MRS DAMERAE HIP FRACTURE CASE STUDY
Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages To Order 5-10 Pages Description/Paper Instructions
Mrs. Damerae
GENDER FEMALE
SOCIOECONOMIC ■ Lives at home
SPIRITUAL/RELIGIOUS
AGE 77
SETTING Hospital
ETHNICITY Black American
CULTURAL CONSIDERATIONS Age-related complications
PREEXISTING CONDITION Osteoporosis
COEXISTING CONDITION Recent fall
COMMUNICATION
DISABILITY Potential impact of a hip fracture on quality of life
PHARMACOLOGIC Alendronate sodium (Fosamax)
LEGAL
ETHICAL
ALTERNATIVE THERAPY
PRIORITIZATION
DELEGATION Home safety assessment by the visiting
Overview: This case requires that the nurse consider appropriate pre- and postoperative nursing interventions for a client with a hip fracture. A new medication is prescribed and teaching is needed. Considerations for recovery related to the client’s age as well as the safety of her home environment are discussed. The nurse is asked to prioritize appropriate nursing diagnoses for the client’s postoperative plan of care.
Client Profile
Mrs. Damerae is a 77-year-old woman who was transported to the emergency department following a fall onto her right hip on a snowy morning. “I just wanted to check the mail. I was making my way down my front walk slowly. I had my good boots on. But there must have been ice under the snow and I slipped. It all happened so fast. I was up. I was down. And here I am.”
Case Study
Physical exam reveals that Mrs. Damerae’s right leg is shorter than her left leg and her right leg is externally rotated. There is bruising of her right hip. An X-ray con-firms that Mrs. Damerae has an extracapsular fracture of the trochanter region of her right hip. Mrs. Damerae will have an open reduction of the fracture and inter-nal fixation (ORIF) surgery the next morning.
Questions
- Prior to surgery, the health care provider chooses to place Mrs. Damerae’s right leg in Buck’s extension (traction). Why is this intervention prescribed prior to surgery?
- A trochanter roll is another option for Mrs. Damerae. What is a trochanter roll and how would it be useful?
- How might Mrs. Damerae’s age affect her hospitalization and recovery?
- Briefly discuss how Mrs. Damerae’s past medical history played a role in her injury.
- Damerae’s surgeon informs her of the potential complications of hip surgery. Identify at least three complications the surgeon will address.
- Prioritize five nursing diagnoses appropriate for Mrs. Damerae following surgery.
- Explain how the nurse should move
- Damerae in order to position her safely on her side to wash her back.
- The nurse applies graduated compression stockings (TEDs) and sequential compression devices (SCDs) as prescribed. What is the rationale for these interventions?
- Damerae asks for assistance to the bathroom. The nurse checks to see that the appropriate equipment is available in the bathroom before assisting the client to ambulate. What is the nurse looking for in the bathroom?
- Damerae is assisted back to bed. She asks that the head of her bed be raised so she can read. How high should the head of the bed be raised and why?
- Damerae is seated in a reclining chair. What reminders will the nurse give Mrs. Damerae regarding positioning while sitting and why is positioning so important?
- Identify the indications of a possible hip dislocation that the nurse should watch for.
- If the nurse notices any of the above signs, discuss the appropriate action for the nurse to take.
- Alendronate sodium is prescribed for Mrs. Damerae. What is the rationale for the use of alendronate sodium? Discuss the client education regarding proper administration to maximize the benefits of alendronate sodium and adverse effects.
- Following discharge from a rehabilitation unit, a visiting nurse will provide follow-up care for Mrs. Damerae. On the first home visit, the nurse conducts a home safety assessment. Identify at least five components of a safe home environment.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. The can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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