What signs point to improving

Reference no: EM133657560

A 64-year-old Micheal Lopez was clearing snow from his driveway when he fell. His significant injury is a fracture of the right femur located in the lower half of his femur, which requires immobilization with skeletal traction. He continues to complain of swelling, unbearable pain, numbness/tingling, limited mobility, and inability to bear weight on his leg. BP 155/78, P 92, right thigh is edematous and deformed. He states he doesn't know when he can return to work as a construction foreman.

Assessment (Recognizing Cues); Which client information is relevant? What client data is most important? Which client information is of immediate concern Consider signs and symptoms, lab work, client statements, H & P, and others. Consider subjective and objective data.
Analysis (Analyzing Cues); Which client conditions are consistent with the cues? Do the cues support a particular client's condition? What cues are a cause for concern? What other information would help to establish the significance of a cue?
Analysis (Prioritizing Hypotheses); What explanations are most likely? What is the most severe explanation? What is the priority order for safe and effective care? In order of priority, identify the top 3 client conditions.
Planning (Generate Solutions); What are the desirable outcomes? What interventions can achieve these outcomes?What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant,time-restricted- Goal setting).
Implementation (Take actions); How should the intervention or combination be performed, requested, communicated, taught, etc.? What are the priority interventions? (Mark with asterisk)
Evaluation (Evaluating Outcomes); What signs point to improving/declining/unchanged status? What interventions were effective? Are there other interventions that could be more effective? Did the client's care outlook or status improve?

Reference no: EM133657560

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