This assignment aims to implement a hypothetical nursing care plan for a patient that I been involved with recently whist on clinical placement. I have used a published nursing model in order for me to apply an appropriate nursing care plan for my chosen patient. I will explain my reasoning for the purposed care, whilst also including an explanation of how pathophysiology contributes to the patient experience. In accordance with the Nursing and Midwifery Council (NMC 2008) and the Data Protection Act (1998), all names and locations have been changed in order to maintain confidentiality.
Thelma is a 75-year-old female who had fallen from a chair when changing a light bulb. Her husband was out walking the dog at the time, and found her on the floor on his return. He called an ambulance and she was admitted to the accident and emergency department (A&E). After an X-ray in A&E it was discovered that Thelma had fractured the neck of her right femur. The diagnosis of a fracture is based on history, symptoms and on radiographic studies (Schoen 2000). The general opinion is that two views at right angles, are the minimum number required to evaluate a suspected fracture and that the X-rays should include the joints above and below (Kunkler 2002). Following the X-ray, Thelma was then admitted onto an orthopedic ward. For the purpose of this assignment I have chosen a time frame of an 8 hour shift looking specifically at Thelma’s care post-operatively. As defined by The Royal College of Physicians (RCP, 2001), there are two types of fractured neck of femur. Firstly, those occurring within the capsule of the hip joint between the head of the femur and the pelvic acetubum, making it intracapsular. Secondly, those occurring outside the hip joint capsule making it extracapsular. Walsh and Crumbie (2007a) also state that fractures of the femur neck are generally divided into two categories, intracapsular or extracapusular. Intracapsular fractures...
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