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bowkitty · 11 years ago

Text

Doge is a Nurse.

As requested by the amazing zandramikael. My last Nursing PBL (problem based nursing) Assessment as written by Doge. Enjoy!

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Owen Samson is a 83 year old gentleman who has experienced pain in his hip for the past 10 to 15 years. During the past year, the pain in his right hip has become severe, prompting him to seek medical attention. Significant degenerative changes in both hips are noted on x-ray films.

1.In the situation presented start identifying the possible problems – hypothesise!!!! “It could be that ….” Think of as many as possible.

Much Fracture such osteoarthritis

wow cancer ouch

2. Discuss the pathophysiology of the most likely health condition Osteoarthritis:

No Collagen degradation many water

so ulcerations much jaundice so pain

oh no articular cartilage less energy sad many bony growth

very inflammation synovial membrane

3. Discuss the clinical manifestations that this condition produces including an explanation as to why they occur.

so pain much stiffness many grating moving such joint enlargement is numb wow no ROM

4. On his way to see the specialist, Owen takes a fall and lands on his elbow. He is rushed to the Emergency department and presents with localised oedema to the joint, abnormal positioning of the arm and excessive pain. What do you think could be the condition Owen is suffering?

Many Fracture wow so pain many break

such sprain much strain

5. Owen is booked in for a ORIF . What nursing interventions would you perform in care of Owen immediately post op and in the days following?

plz Open Reduction Internal Fixation many nursing invent

is post op such vascular observation

giv many pain relief much elevation wow

No ROM 4 U many wound site check

6. Two days post op you are attending to Owen’s neurovascular observations. Owen has stated his pain score is 7/10. The observations reveal C-Bluish tinge, W- cool to touch, M – weak, S – tingling and loss of sensation to some fingers. What complication may Owen be suffering from – please explain why this occurs?

wow infection bad wound site oh wow vascular haemorrhage

ouch sypticness much nerve damage upper PQRST wow

7.What nursing actions would you perform if you discovered this complication?

Many alert of RN such redo observations pain

many drugs much vascular watching ice ice baby

8. What education would you provide to Owen regarding care of his cast for discharge?

No breakage bad cast many padding no touch

Such MO checking ouch pain increasing

I cry ew oozing such swelling many dry site

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Please note that this patient and condition are entirely fictional and does not break any Code Of Conduct by my posting this. its it an assessment based of researching of well know conditions and how treat common complications.

#zandramikael #doge #nursing #fun #assessment #ohgodwhy #what have i done #the hell?#much tag #wow #not sorry #doge shibe

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