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Discussion

How to use nursing process to identify diagnosis?

I'm a 1st semester NS. This week I has a pt with a hip prosthesis dislocation, and instead of having surgery pt had a closed reduction (just had the joint popped back into place). Pt was in her 70's & had arthritis. Other than that, had high blood pressure. I'm trying to identify a nursing diagnosis and goal that would be appropriate for this pt. All other vital signs were in normal range.

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    What about labs, the rest of your assessment, patient medications? What about psycho social and emotional status? . What about when your patients goes home and any patient teaching your patient may need?

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    If you're in the first semester, your instructor might want you to keep it simple. For example, Impaired Mobility related to hip prosthesis dislocation, etc etc.

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    Pain, discharge planning, alteration in health care....

    I am a huge one on the discharge process. What is this patient going to do when she gets home? VNA? PT? OT?

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    For this pt pain would be a huge issue, there is more than likely chronic pain from her OA, add in the acute pain r/t the dislocation of the prosthetic hip joint. Depending on her level of pain this is going to possibly make her not want to move around much.

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