falleclipse

Thanks everyone. A couple good ideas to play with. I will get the hang of this I know it. I just have to get used to a different thought process. All good now :)

well my teacher wanted us to address this but I was thinking that it was high because patient was in pain. So I was lost. I thought BP/P high because of the release of adrenaline. Once the pain is treated, these numbers should go down. But she asked us to address it as a separate need.? There was no talk of hypovolemia in the small case study.

ok I trying to find a nursing dx that had to do with increased BP and pulse...I was at a lost and the closest I could get was increased cardiac output....can you think of another for the increase in Blood pressure... I started with Assessment BP 165/84...Goal- will have Blood Pressure 110/75-135/85? in idk 2hrs Now I could not come up with a nursing dx for this

Ok so Im tring to write my first care plan and its pretty basic. we were no given very much information but, 70 yr old fall in home last night. Complains of pain in right hip subjective - states pain is 7 /10 Objective - x-ray reveal a break in the right hip - Vital signs: BP 165/84, pulse 101, temperature 36.6C respiration 20 - strenth inleft lower extremities 5/5, right not tested because of pain I just wanted to know is my nursing diagnoses sounded alright....then I will go from there acute pain related to fall as manifested by pain of 7/10 increased cardiac output as related to fall manifested by pain 7/10 activity intolerance related to fall as manifesed by fracture in right hip ( now should I say farcture in right hip?) or 2 more I could use or should Self-care deficit-(toileting, transfering) as related to fall as manifesed by pain 7/10 Physical Mobility Impaired as related to fall as manifessed by pain 7/10 any suggestions....if these are ok I can work from here I think :S