Describe, prioritize, and provide a rationale for the planned care of Mr. Simons that demonstrates client-centered care?
Nursing scenario Order Description You are a registered nurse working on an Orthopaedic ward. Mr Dwight Simons, 67 years, is being transferred to you from the Emergency Department via operating theatres. You need to assess, plan, prioritise and provide care for Mr Simons who has just undergone a total hip replacement to treat a fractured neck of femur of his right leg. Mr Simons waited in the Emergency Department 12 hours for surgery. Prior to this he was laying where he fell, on the floor at home, for 18 hours before help arrived. Mr Simons is a semi-retired pharmacist and has been working 3 days per week. His wife died earlier this year and he now lives alone. On arrival to your ward, Mr Simons is confused but otherwise in a stable condition. He has an IV cannula in situ right lower arm, with IV Normal Saline running at 40mls/hr and a Fentanyl PCA. There is approximately 200mls left in the IV bag. His GCS is 14 and his pupils are equal & reactive. His blood pressure is 137/78 mmHg, his pulse is 87 bpm and he is afebrile at 36.6 degrees. The surgical incision is dressed with minimal strikethrough. There are 2 Belovac drains that are patent and draining from the incision site- a total of 500mls emptied in operating theatres. His integument is otherwise intact but you notice a large bruise and swelling on his (R) temple the theatre nurse explains that his head was bumped during the transfer from the operating table to his bed. His IDC is patent and draining a strong yellow coloured fluid. Mr Simons is awake but appears confused. He is able to remember his date of birth but cannot recall why he is in hospital or what day it is. He keeps trying to sit up even though he has been frequently reminded not to. He keeps dropping his PCA button and asking staff to call his wife to come and pick him up. Task: Your task is to write an essay of 2000 words in which you explain the decisions you would make in assessing, planning and prioritising the care of Mr Simons. You are to assume you are the Registered Nurse assigned to care for him for the duration of an 8 hour shift. In the essay you need to: 1) Identify & prioritise the nursing care of Mr Simons 2) Describe, prioritise and provide a rationale for the nursing assessments you will undertake 3) Describe, prioritise, and provide a rationale for the planned care of Mr Simons that demonstrates client-centered care? Ensure that you use relevant academic literature to support the decisions you would make in order to provide an evidenced-based approach to the nursing assessment and nursing care. ? References: Minimum of 15 scholarly articles