She was on a full adult diet. Many times the patient was hungry between meals, which is when I would offer her toast, or a sandwich from the kitchen. She was very good with diet, she understood when she was full and when she needed more. She explained to me that she ate a very well-balanced diet at home consisting of fruits, vegetables and protein. She was 160.02 centimeters with a healthy weight of 58.967 kilograms. She was also an active individual, always wanting to try to get up to go to washroom, or going for walks to the sunroom or just around the unit. Her lab results showed that her white blood cells were high at 17.2 which was most likely due to her surgery. Her hemoglobin was slightly low at 105 and similarly her hematocrit at 0.33 for which she was taking ferrous gluconate twice a day. Due to her surgery and her age she was also taking routine calcium and vitamin D tablets. She also had a history of hypertension which was well managed at 122/65 with lopressor (Metoprolol) and cozaar (Losartan potassium). She was also taking a multivitamin (Centrum) for overall nutrients and vitamins. Due to her lab results her potassium was slightly low at 3.0 therefore Apo-K was ordered once daily. The client was having adequate elimination and however, she stated she was not having routine bowel movements although she was taking Colace (Docusate sodium). I explained to her that this was most likely due to her …show more content…
344). A second diagnosis is acute pain related to surgical incision on right hip manifested by facial grimace, guarding behavior and verbal report of pain felt in right hip (Perry & Potter, 2010). A third is risk of infection related to post operative incision on right hip manifested by incision line, open wound and a dressing (Ackley & Ladwig, 2008). Another diagnosis is activity intolerance related to generalized weakness, right hip surgery manifested by verbal report of pain & weakness, imbalance between oxygen supply and demand portrayed by need for oxygen (Ackley & Ladwig, 2008). Lastly, a diagnosis of readiness for enhanced self-care related to independence in maintaining life, health, personal development and well-being manifested by verbal desire to return home, desire for independence, well-balanced meals, increase in fluid intake and active participation in physiotherapy (Ackley & Ladwig,