefore I will try to better Mrs. Blackwells societal network and involve her in the community efforts for the elderly. Last but not least, I will insure her improvement and response to the intervention techniques by using Get Up and Go Test (Brown and Edwards, 2008) to assess the body balance and confidence levels. The Falls Risk for Older People in the Community rating (Russell et al, 2009) is also important in this context. Diagnosis 2 Mrs. Blackwell has the problem of bruising and a skin tear on her left knee. This can be an indication for a serious underlying problem like pressure ulcer. At th is stage, skin honor risk is already evident. Goal To help the patient to minify her skin integrity risk. The aim is to reduce the risk by at least 60% as per the Skin Integrity Risk Assessment Tool in the next 5 weeks. Rationale I will categorize Mrs. Blackwell as a frail elder (White, Karam and Cowell, 1994, p. 95) as she is showing signs of skin integrity complications. Skin integrity can be adversely affected due to epithelial tissue breakage. In the case of an