N.O., a 72-year-old man, was admitted to a skilled care facility for rehabilitation after an open…

N.O., a 72-year-old man, was admitted to a skilled care
facility for rehabilitation after an open reduction/internal fixation of the
right hip. N.O. had fallen while going up the stairs of his home, suffering an
intertrochanteric, comminuted fracture of the right femur. He has no
recollection of what caused him to fall. He is married and, until his surgery,
was working part time as a school-crossing guard. While in the hospital, N.O.
exhibited mental status changes, including disorientation and confusion. His
wife reports that he never had this problem before the surgery. He is continent
of
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N.O., a 72-year-old man, was admitted to a skilled care
facility for rehabilitation after an open reduction/internal fixation of the
right hip. N.O. had fallen while going up the stairs of his home, suffering an
intertrochanteric, comminuted fracture of the right femur. He has no
recollection of what caused him to fall. He is married and, until his surgery,
was working part time as a school-crossing guard. While in the hospital, N.O.
exhibited mental status changes, including disorientation and confusion. His
wife reports that he never had this problem before the surgery. He is continent
of bowel and bladder. N.O. was in relatively good health until the fall. He and
his wife agree that he should return home after rehabilitation is complete.

The following questions will guide your development of a
nursing care plan for the case study.

1. Identify specific admission assessments that would be
required for N.O. because of his age and condition.

2. Identify complications for which N.O. is at risk.

3. List interventions to prevent each complication.

4. Cite possible reasons for N.O.’s fall.

5. Describe methods for assessing N.O.’s mental status.

6. Describe possible reasons for his altered mental status.

7. Write three individualized nursing diagnoses and goals
for N.O.

8. List nursing actions related to altered mental status.

9. List four successful outcomes for N.O.

10. Develop a teaching plan for N.O.

11. List the community resources N.O. may need after
discharge.

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