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2 pages/β‰ˆ550 words
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Style:
APA
Subject:
Health, Medicine, Nursing
Type:
Essay
Language:
English (U.S.)
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Topic:

Case Scenario- MSKL. Health, Medicine, Nursing Essay

Essay Instructions:

Dear writer,
Please copy & paste questions then write the answer and please follow the teacher's instruction.
Thank you
Discussion Mr. Z
Here is what you need to do:
For this week's discussion board think back to Mrs. Z from the case scenario. Based on what you have learned this week about management of clients with musculoskeletal disorders answer the following questions:
This can be in point form for your DB
1.What else would you do in this situation with Mrs. Z?
2.What other options or alternatives would you explore and why for Mrs. Z?
3.What referrals might you make for Mrs. Z at this time?
4.Who else on the interprofessional team would you involve in Mrs. Z’s care?

Nursing Care Kardex
You should have also read the handoff nursing report and reviewed Mrs. Z health history. In order to plan your care you need to check the Nursing Care Kardex to obtain additional information and the medical orders. Now click here for the nursing care Kardex for Mrs. Z.
Name: Mrs. Z
Age: 72
Diagnosis: Fracture of right hip
VS q4h
Ambulate with assistance prn
O2 @ 2L/min/NP
neurovascular checks q4r for the first 24 hours
I&O
IV of D5/0.45% NS at 75 mL/hr
IV PCA with morphine sulfate img/hr continuous infusion
Catheter care: bid
Diet: clear fluid diet
Routine meds: FeSO4 325 mg po tid with meals (start when on regular diet); docusate sodium 100 mg po daily.

It is now 0730. As you enter her room you noticed that Mrs. Z is very restless and confused this morning. You are planning your care activities for Mrs. Z. Using the list below, think about how you would prioritize the five nursing interventions as you would do them to initially take care of Mrs. Z.
INSERT A NUMBER BOX FOR THIS ACTIVITY
Assess surgical dressing
Take vital signs, assess pain level, check pulse oximetry
Assess neuro status
Assess right leg position and body alignment
Check neurovascular status of right leg
NEED FEEDBACK/ANSWERS WITH RATIONALES - TO DOWNLOAD FROM PUBLISHER WEBSITE
During the follow-up assessment for the first postop day, you note the following:
Pedal pulse present: weak in the right foot, stronger on left foot
Hemoglobin 10.5g/dL and hematocrit 32%
Bowel sounds hypoactive in all quadrants
Anxious and restless
Crackles in the lower bases of the lung
Based on your nursing assessment and critical thinking select the nursing diagnosis that is a high priority at this time. You should have a rationale for your selection.
Note: all of the following nursing diagnosis may apply to Mrs. Z. The key is to select the nursing diagnosis that is the highest priority at this time.
Using the following list, check only the one you think is the highest priority.
Nursing Diagnoses
Click one option
Acute pain
Impaired urinary elimination
Risk for injury
Risk for infection
Anxiety
Impaired gas exchange
Activity Intolerance
Fatigue
Risk for impaired skin integrity
Impaired physical mobility
Ineffective peripheral tissue perfusion
Acute confusion
Disturbed sleep pattern
Constipation

Essay Sample Content Preview:
Case Scenario of Mrs. Z
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Case Scenario of Mrs. Z
Musculoskeletal disorders are diseases that affect the functionality of body muscles, bones, and joints (Davis & Kotowski, 2015). In most cases, it is difficult to manage the disorders since they can affect the whole body. For instance, AS Kinge et al. (2015) illustrated, an injury on the leg can radiate pain up to the neck. Musculoskeletal infections affect the overall coordination of movement. The interaction of bones, nerves, ligaments, tendons, and body tissues within the muscles means that when one is affected, the others may not be able to work well. Patients with musculoskeletal injuries experience minimal movement and ability to carry out their daily activities. As a result, excellent treatment and management of the disorders are essential in promoting the quality of life of the patient (Wiitavaara, Fahlström & Djupsjöbacka, 2017).
1 What else would you do in this situation with Mrs. Z?
In addition to reviewing the medical chart for Mrs. Z, I would come up with pain management strategies focusing on the needs of the patient. I would first start by determining if the reason for Mrs. Z falling at home as a result of high blood pressure. In this case, I would look for treatment options that will increase the pedal pulse on the right food. Weaker pulse means that there is a chance of inadequate blood supply to the leg, which may affect the patient’s foo functionality. Thus as illustrated by Wiitavaara, Fahlström, and Djupsjöbacka (2017), I will look for alternatives to increasing blood supply to the right foot pedal. Also, I will administer pain management medication to reduce restlessness and anxiousness.
2 What other options or alternatives would you explore, and why for Mrs. Z?
As Kinge et al. (2015) indicated, depending on the needs f the patient, all musculoskeletal techniques may not be appropriate for Mrs. Z’s case. Thus, in coming up with management strategy, I would focus on determining the particular injury resulting in musculoskeletal disorder. Also, I would evaluate the current symptoms of Mrs. Z and relate them to the treatment approaches. Besides, I would explore occupational and ...
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