Summary Of The Roper Logan And Tierney Model
Introduction
The aim of this paper is to present a case study in relation to a patient the author has cared for whilst on clinical placement in the orthopedic unit in midlands regional hospital, Tullamore and to critically explore the care provided to the chosen patient. The author will focus this case study on the care provided after hip fracture surgery. A detailed bio-psychosocial profile and a detailed assessment of Ann will be presented used the Roper Logan and Tierney model of nursing which focuses on the twelve activities of daily living. Four key priorities of care will be identified under the NANDA. Supporting Rationales for the priorities of care chosen for the patient will be provided. To protect the privacy and confidentiality of …show more content…
A hemiarthroplasty is the surgical removal of the femoral head and neck and replacement with a metal component (Gulanick and Myers., 1998). This adheres to the Blue Book standard number 2 which states that patients should have surgery in the first 48 hours of admission providing they are medically fit (Ahern et al., 2016). Achieving early surgery is said to reduce mortality rates with the first-year post surgery (Colais et al, 2015). It is also said to reduce the risk of complication such as pressure sores, deep vein thrombosis, urinary tract infections and length of stay post-operatively (Rodriguez-Fernandez et al., …show more content…
Ann has no speech or visual impairments. Ann’s hearing in the right ear is impaired and she wears a hearing aid.
Breathing: Ann has no new or previous breathing problems. Ann’s immobility now places her at a greater risk of chest infections.
Eating and Drinking: Ann can eat and drink independently. Ann has Type 2 diabetes and takes a diabetic diet.
Eliminating: Ann wears incontinence wear day and night due to previous experiences of rushing to bathrooms and falling as a result. Due to Ann’s injury at present her mobility will be restricted and assistance is required for Ann to meet her elimination needs. Ann voices that her bowel habits are not an issue and that they move on a regular basis.
Personal Cleansing and Dressing: Ann’s Daughter assists her with personal hygiene needs and dressing at home. During the skin assessment carried out on admission, Ann’s skin appeared dry, tissue paper alike, oedematous and had two broken spots to lower leg and knee. Water low score was 30 which placed her at very high risk of developing pressure sores.
Controlling Body Temperature: Ann was Apyrexial on
The aim of this paper is to present a case study in relation to a patient the author has cared for whilst on clinical placement in the orthopedic unit in midlands regional hospital, Tullamore and to critically explore the care provided to the chosen patient. The author will focus this case study on the care provided after hip fracture surgery. A detailed bio-psychosocial profile and a detailed assessment of Ann will be presented used the Roper Logan and Tierney model of nursing which focuses on the twelve activities of daily living. Four key priorities of care will be identified under the NANDA. Supporting Rationales for the priorities of care chosen for the patient will be provided. To protect the privacy and confidentiality of …show more content…
A hemiarthroplasty is the surgical removal of the femoral head and neck and replacement with a metal component (Gulanick and Myers., 1998). This adheres to the Blue Book standard number 2 which states that patients should have surgery in the first 48 hours of admission providing they are medically fit (Ahern et al., 2016). Achieving early surgery is said to reduce mortality rates with the first-year post surgery (Colais et al, 2015). It is also said to reduce the risk of complication such as pressure sores, deep vein thrombosis, urinary tract infections and length of stay post-operatively (Rodriguez-Fernandez et al., …show more content…
Ann has no speech or visual impairments. Ann’s hearing in the right ear is impaired and she wears a hearing aid.
Breathing: Ann has no new or previous breathing problems. Ann’s immobility now places her at a greater risk of chest infections.
Eating and Drinking: Ann can eat and drink independently. Ann has Type 2 diabetes and takes a diabetic diet.
Eliminating: Ann wears incontinence wear day and night due to previous experiences of rushing to bathrooms and falling as a result. Due to Ann’s injury at present her mobility will be restricted and assistance is required for Ann to meet her elimination needs. Ann voices that her bowel habits are not an issue and that they move on a regular basis.
Personal Cleansing and Dressing: Ann’s Daughter assists her with personal hygiene needs and dressing at home. During the skin assessment carried out on admission, Ann’s skin appeared dry, tissue paper alike, oedematous and had two broken spots to lower leg and knee. Water low score was 30 which placed her at very high risk of developing pressure sores.
Controlling Body Temperature: Ann was Apyrexial on