NURS-330N6-Medical Surgical Nursing-I-CP-08-2020

NURS-330N6-Medical Surgical Nursing-I-CP-08-2020

While utilizing the provided CARE PLAN template, which was given to you in week one, write a care plan on a newly admitted patient with

1. A total hip arthroplasty

Nursing Care Plan Form (NURS-330N6-Medical Surgical Nursing-I-CP-08-2020)

Student Name:                                               Date:

Patient Identifier:    M.N, 66-year-old A.A male                                     Patient Medical Diagnosis:   A total hip arthroplasty

Nursing Diagnosis (use PES/PE format): Impaired Physical Mobility related to Surgery therapy as evidence by difficulty purposefully moving within the physical environment.

Assessment Data
(Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis)
Goals & Outcome
(Two statements are required for each nursing diagnosis.  Must be Patient and/or family-focused; measurable; time-specific, and reasonable.)

Nursing Interventions
(List at least three nursing or collaborative interventions with rationale for each goal & outcome.)
Rationale
(Provide reason why intervention is indicated/therapeutic; provide references.)
Outcome Evaluation & Replanning

(Was goal met?  How would you revise the plan of care according to the patient’s response to current plan ?)
1.

 

Difficulty purposefully moving within the physical environment.

 

2.

 

Reluctance to attempt movement

 

3.

Reports of discomfort and pain on movement

 

4.

Limited ROM of the operated limb

 

5.

Decreased muscle strength/control

Statement #1

 

The patient will demonstrate increased muscle strength and function of affected hip joint and limb within 24 hours.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Statement #2

 

The patient will report controlled pain and discomfort on the affected limb within 12 hours.
1.

 

Maintain affected hip joint in prescribed position and body in alignment when in bed (Ignatavicius & Workman, 2013).

 

 

2.

Perform and assist with range of motion exercises to the unaffected hip joint.

 

 

 

 

3.

Initiate the patient in a rehabilitative exercise program involving the quadriceps and gluteal muscle, isometrics, leg lifts, dorsiflexion, and plantar flexion of the foot (Ignatavicius & Workman, 2013).

 

 

 

1.

Maintain a proper position of the operated limb (Ignatavicius & Workman, 2013).

 

 

 

2.

Initiate and maintain limb mobilization by ambulation, physical therapy, and ARM exercise (Ignatavicius & Workman, 2013).

 

 

3.

Administer analgesics and muscle relaxants as prescribed (Ignatavicius & Workman, 2013).
1.

 

This provides for the stabilization of prosthesis and lowers the risk of injury during recovery from the effects of anesthesia (Ignatavicius & Workman, 2013).

 

2.

To avoid losing the joint function of the unaffected joint during periods of restricted activity (Ignatavicius & Workman, 2013).

 

3.

To strengthen muscle groups, which increase muscle tone and mass and stimulate circulation to prevent decubitus (Ignatavicius & Workman, 2013).

 

 

 

 

1.

Proper limb positioning reduces muscle spasm and undue tension on the new prosthesis and surrounding tissues (Ignatavicius & Workman, 2013).

 

2.

Limb mobilization increases circulation to affected muscles, minimizes joint stiffness and relieves muscle spasms (Ignatavicius & Workman, 2013).

 

3.

Analgesics relieve surgical pain while muscle relaxants reduce muscle tension and spasm, contributing to an increased overall comfort (Ignatavicius & Workman, 2013).
Outcome #1

 

The goal was met since the patient exhibited increased muscle strength and enhanced hip joint function within 24 hours.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Outcome #2

 

The goal was met as the patient reported decreased pain and discomfort on the operated limb.

 

 

 

 

 

Reference

Ignatavicius, D. D., & Workman, M. L. (2013). Medical-surgical nursing: Patient-centered collaborative care (7th Ed.). Elsevier Health Sciences.

Nursing Care Plan Form

Student Name:                                               Date:

Patient Identifier:                                          Patient Medical Diagnosis:

Nursing Diagnosis (use PES/PE format):

Assessment Data
(Include at least three-five subjective and/or objective pieces of data that lead to the nursing diagnosis)
Goals & Outcome
(Two statements are required for each nursing diagnosis.  Must be Patient and/or family focused; measurable; time-specific; and reasonable.)

Nursing Interventions
(List at least three nursing or collaborative interventions with rationale for each goal & outcome.)
Rationale
(Provide reason why intervention is indicated/therapeutic; provide references.)
Outcome Evaluation & Replanning

(Was goal met?  How would you revise the plan of care according to the patient’s response to current plan ?)
1.

 

 

 

 

2.

 

 

 

 

3.

Statement #1

 

 

 

 

 

 

 

 

 

 

 

 

Statement #2
1.

 

 

 

2.

 

 

 

3.

 

 

 

 

1.

 

 

 

2.

 

 

 

3.

 

1.

 

 

 

2.

 

 

 

3.

 

 

 

 

1.

 

 

 

2.

 

 

 

3.

 

Outcome #1

 

 

 

 

 

 

 

 

 

 

 

 

Outcome #2

 

 

 

 

 

NURS-330N6-Medical Surgical Nursing-I-CP-08-2020

 

MORE INFO 

Medical Surgical Nursing

Introduction

If you’re looking to find out more about the medical surgical nursing field, this is the article for you. We’ll explain what it means to be a med-surg nurse and give some tips on how to become one.

1. What is medical surgical nursing?

Medical-surgical nursing is a practice area that deals with the care of patients who are acutely or chronically ill and require both medical and surgical interventions. Medical-surg nurses work in a variety of settings including hospitals, clinics, long-term care facilities and home health agencies. They provide direct patient care as well as support services to other healthcare workers such as physicians and nurse practitioners (NPs).

Medical-surgical nurses have an educational background in nursing along with certification in at least one specialty area such as surgery or pediatrics. They also must be licensed by their state board of nursing before practicing medicine (except for those working for public health departments).

2. What does a med-surg nurse do?

As a med-surg nurse, you will be responsible for the care of patients who are experiencing a wide range of problems. You’ll also help to coordinate care with other members of the health care team. Med-surg nurses are responsible for the safety and well-being of patients, so it’s important that you’re trained in patient assessment techniques and have strong clinical judgment skills.

3. Where does a med-surg nurse work?

Med-surg nurses work in hospitals, nursing homes and long term care facilities.

4. What are common conditions seen on the medical surgical floor?

The most common conditions seen on the medical surgical floor include cardiovascular disease, respiratory disease, neurological disease, gastrointestinal disease and genitourinary disease.

Cardiovascular Disease: This is a group of disorders that affect the heart muscle or blood vessels in various ways. They can be divided into two categories: coronary artery diseases (CAD) and cerebrovascular accidents (CVA). CAD refers to narrowing of one or more arteries leading from your heart to your brain; CVA refers to blockage due to plaque formation in an artery leading from your brain to your heart.*

Respiratory Disease: Respiratory conditions involve problems with lungs including pneumonia or asthma inflammation . Respiratory diseases may cause coughing up white mucus when breathing deeply.*

5. What are the best tips for med surg nurses?

• Be prepared. Med surg nurses are responsible for ensuring that their patients receive the highest quality of care, so they need to be ready for anything. To do this, med surg nurses should have their supplies and medications on hand at all times and be able to administer them as needed. This also includes knowing how much medication your patient can take per dose; if you’re unsure how much they’ll take before needing more, it’s best to err on the side of caution rather than risk overdose or other side effects (and then having no clue what caused them).

• Be patient with yourself too! Med surg nurses are usually working in shifts throughout the day, so even though you may not see another nurse for hours at a time (or even days), it doesn’t mean that everyone else has forgotten about you—they just haven’t had time during their shift yet!

• Also remember that some patients may be difficult or downright miserable while undergoing treatment; don’t let these instances get under your skin either! Some people prefer Docs over Nurses because they find us more approachable while others aren’t willing/able/interested enough financially

Takeaway:

In this article, we covered the basics of surgical nursing. We looked at how to prepare for and perform a surgery, from getting consent from a patient to performing the procedure itself.

If you’re interested in becoming a surgical nurse or want more information about how your hospital can help train you for this career path, check out our website [here](https://www.nursingschools.org/surgical-nursing/)!

Conclusion

As you can see, medical surgical nursing is a job that requires a lot of hard work and dedication. You will have to deal with many different types of patients, some of which may be very sick and need your help right away while others may just need minor care. In addition, the hours are long and there are not always many breaks available; however, if you want to become an RN in this specialty area then it’s definitely worth it!