Roper Logan And Tierney Model Case Studies
INTRODUCTION
Hip fracture more commonly occurs in older people. The average age of a person with hip fracture is, statistically, to be 84 years in men and 83 in women and an estimate 76% of fractures occur in women (National Hip Fracture Database). Around 70,000-75,000 hip fractures occur a year as reported by the National Joint Registry. This case study is of an elderly patient who has undergone left hemi-arthroplasty due to an intracapsular hip fracture following a fall. The Roper, Logan and Tierney (RLT) model for nursing, in addition to the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach and other assessment tools like the AVPU scale, NEWS and MUST is applied in this study for a systematic assessment and plan of care………………………….. …show more content…
Full verbal consent of the patient was obtained before using any information to comply with the guidelines set by the Department of Health (2009). Throughout this case study, refer the patient will herby be referred to as “Mrs J”. Mrs J is an 84-year-old British catholic widow, retired clerk who lives along with her son in a flat. She was diagnosed with osteoporosis 8 years ago. Mrs J is underweight with a BMI of just 18. Mrs J is also hypertensive for the last 20 years and is on regular beta-blockers. She is a non-smoker and non-alcoholic and quite independent with her Activities of Daily Living (ADLS).
Mrs J was brought to the orthopaedic ward after an elective left hemiarthroplasty. Mrs J was alert on admission to the ward postoperatively. She complained of pain of the operated leg. Baseline observations on admission were recorded as follows: BP: 100/72 mm of Hg, Pulse: 62 beats per minute, Respiration: 16 breaths per minute, Temperature: 36.8°C, SpO2: 97% on room air, thus contributing to National Early Warning Score (NEWS) of
Hip fracture more commonly occurs in older people. The average age of a person with hip fracture is, statistically, to be 84 years in men and 83 in women and an estimate 76% of fractures occur in women (National Hip Fracture Database). Around 70,000-75,000 hip fractures occur a year as reported by the National Joint Registry. This case study is of an elderly patient who has undergone left hemi-arthroplasty due to an intracapsular hip fracture following a fall. The Roper, Logan and Tierney (RLT) model for nursing, in addition to the Airway, Breathing, Circulation, Disability, Exposure (ABCDE) approach and other assessment tools like the AVPU scale, NEWS and MUST is applied in this study for a systematic assessment and plan of care………………………….. …show more content…
Full verbal consent of the patient was obtained before using any information to comply with the guidelines set by the Department of Health (2009). Throughout this case study, refer the patient will herby be referred to as “Mrs J”. Mrs J is an 84-year-old British catholic widow, retired clerk who lives along with her son in a flat. She was diagnosed with osteoporosis 8 years ago. Mrs J is underweight with a BMI of just 18. Mrs J is also hypertensive for the last 20 years and is on regular beta-blockers. She is a non-smoker and non-alcoholic and quite independent with her Activities of Daily Living (ADLS).
Mrs J was brought to the orthopaedic ward after an elective left hemiarthroplasty. Mrs J was alert on admission to the ward postoperatively. She complained of pain of the operated leg. Baseline observations on admission were recorded as follows: BP: 100/72 mm of Hg, Pulse: 62 beats per minute, Respiration: 16 breaths per minute, Temperature: 36.8°C, SpO2: 97% on room air, thus contributing to National Early Warning Score (NEWS) of