Care Plan Assignment Case Scenario "Oh, this is awful," Jenny muttered to herself. / Nursing Assessment Jenny Hill is an 82 yr older woman who lives in a home for older women. (solved)

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Care Plan Assignment Case Scenario "Oh, this is awful," Jenny... Care Plan Assignment Case Scenario "Oh, this is awful," Jenny muttered to herself. She was sitting on the toilet with a pair of very... wet panties and slacks around her ankles. Jenny said that she never knew when it would hit, this need to urinate quickly. She would find herself running to the bathroom like a woman possessed and then usually not making it in time. "It also seems like I'm 'peeing' all the time, she said. "This is getting old and is no fun at all." Nursing Assessment Jenny Hill is an 82 yr older woman who lives in a home for older women. She has trouble controlling her urination. She finds that when she has to urinate, she has to get to the bathroom quickly or wet her panties. She has started wearing incontinence pads, but she hates them because they are uncomfortable, and she's afraid they show when she wears pants. Also, they cost a lot of money. She finds herself getting up to urinate two to three times per night. Sometimes she finds she really smells of urine in the morning, and her sheets are wet with urine. She limits her usual social activities because of the possible embarrassment of smelling like urine. Over the last week, she has decrease drinking tea, coffee, and other fluids during the day. She makes an appointment with the Nurse Practitioner to discuss her problem. Mrs. Hill complained that she had some vaginal pain and burning. Vitals taken by the nurse was 128/92, P-96 R-22 T-36.2 wt 136lb. The nurse noted that she looked pale, had chapped lips and a dark circle under her eyes. Last week Mrs. Hill weighed 142lbs. Instructions Pain and Urinary incontinence are the priority two nursing diagnoses for the Case Study. 1) Please develop these two nursing diagnoses for the Case Study. Remember, when constructing your statement, include the condition r/t the problem AED subjective and objective data. Remember that you want to address patient needs but need to prioritize them using Maslow's hierarchy of needs. Ex. Decreased mobility r/t osteoporosis as evidenced by an inability to walk to the bathroom, stated "I am having trouble walking," and visible bone deformities (kyphosis) 2) Based on your nursing diagnoses, develop three goals for each diagnosis. Remember that your goals have to follow the SMART parameters and have to include a timeline that is realistic ex. Two weeks. Ex. The client will learn how to use a walker in her home successfully in two weeks. 3) Develop interventions for each one of your goals; remember that interventions are how you will achieve your goals. They can include other multi-disciplinary team members and family. Interventions: The client will be referred to occupational therapy to assess her home; the client will be referred to physiotherapy to assist with mobilization; education will be provided to family members regarding pain control to increase mobility 4) Develop a rationale for three of your interventions - why are you going to be doing what you are doing. An occupational therapist will evaluate the client's home and ensure that it is safe, accessible and provide necessary aids to help increase independence. 5) Evaluation, write three evaluation statements, remember that the stated goals are either met or unmet, and you must re-state your goal with the timeline and include proof. Ex. The client has learned to use her walker in-home successfully within two weeks. She is able to manage her ADLs and required less assistance from loved ones. [Show More]

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