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Nursing

Nursing Plan of Care Concept Map

Nursing Plan of Care Concept Map

Case Scenario:

Mrs Y is an 84-year-old client recently discharged from the hospital for an infected diabetic ulcer on her left leg. Mrs Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line during her hospitalization. Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled. Do you need any help for completing your assignment ? Contact us at eminencepapers.com. We endeavor to provide you with excellent service.

Concept Map:

Nursing Plan of Care

Prioritized Nursing Diagnoses Goal Nursing Interventions
1.      Risk for infection The patient will prevent infection 1)      Administer intravenous antibiotic therapy (Nagle et al., 2022).

2)      Ensure aseptic techniques during the patient’s wound care.

3)      Clean and treat the patient’s blister and ulcer using an antiseptic solution.

4)      Monitor the patient’s body temperature.
2.      Impaired physical mobility The patient will have increased mobility 1)      Recommend and encourage motion exercises.

2)      Ensure adequate pain management.

3)      Monitor the patient’s range of motion.

4)      Assess foot ulcer for redness, ischemia, and altered skin integrity.
3.      Ineffective health maintenance Patient and family will demonstrate the ability to provide support to the patient 1)      Educate the patient and family on diabetes and wound care (Oliver & Mutluoglu, 2022).

2)      Educate the patient and family on the prevention of diabetic foot ulcers

3)      Ensure the patient’s home is hazard-free and secure.

References

Nagle, S.M., Stevens, K.A., & Wilbraham, S.C. (2022). Wound Assessment. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK482198/

Oliver, T.I., & Mutluoglu, M. (2022). Diabetic Foot Ulcer. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK537328/

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Question 

Module 05 Content

Course Competency :
Design plans for care specific to the older adult.

Consider the scenario below, then follow the instructions underneath it to complete the assignment.

Mrs. Y
Mrs Y is an 84-year-old client who was recently discharged from the hospital for an infected diabetic ulcer on her left leg. During her hospitalization, Mrs Y required intravenous antibiotic therapy through a peripherally inserted central catheter (PICC) line.

Nursing Plan of Care Concept Map

Nursing Plan of Care Concept Map

Due to Mrs. Y’s long history of diabetes, her physician ordered that intravenous antibiotic therapy be continued at home. Subsequently, home health services were initiated, a home health nurse was assigned to Mrs. Y’s case, and an initial home visit was scheduled.

The home health nurse arrives at Mrs. Y’s home and introduces herself to the client and the family. The nurse explains the home nursing services that will be provided, including the PICC line and intravenous antibiotic therapy treatments.

During the initial home visit, the nurse assessed the physiological, psychological, functional, and safety needs of the client. The nurse’s findings were as follows:

Mrs. Y lives alone; however, her daughter checks on her frequently throughout the day.
The client is noted to have moderate functional issues and ambulates with a cane.
The client has several throw rugs in the main walking quarters and minimal lighting throughout the hallways.
Mrs. Y states “I used to get around my house with ease, but now I get a little tired and have to sit down and rest frequently.”

Consider Mrs. Y’s current health status and functional decline, then address the following:

Download the Concept Map and Plan of Care worksheet below. An example is also provided for your reference.

Identify three (3) priority nursing diagnoses for Mrs. Y. Visit the School of Nursing Guide Nursing Reference eBooks section for resources to assist with nursing diagnoses.
Create a visual representation of the three (3) priority nursing diagnoses by incorporating them into the Concept Map (template in the worksheet). Be sure each nursing diagnosis includes the following elements:
“related to (r/t)” — description of the client’s problem
“as evidenced by” — description of the client’s symptoms
Complete the Nursing Plan of Care (table in the worksheet) describing what should be implemented for Mrs. Y.
Goals: Establish at least one (1) goal for each of the nursing diagnoses you identified (for a total of 3 goals). Goals should be: patient-specific, measurable, actionable, realistic, and time-limited.
Nursing Interventions: Describe at least three (3) nursing interventions for each of the goals (for a total of 9 nursing interventions). Each intervention should be in alignment with the goal it is supporting.
Complete the assignment using proper spelling, grammar, and APA.

For information about creating a concept map, review the FAQ, What is a concept map and how do I create one?

Submit your completed assignment to the drop box below. Please check the Course Calendar for specific due dates.