Musculoskeletal case study

Your patient is a 78 year old widow who fell in her home. She is post-op day one after a left hip arthroplasty. She has low bone mineral density and a BMI of 20.5. She lives alone but her churchs Meals Ministry delivers pre-cooked frozen meals to her home weekly. Her visitor tells you that she is concerned. The visitor states She just hasnt been the same since her husband died. She used to be a door greeter at the church, but I hardly see her anymore. Nutrition: Using the scenario above, answer the following questions. 1. 2. 3. 4. 5. 6. What concerns do you have about the patients nutritional status? What areas of the physical assessment will give you information on the patients nutritional status? What questions could you ask to further assess the patients nutritional status? What interventions would you implement for the patients dietary needs while in the hospital? Other than nursing, what disciplines may be able to help the patient achieve optimal nutrition? At a multidisciplinary team meeting, you are asked about your concerns regarding d/c. a. What specific concerns would you state regarding the patients nutrition? b. Are there other concerns you need to address? 7. Do you have any suggestions to address these concerns?

Complications : Using the scenario above, answer the following questions. 1. Which complications may be experienced with this type of surgery? a. What assessment findings do you expect to see if the patient develops these complications? b. What interventions can be done to minimize these risks? (non-pharmacological and pharmacological, when appropriate) 2. What other complications are common to elderly post-op patients? a. What assessment findings do you expect to see if the patient develops these complications? b. What interventions can be done to minimize these risks? (non-pharmacological and pharmacological, when appropriate) Patient teaching: Using the scenario above, answer the following questions. 1. Think about the medications you expect the patient to be on while in the hospital. State what you will tell the patient about each of these medications. Use terminology appropriate for patient teaching. I will tell the patient You have been prescribedThe purpose of this medication is 2. Think about the medications you expect the patient to be prescribed for discharge. State what you will tell the patient about these medications.

TMM 4-11