Using the client information provided, respond to the critical thinking questions. Each response should be original (in your own words) and a minimum of three sentences in length.
Client Information
Meet your client, Nicole Peterson.
Nicole Peterson is a very thin 80-year-old woman who is in the hospital after fracturing her hip. Her hip was surgically repaired four days ago, but her recovery is slower than usual because of her overall fragile health and some post-surgery confusion. One of her nursing diagnoses is self-care deficits related to weakness, pain, alteration in cognitive functioning, and impaired mobility. Her nursing orders (NIC) include self-care assistance: bathing/hygiene/toileting.
As the nurse helps an unlicensed assistive personnel (UAP) with Mrs. Petersons bath, she notices a reddened area on her sacrum. Realizing that this may be the beginning of a pressure injury, the nurse examines the area carefully and notes a small skin excoriation in the area. She repositions Mrs. Peterson to prevent further pressure on her sacrum. After finishing the bath, the nurse records her findings and enters on Mrs. Petersons care plan a nursing diagnosis of impaired skin integrity related to mechanical forces (e.g., shearing forces, pressure, physical immobility), alteration in skin turgor, and pressure over a bony prominence as evidenced by reddened area on the skin. She writes nursing orders, including an order to observe skin over bony prominences every 4 hours, and then delegates to the UAP the task of turning and repositioning Mrs. Peterson every 2 hours. The nurse also places Mrs. Peterson on a pressure-relief mattress and obtains a foam cushion for her wheelchair.
Critical Thinking Questions
- What facts and principles do you already know about the causes of pressure injury?
- Do you have enough information to provide interventions for Mrs. Petersons actual impaired skin integrity? If not, what do you still need to find out?
- What do you know about positioning clients? How would you explain to the UAP how to position Mrs. Peterson to prevent further pressure on her sacrum?
- What reassessments would you make to evaluate Mrs. Petersons skin integrity problem? When evaluating the diagnosis of self-care deficit, what reassessments would you make? Who can or should evaluate the issues identified? How often, or when, would you reassess?
- What is one problem not described in the scenario that might arise?
Submission and Assessment Guidelines
- Submit your Microsoft Word document with the questions clearly listed and answered.
- Each response should be clear, concise, and use correct grammar. All of the questions MUST be answered in your document.
- Turnitin is enabled for this assignment.
Rubric
NUR 211 – Full-Spectrum Nursing Rubric (2)
| Criteria | Ratings | Pts |
|---|---|---|
|
This criterion is linked to a Learning OutcomeConnections |
|
45 pts |
|
This criterion is linked to a Learning OutcomeContent |
|
15 pts |
|
This criterion is linked to a Learning OutcomeCourse Outcome 1Demonstrate use of the nursing process threshold: 3.0 pts |
|
— |
|
This criterion is linked to a Learning OutcomeCourse Outcome 2Apply the clinical judgement model threshold: 3.0 pts |
|
— |
|
This criterion is linked to a Learning OutcomeCourse Outcome 3Develop patient problem and concern statements using standard language. threshold: 3.0 pts |
|
— |
Total Points: 6
Requirements: Each response should be original (in your own words) and a minimum of three sentences in length.
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