can someone assist

Patient Introduction

Location: Orthopedic unit 1555

SBAR report from day shift nurse:

Situation: Mrs. Jacobson is an 85-year-old white female who was admitted last evening after falling and fracturing her hip. X-rays have been taken and show left intertrochanteric hip fracture. Mrs. Jacobson is scheduled for surgery tomorrow.

Background: Mrs. Jacobson has a 10-year history of osteoporosis, and her daughter reports that recently Mrs. Jacobson has been having dizzy spells.

Assessment: Mrs. Jacobson's vital signs are stable. Her pain is under control with morphine every 4 hours, and I medicated her at 1400. Her pain level was 2 after the morphine. The skin is intact; color and sensation around the hip area are within normal limits. A Morse Fall Scale assessment was completed on admission, and her score was 45. Fall precautions were implemented.

Recommendation: You will need to reposition Mrs. Jacobson as she needs to be turned every 2 hours. You should perform a focused musculoskeletal assessment, reinforce safety, and provide patient education on fall risk. Assess her pain level and medicate for pain if needed.

Diseases and Conditions

1. Expert Clinical Content from Lippincott Advisor

2. Hip fracture Hip fracture

3. Osteoporosis Osteoporosis

Pharmacology

1. Expert Clinical Content from Lippincott Advisor

2. morphine sulfate-naltrexone hydrochloride morphine sulfate-naltrexone hydrochloride

3. raloxifene hydrochloride raloxifene hydrochloride

Procedures

1. Expert Clinical Content from Lippincott Procedures

2. Passive range of motion exercises Passive range of motion exercises

3. Antiembolism stocking application, knee-length Antiembolism stocking application, knee-length

4. Fall management Fall management

5. Fall prevention Fall prevention

6. Body mechanics Body mechanics