Management Essay Example | Topics and Well Written Essays - 1500 words - 5

Management - Essay Example He subsequently underwent a partial hip arthroplasty to repair his hip damage and allow him to regain mobility. He is hypertensive and is taking medications to maintain his blood pressure. He also has gouty arthritis and is slightly overweight. 2. Pathological changes a. Limitations on his mobility. Despite the hip replacement procedure, the patient would still likely experience limited mobility. He would have difficulty moving from one place to another; he would have difficulty sitting up, sitting down, standing, walking, and carrying out his activities due to his physical limitations. He would also have difficulty in going to and from the bathroom; and he would likely need assistance in moving about the residential facility. He would also undergo painful rehabilitation exercises and physical changes in his life. b. Depression. Having been recently widowed after the death of his wife of more than 50 years, he is also being forced to face the fact that he would spend the twilight yea rs of his life without his wife. With his recent mishap, he is also likely to feel despair from his condition and such depression and despair would likely affect the success (or lack thereof) of his rehabilitative process. Depression is a major setback during the rehabilitative and recovery process for any patient. Ronald manifests symptoms of giving up, and of not trying hard enough to help himself recover and to improve his physical condition. This depression is also attributed to his recent loss and his advancement in age. Many elderly patients have to deal with this condition as they are brought face to face with the possibility of dying, of not being able to contribute anything to society, of losing a partner, and of being alone. c. Gouty arthritis. His arthritis is a major limitation to his mobility. Before his fracture, there were already deformities seen in his joints due to his gouty arthritis. Inflammation of his joints attributed to his arthritis caused much pain and diff iculty in walking and in moving about. After the fracture, his arthritis has slowed down his rehabilitation; it is impacting on his mobility, making it difficult to move about and to carry out the physical therapy and occupational therapy exercises. 3. Nursing care needs a. Patient/resident specific care needs: Total hip replacement The patient underwent partial hip replacement after his hips were fractured. It is a procedure meant to remove and replace the acetabulum or the femoral neck. This surgery is an inpatient procedure, therefore the proper preoperative care must be carried out in behalf of the patient. He must be informed that he needs to prepare for a 3 or 4 day hospital stay. After the surgery, the patient is immediately started with his physical therapy (Gilbey, et.al., 2003). This includes transfer training and walking. The nurse would assist the patient and the physical therapist in his transfers and in his walking (Hol, et.al., 2009). This initial training would inclu de the use of a walker in these transfers. After such training, a transition to crutches or canes may be made. The nurse must assist the patient in the proper use of the crutches or canes (Hol, et.al., 2009). The nurse must also ensure that there are no physical barriers which would interfere with the patient’s use of these assistive walking devices. Regular exercises to strengthen muscles must be carried out with the patient; the nurse would help encourage the patient to carry out these exercises. Such methods help ensure that the patient would eventually and safely regain his mobility and independence (Gilbey, et.al., 2003). The nurse would also have to teach and work with the patient in order to perform his activities of daily living. These