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Discussion

Care plan help please

I have to do a care plan on a pt who is pot op a right. Total hip arhtroplasty. Her labs showed that her h&h and rbc cound were low. Her vitals were normal. She received 2 units of blood. I can't do impaired physical mobility because she was in bed the whole time I was there. I need help coming up with a nursing diagnosis. Someone suggested ineffective tissue perfusion related to reduction of cellular components necessary for delivery of oxygen to the cells but could I do that one if her vitals and oxygen levels are normal?

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    Why can't you do impaired phys mobility? That sounds exactly like the problem she has--related to her surgery and not getting up. Then your plan of attack is to get her moving-things like ROM, using side rails and trapeze to reposition herself in bed, a goal could be to start to ambulate her, have her assist with ADL's.

    Another good one would be risk for impaired skin integrity since she is lying in bed.

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    I mean I coud do that but I think my professor would rather me do something related to her decreased h&h and rbc count but I'm having trouble with that since all her vitals were in normal range

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