Reference no: EM133667809

81-year-old male was brought to EMS following a fall. The patient stated that he was walking in the driveway after getting a mail and tripped over his foot and fell over his wrist and hand having bruises on his arms and forehead. CT chest performed in the ED showed minimally displaced left 9-10 rib fractures, emphysematous changes throughout the lungs, opacity within the left inguinal may represent scaring atelectasis or infectious process, and extensive multivessel coronary atherosclerosis. XR right hand/wrist showed nondisplaced 4th metacarpal fracture, second metacarpal base irregularity unsure acute or chronic. CT head and C-Spine negative for acute traumatic injury. The patient has emphysematous changes throughout the lungs and he is on an 8L oxymask, indicating difficulty in breathing. This is further complicated by the rib fractures, which cause pain and limit the ability to take deep breaths, potentially leading to atelectasis. The patient`s diagnoses are Fall accidental closed head injury with a concussion, right rib fracture 9 -10, and Hypoxia. The patient has several comorbidities including COPD, dementia, Afib, and hypertension. Based on my analysis, the priority client problems are: Fractured ribs and Atelectasis as a result of his recent fall.

4. Derive a nursing diagnosis based on the identified priority client problem.