Client Information
Meet your client, Justin Jones.
Justin Jones has just been admitted to an orthopedic unit after an automobile accident in which he was driving. He is 80 years old and has been living at home alone. Justin Jones has a history of Type 2 DM and osteoarthritis. He has casts and traction on both legs and a cast on one arm. He is receiving morphine sulfate intravenously via PCA pump. The admitting nurse wrote the following diagnoses and goals on the plan of care.
The nursing diagnosis is acute pain secondary to musculoskeletal trauma (arms, legs, body) and muscle spasmsrisk for Peripheral Neurovascular Dysfunction secondary to casts/traction.
GOALS/EXPECTED OUTCOMES
- Demonstrates correct use of PCA pump
- Rates pain not higher than 4 on a scale of 1 to 10 at all times
- Peripheral pulses palpable
- Fingers and toes warm
- Fingers and toes without pallor or cyanosis
- No edema of fingers and toes
- Capillary refill less than 3 seconds
Critical Thinking Questions
- What general knowledge will you need to care for this client?
- What is one thing you could do to ensure Justin Jones safety while managing his acute pain? List two more things you need to know about Mr. Jones to begin his discharge planning.
- What is another nursing diagnosis you might want to include for Justin Jones?
- Rewrite the goals/expected outcomes for Acute Pain so that they will have all the required components. Assume that todays date is November 10.
- What beliefs, values, biases, or emotional responses might interfere with your ability to provide the best care to Justin Jones?
Submission and Assessment Guidelines
- Submit your Microsoft Word document with the questions clearly listed and answered.
- Each response should be clear, concise, and use correct grammar. All of the questions MUST be answered in your document.
- Turnitin is enabled for this assignment.
- Review the Full-Spectrum Nursing Rubric for grading criteria.
- This activity is worth 60 points.
Rubric
NUR 211 – Full-Spectrum Nursing Rubric (4)
| Criteria | Ratings | Pts |
|---|---|---|
|
This criterion is linked to a Learning OutcomeConnections |
|
45 pts |
|
This criterion is linked to a Learning OutcomeContent |
|
15 pts |
|
This criterion is linked to a Learning OutcomeCourse Outcome 2Apply the clinical judgement model threshold: 3.0 pts |
|
— |
Total Points: 60
Requirements: complete sentences 3 sentences for each question
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