Mobility (Hip Fracture)

 

Case Study
Mrs. Jarrot is a 78-year-old Caucasian female who was brought in to the Emergency Department after falling down three steps in her house. She says she is a bit clumsy and lost her balance. She lives at home with her husband and has 5 grown children that live nearby. She complains of severe left hip and her left leg is slightly shortened. An x-ray in the Emergency Department shows a left intracapsular femoral neck fracture. She is scheduled to undergo a left total hip replacement.
Throughout the next 24 hours Mrs. Jarrot has increasing pain and begins to exhibit some confusion. She reorients easily to person and place, however the time and situational confusion resumes. She is wanting to get out of bed. Mrs. Jarrot frequently states, “Why can’t I get up? I’m tired of lying in this bed, it has been days.” She is reminded that she just had surgery and will be getting up tomorrow. After repositioning her and sitting her up to the side of the bed she still she continues to want to get up. Safety precautions have been initiated at this time.
Question 1
What is the best explanation for Mrs. Jarrot’s confusion?
Question 2
Thinking about National Patient Safety Goal for Catheter Associated Urinary Tract Infections (CAUTI) – When should the nurse discontinue the Foley? Why?
Question 3
What nursing interventions would you as the nurse implement for her comfort and confusion? Please list them with your nursing diagnosis.
Question 4
What education would be appropriate for her at this time and what teaching would be appropriate for her husband and family?

Sample Solution

Free Essays – An absence of Respect in To Build a Fire

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Jack London needs regard for ‘shorts of fire’, a short anecdote about individuals running along the Yukon exposed winter. He cautioned of voyaging alone neglected, however he adventured to meet his friend at a far off camp a few miles away. Defeating the intensity of nature, he in the long run came and finished an excursion alone to his four-legged accomplice. This story shows that even the most certain folks are shockingly overpowered by the intensity of nature.

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