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

Management - Essay ExampleHe subsequently underwent a partial pelvic arch arthroplasty to repair his hip damage and allow him to regain mobility. He is hypertensive and is taking medications to maintain his communication channel pressure. He overly has gouty arthritis and is slightly overweight. 2. Pathological changes a. Limitations on his mobility. Despite the hip re go downment procedure, the tolerant would still in all likelihood experience limited mobility. He would deal difficulty moving from one place to another he would have difficulty sitting up, sitting down, standing, walking, and head for the hillsing out his activities due to his sensible limitations. He would also have difficulty in going to and from the bathroom and he would likely need helper in moving about the residential facility. He would also undergo painful rehabilitation exercises and physical changes in his life. b. Depression. Having been newly widowed after the death of his wife of more than 50 yea rs, he is also being forced to face the fact that he would spend the twilight years 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 retrieval process for any patient. Ronald manifests symptoms of giving up, and of not trying hard enough to help himself recover and to break 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 adapted 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 arthr itis. Inflammation of his joints attributed to his arthritis caused much pain and difficulty in walking and in moving about. afterward the fracture, his arthritis has slowed down his rehabilitation it is impacting on his mobility, making it difficult to move about and to stockpile out the physical therapy and occupational therapy exercises. 3. Nursing dole out 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 graceful preoperative care must be carried out in behalf of the patient. He must be sensible 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 suck in would do the patient and the physic al therapist in his transfers and in his walking (Hol, et.al., 2009). This initial training would include 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 patients use of these assistive walking devices. fifty-fifty 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