Nursing and Mrs Green
1 Case Study Mrs Green (20 marks for general description)
Mrs. Green is a 55 year old female who had a total knee arthoplasty 3 days ago. The client is on 6 hourly observations. The last set of observation are: Temp 36.5 C, RR 22, HR 110, BP 170/86mmHg and SpO2 98% on room air. She has been complaining of ‘awful pain’ in her knee.
She has refused to have a shower and do her routine ROM exercises due to the pain in her knee. She requires assistance to perform ADLs at this stage and expresses feelings of embarrassment and frustration. Mrs. Green has also reported that she has not opened her bowels since the operation.
Socioeconomic status: Mrs. Green lives with a husband and has three grown up children.
1. Write a nursing care plan for Mrs. Green:
Provide two (2) actual and two potential nursing diagnoses include interventions and expected outcomes for each. Use the template provided.
2. What are three (3) gender specific nursing care needs for Mrs. Green?
The three gender specific nursing care needs for Mrs Green may be, the need for a female nurse, counselling and education lessons.
Although there is gender specific nursing these day
Mrs Green may require a female nurse the nurse will need to gain Mrs Greens trust to help her with her activities of daily living, as she may feel embarrassed getting assistance from a male nurse to help her shower, toileting and getting dressed. This may be why Mrs Green has not had a shower or completed her ADLSas she may feel like her dignity and privacy have been invaded (Crisp and Taylor 2010, pp 303-304) On the other hand counselling may help Mrs Green understand why she is feeling frustrated and may provide ways on how to manage her frustration and stress. Counselling can provide help Mrs Green with emotional, spiritual and psychological support (Crisp and Taylor 2010, pp 303-304) in terms of her current health status and can often involve just her-self or her family also (Crisp and Taylor 2010, p.
Mrs. Green is a 55 year old female who had a total knee arthoplasty 3 days ago. The client is on 6 hourly observations. The last set of observation are: Temp 36.5 C, RR 22, HR 110, BP 170/86mmHg and SpO2 98% on room air. She has been complaining of ‘awful pain’ in her knee.
She has refused to have a shower and do her routine ROM exercises due to the pain in her knee. She requires assistance to perform ADLs at this stage and expresses feelings of embarrassment and frustration. Mrs. Green has also reported that she has not opened her bowels since the operation.
Socioeconomic status: Mrs. Green lives with a husband and has three grown up children.
1. Write a nursing care plan for Mrs. Green:
Provide two (2) actual and two potential nursing diagnoses include interventions and expected outcomes for each. Use the template provided.
2. What are three (3) gender specific nursing care needs for Mrs. Green?
The three gender specific nursing care needs for Mrs Green may be, the need for a female nurse, counselling and education lessons.
Although there is gender specific nursing these day
Mrs Green may require a female nurse the nurse will need to gain Mrs Greens trust to help her with her activities of daily living, as she may feel embarrassed getting assistance from a male nurse to help her shower, toileting and getting dressed. This may be why Mrs Green has not had a shower or completed her ADLSas she may feel like her dignity and privacy have been invaded (Crisp and Taylor 2010, pp 303-304) On the other hand counselling may help Mrs Green understand why she is feeling frustrated and may provide ways on how to manage her frustration and stress. Counselling can provide help Mrs Green with emotional, spiritual and psychological support (Crisp and Taylor 2010, pp 303-304) in terms of her current health status and can often involve just her-self or her family also (Crisp and Taylor 2010, p.