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allnurses

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willingtolearn

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  1. First care plan. I cannot figure out what information is pertinent for this assessment, and I'm also worried i will come up with too much or too little info. i'm lost! Assessment: Case Study: 72 y/o male, hospitalized for surgery on R. knee. past 5 yrs experienced pain and decreased mobility preop Now 2 days postop following total knee replacement Incision is healing no signs of edema or erythema He rates pain as a 6-7 on a scale of 0-10. Using patient-controlled analgesia pump allows him to receive pain meds by pressing button He uses continued passive motion machine to maintain flexion and extension He is able to amb from bed to bathroom with aid of walker The problem I'm having is all the missing information i may have gained by a hands on direct assessment. I would start with the most important, in my thought process, would be: Nursg dx Acute pain r/t incision site of surgical procedure Risk of infection r/t surgical incision, and age impaired physical mobility r/t limited ROM I wanted to put constipation r/t opiates taken for pain. don't think its in my book. And possibly risk for injury r/t to implementing immobilization to R. leg. Do I have anything worth while here or bag it and start all over. Any help would be greatly appreciated!!:loveya:

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