assignment

Patient Education and

Health Promotion

Family Dynamics

Growth and Development

Pain, Stress, and Coping

(Include all three concepts)

Margaret has a college degree, and she reads every day. She is an understanding woman; she will respond well to my instructions. First, I will educate her about the importance of proper lighting in the house and the use of thin curtains.

Then I will tell her to keep her floor clear and manage her stuff properly to avoid the chances of fall.

Explain to the patient about the risk of falls associated with her long dresses and her untied shoes.

Her back hurts because she has been inactive. To maintain good health, she needs to be counseled about maintaining a healthy routine. That includes home-based exercise plans.

She lives alone in her house. She has a son, and her husband is deceased. She has a sister, but she could not help her as they both live in different towns.

She has all her teeth.

In the past, she had a healthy routine, but now she is inactive.

She experiences back pain sometimes.

She does not have any other major issue to stress about, except she misses her late husband and feels alone sometimes.

She goes to the townhome complex, and she is friendly to people.

Fred is her neighbor, and she goes out with her on dancing and dinners. She feels safe with her, and they both enjoy each other's company.

Gas Exchange and Perfusion

(Include both concepts)

Intracranial Regulation and Cognition

(Include both concepts)

Elimination

Tissue Integrity

She does not smoke.

Intracranial Regulation might be impaired as she stumbled a few times while walking around the house.

She does not have cognitive impairment. She remembers everything she does, and she has a good approach to do her chores. She does not usually keep the floor clean, but she intends to put something away each time she goes upstairs.

She sleeps well and takes 7 hours of sleep. There are some times when she can't sleep. She shouldn't take coffee after 2 pm so that she can get better sleep at night.

Her urinary output is adequate during the day, light yellow with no burning sensations.

Her stool is brown and formed.

Her skin is thin. It has no bruises and no tears.

Nutrition and Glucose Regulation

(Include both concepts)

Functional Ability and Mobility

(Include both concepts)

Immunity and Inflammation

(Include both concepts)

Reproduction and Sexuality

(Include both concepts)

She eats three meals with fruit and cheese as a snack. She drinks four oz—glasses of water, two cups of coffee, and one cola daily.

She takes probiotics, a B12, a multivitamin, vitamin D in the winter, and at times takes ibuprofen.

She walks with a slight stoop, and she stumbles severely.

Her shoes were untied, and her long skirt dragged on the floor, often hindering her mobility.

She has no inflammation and has a strong immunity.

The patient is a female and a mother of a son.

Client initials, age

MS, 78

Nursing Diagnosis:

Risk for falls related to age, gait and balance disorder; I saw that she stumbled a few times while walking. As evidenced by her stoop posture; spinal bone degeneration occurs in older age, especially in females. Sometimes her back hurts, and she takes pain killer for that. She tends to get dizzy a lot.

Client-centered goal:

The patient will not sustain a fall.

Outcome (SMART)

Interventions

Rationale

Evaluation

The patient should walk at least 150 minutes per week to stay active and maintain a healthy body weight from 165 lbs. with 25.81 BMI presently to 150 lbs. A walking routine will also train her to maintain her balance while she walks around home.

She should organize her laundry once in 7-days so that it does not stays on the floor.

She should do House maintenance once in 15 days.

Correct lightening of the house as soon as possible.

This way, she will avoid the chances of accidental falls and will be able to walk around her easily.

1. Schedule a walking time for the patient at least three times a week and encourage her to maintain healthy body weight to stay active and practice balance while she walks.

2. Teach the patient about safety measures such as the need for handrails, organization of her stuff, proper lighting, proper clothes, and tied shoes.

(1) Scientific rationale:

A 150 minutes’ walk per week will help her learn balance and maintain a healthy body weight (Webber et al., 2018).

Client-specific rationale:

The patient has less physical activity. She walks with a stoop and often stumbles while walking. A walking routine will add to her healthy activities, and she will get used to walking with balance.

(2) Scientific rationale: Proper lighting and organization of living space will decrease the chances of accidental falls (Wayne, 2017).

Client-specific rationale: The patient can support herself as she walks around her house. She should take her laundry downstairs so that her space could be less messy and she could walk around easily without stumbling and getting her toes stubbed at night.

Evaluate the maintenance of healthy body weight and BMI.

Ask the patient if she can now walk with her laundry clothes down the stairs and if she stumbles at night.