E.G Surgery for A Fractured Hip 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
E.G Surgery for A Fractured Hip Case Study
Postoperative Patient
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Patient Profile
E.G., a 74-yr-old retired college professor, has just undergone surgery for a fractured hip. He fell off a ladder while painting his house. E.G.’s medical history includes type 2 diabetes and COPD. The surgery, done while he was under general anesthesia, lasted 3 hours.
Subjective Data
Active walker in his home community
Smokes 1 pack of cigarettes per day × 58 years
Always had problems sleeping
Difficulty hearing, wears hearing aid
Upset with injury and its impact on life
Is a widower and has no relatives nearby or friends to assist with care
Reports pain is 8 on a 0 to 10 scale on arrival to PACU
Objective Data
Admitted to PACU with abduction pillow between his legs, one peripheral IV catheter, a self-suction drain from the hip dressing, an indwelling urinary catheter
O2 saturation 91% on 40% O2 face mask
Interprofessional Care
Postoperative Orders
Vital signs per PACU routine
Capillary blood glucose level on arrival and every 4 hours. Call for blood glucose level <70 mg/dL or >250 mg/dL. Follow agency guidelines for management of hypoglycemia.
0.45 normal saline at 100 mL/hr
Morphine via patient-controlled analgesia 1 mg q10min (20 mg max in 4 hr) for pain
Advance diet as tolerated
Incentive spirometry q1hr × 10 while awake
O2 therapy to keep O2 saturation >90%
Respiratory: albuterol 2.5 mg via nebulizer every 4 hours PRN for wheezing
Neurovascular checks q1hr × 4 hr
Empty and measure self-suction drain every shift
Strict intake and output
Discussion Questions
What are the potential postanesthesia problems you may expect with E.G.?
Priority Decision: What priority nursing interventions would be appropriate to prevent these problems from occurring?
Collaboration: Which interventions could you delegate to unlicensed assistive personnel (UAP)?
What factors predispose E.G. to the following problems: atelectasis, SSI, and VTE?
How would you determine E.G. is sufficiently recovered from general anesthesia to be discharged to the clinical unit?
What potential postoperative problems on the clinical unit might you expect?
What are risk factors for his developing postoperative delirium? What are the signs and symptoms of delirium?
Why is drug toxicity a potential problem for E.G.?
Priority Decision: Based on the assessment data, identify 3 priority nursing diagnoses. Are there any collaborative problems?
Evidence-Based Practice: E.G. tells you he does not want the “catheter” out because he does not want anyone to help him to the bathroom. How would you respond to this request?
Patient-Centered Care: What teaching will you provide so that E.G. can successfully self-manage his care?
Collaboration: What referrals may be indicated based on E.G.’s medical history?
Safety: Identify 2 areas of risk for injury to E.G. What actions can you take to ensure patient safety?
Quality Improvement: What outcomes would indicate that interprofessional care with respiratory therapy was effective?
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. 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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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