Concept Map

Prepare: Written Analysis and Concept Map based on this patient information;

Primary admitting diagnosis: Closed fracture of the neck of the right femur which was caused by patient fall. This led to ORIF of the right hip.

Labs ordered: WBC (8.85), Hemoglobin (13.1), Platelet count (189), RBC (3.45), MVC (110.40, MCH (38.0), MCHC(34.4), RDW (13), MPV (9.8).

Diagnostic test: Fluoroscopy, CT hip Right WO contrast, XR Pelvis Portable.

A) Come up with possible physician orders for this patient.

B) Prepare a table describing the pharmacotherapies: Medication, dose, frequency, route, class, top 3 side effects, indications. Here are the list of medications; –

ceFAZolin(ANCEF): 2 g/ Intravenous/ every 8 hours

HYDROcodone-acetaminophen (NORCO): 1 tablet/ oral/ once PRN

Enoxaparin (LOVENOX): 40 mg/ subcutaneous/ daily

fentanyl (PF) (SUBLIMAZE) injection: 25 mcg/ Intravenous/ every 5 mins

HYDROmorphone (DILAUDID) injection: 0.5 mg/ intravenous/ every 10 mins PRN

Metoclopramide (REGLAN) injection: 10 mg/ intravenous/ once PRN

Promethazine (PHENERGAN) injection: 6.25 mg/ intravenous/once PRN

Dexamethasone (DECARON) injection: IV/ as needed

Phenylephrine (NEO-SYNEPHRINE): 100 mcg/ml/ IV/ as needed

Propofol (DIPRIVAN): 10 mg/ml/ infusion

***** listed above are the medications including their dose, frequency and route. All you need to add is, the class, top 3 side effects, and indications. Then put all the information (medication, dose, frequency, route, class, side effects, indications) in table.

C) Using Gordon’s functional health patterns, list at least 3 Nursing Diagnoses (NDx) based upon analysis of the data (must have at least 1 actual physiological, 1 psychosocial, and 1 educational nursing diagnosis clearly identified). All identified NDx listed from highest priority to lowest priority.

D) Demonstrate appropriate use of nursing process: Select and prepare a plan of care for the patient’s priority Physiological NDx identified. All components included:
• NDx with all relevant data;
• Patient-centered goal (measurable and timeframe);
• 3 or more patient-centered expected outcomes in SMART format;
• 4 or more nursing interventions with evidence based (EBP) rationale and citation;
• Evaluation of interventions and whether met/unmet/partially met with plan for revision.

E) Demonstrate appropriate use of nursing process: Select and prepare a plan of care for the patient’s priority Psychosocial NDx identified. All components included:
• NDx with all relevant data;
• Patient-centered goal (measurable and timeframe);
• 3 or more patient-centered expected outcomes in SMART format;
• 4 or more nursing interventions with evidence based (EBP) rationale and citation;
• Evaluation of interventions and whether met/unmet/partially met with plan for revision.

F) Demonstrate appropriate use of nursing process: Select and prepare a plan of care for the patient’s priority Educational NDx identified. All components included:
• NDx with all relevant data;
• Patient-centered goal (measurable and timeframe);
• 3 or more patient-centered expected outcomes in SMART format;
• 4 or more nursing interventions with evidence based (EBP) rationale and citation;
• Evaluation of interventions and whether met/unmet/partially met with plan for revision.

G) **** Based on the selected nursing diagnosis, answer the following questions

8.How would you know that the client has met the goal?

Conclusion: In one paragraph, write a discharge plan for this patient. It should include but not limited to this; helpful resources, patient education etc.

****** reference should be in APA format. Do not forget to include in text citations.