Assessment Item – Case study

Length:            2000 words

Learning outcomes assessed 1,2,

Past History

Kenneth Patterson is a 78 year old gentleman who was admitted to hospital following a fall at his home. X-Rays have confirmed a fractured neck of femur. On admission to the Emergency Department, Kenneth revealed he had experienced increasing levels of pain in his right hip recently, however had not seen a GP. Surgery has now been scheduled for a Right Total Hip Replacement.

Medical History

Type II diabetes mellitus – On admission BGL – 15.2

Hypertension                     – On admission 170/85

Osteoarthritis

Ex-Smoker (Ceased 5 years ago)

Medications

Metformin – 500mg BD

Paracetamol Osteo – 665mg x 2 BD

Metroprolol – 50 mg BD

Ibuprofen  – 400 mg TDS

Esomeprazole – 20 mg OD

Background Information

Kenneth has lived alone for the past two years following the death of his wife, Marie. He has three adult children who are supportive, however they live with their families in the capital, five hours drive away. He does not recall what led to his fall, and was lucky that his neighbour dropped in and found him in the bathroom and called an ambulance.

Your Task

You are to provide a comprehensive nursing care plan for Kenneth that demonstrates the critical reasoning cycle. Your plan must be focused on the holistic nursing management of Kenneth and include the pre-operative care and education, as well as the post-operative management.

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