Comprehensive care plan Term Paper Example | Topics and Well Written Essays - 1250 words

Comprehensive care plan - Term Paper ExampleThe medical checkup examination conducted on the patient of revealed significant degenerative changes in both hip joints, which were observed on the X-ray films. The surgeon recommended a measure replacement of the right hip coupled with a total replacement of the left hip to follow in a period of 6 to 12 months. This obligate contains a comprehensive nursing care for a resident who has osteoarthritis and undergoes joint replacement surgery.The RN completed a nursing history and examination of Mr Powell on admission. The medical records establish that the patient suffers from crackers Parkinsons disease. Mr Powell is currently taking carbidopa/levodopa (Sinemet 25-100) four times a day to control his symptoms. There be possessed of been no other reports of chronic medical conditions. The RN reported that the patient been essentially healthy his full(a) life. Moreover, Mr Powell has no known allergies to medications, has no history o f smoking, and consumes small amounts of alcohol. The medical examination conducted by the RN notes that the patient is alert and oriented. Mr Powells medical examination reported vital signs at BP 116/64, P 68 regular, R 18, T 97.4F (36.3C) PO. Marginal pulses are strong and equal in the upper extremities and slightly weaker solely equivalent in the lower extremities. The patients feet are cool to the touch but consent an immediate capillary refill. Mr Powells shoulders, wrists and elbows indicated full ROM. On the other hand, the ROM of both hips is significantly restricted. The paroxysm on both sides in prompted by hip flection beyond 90 degrees. Also, both flexion and extension of the knees are slightly limited. Mr Powell has a shuffling gait and walks with a limp, favouring his right hip.Preoperative research lab studies and CBC were conducted on the patient. The coagulation studies and urinalysis show a serum creatinine of 1.7 mg/dL and roller of 30 mg/dL, with no other no ted abnormal values. His ECG and chest X-ray indicate