Clinical Practice Appraisal 1

Clinical Practice Appraisal 1
Medical Diagnosis:
Mrs metalworker is am 88 year old female persevering with 62Kgs. She has been living independently at home for the past 12years aft(prenominal) the passing on of her husband. She was admitted in hospital after having a fall in her ho physical exertion and fractured her neck of femur (NOF) and the repair clavicle. After her hip replacement she was rehabilitated but did not display significant improvement and the recommendation was admission to the nursing home. delinquent to deterioration of her health status and reduced independence, she is wheel conduce bound and requires assistance to be moved from place to place. She requires beat assistance with all activities of daily living (ADLs). She can metric weight unit bear but cannot walk; therefore she is transferred by the use of a standing machine. Mrs Smith has a past medical examination history of frequent falls, osteoporosis, osteoarthritis, Hypertension, Glaucoma, multiple fractures and depression. In the recent devil weeks she has lost most weight.
Nursing Assessments:
With health perception and management, she views herself as physically unhealthy due to pain experiences related to motion of the joints and the multiple fractures. Objective entropy includes Blood Pressure (BP) of one hundred forty/90, temperature of 360C, Pulse 82 beats/Minute and respiratory direct of 14/minute.



She has a poor health self fancy of herself. With nutrition and metabolism, she states that she likes most of the food and has no allergies to food. Mrs Smith states that she has lead full meals a day and snacks in between. She drinks tea, cordials and juices. She puts on realise and bottom dentures but occasionally has pain in the gums and she would not wear them. She also states that she has a stable weight. Objective data indicate that the client has lost 3kgs in the last 2 weeks. The client has very poor appetite and has refused meals in some occasions. The client has episodes of nausea and vomiting. The client has poor appetite and noble with food.
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