Assignment task:
Arthur Charleston is a 72-year-old Aboriginal Wiradjuri man. Birth date 7/04/1950. MRN 1020304.
Mr Charleston presented to the Emergency Department today following a fall at his home. Mr Charleston has a contusion above his left eye and shows some disorientation to person, place and time; he currently has a GCS of 14. Pupils are equal and reactive to light and motor function is equal on both sides in his legs and arms. Mr Charleston has a history of Type 2 Diabetes Mellitus, Hypertension, IHD, and COPD. He wears glasses for reading and hearing aids. Mr Charleston lives on his own and smokes 20 cigarettes a day. Mr Charleston consumes 6 cans of full-strength beer per day, and he states that he eats very little and enjoys take away meals most days. He is allergic to shell fish and Penicillin. Vital signs 170/80, HR 92, RR 20, SpO2 99%, Temp 36.5, BGL 12.4 mmol, Weight: 110kg Height: 190cm.
Mr. Charleston has expressed increased pain in his left hip when mobilising. The RN has informed you that you need to ensure that Mr Charleston has strict rest in bed until review by the doctor later that day.
a) Considering the previous care plan, outline which nursing diagnosis will need to be updated to reflect this change in Mr Charleston care.
b) Update the care plan according to the change you have identified for the following nursing diagnosis -Strict rest in bed, include in your response -
1. What actual or potential impact will this have on the patient?
2. Two (2) examples of nursing interventions that you would provide.
3. What are the expected outcomes?
4. Give two (2) strategies that you could implement to reduce risk (within your EN scope of practice).
5. Provide one (1) more example of a nursing diagnosis, impact, intervention, expected outcome and safety consideration for Mr Charleston.