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Hospital-based nursing (General nursing care (anorexia (offer small…
Hospital-based nursing
emergency unit
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Trauma
in bust trauma units reduced vision and hearing in older patients often result in incorrect answers being given along with disorientation and anxiety and patients become incorrectly labelled as difficult and confused
fractured femur may present with an immobile or painful knee and no history of a fall (post-menopausal osteoporosis)
Risk of pressure sore
inability to communicate or mobilize effectively may aggravate pre-existing dehydration or patients wetting himself and being labelled asincintinent
Anaemia
either due to acute or insidious blood loss or nutritional deficiency, may contribute to confusion, angina, shortness of breath and general failure to thrive
Post operative nursing
Admission
older person requiring surgery should be admitted earlier than younger patients to allow doctors to evaluate their anesthetic risk management
Medical condition
concurrent medical condition influence choice of anesthesia leg COPD may be given a spinal anesthesia to reduce risk of post operative respiratory infection, local or regional may be used.
Surgical procedure
age of a patient may influence choice of a procedure such as fixation of a fractured femur with sliding a pin and plate to enable earlier mobilisation
Post operative risks
pressure sores
immobility that occurs during surgery am immediate post operative period posses a risk of pressure sores, deep vein thrombosis and pulmonary embolism
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General nursing care
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Dyspnoea
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encourage deep breathing, and coughing to maintain lung capacity
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Rehabilitation
Indications
it is indicated for any medical, surgical, mental or any traumatic events
structural programme
Functional assessment
in home circumstances, multidisciplinary team with patients and family set out realistic goals and aims
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nurse has to ensure that the plan in feeding and breathing technique, dressing, mobility and transfering and positioning particularly after a strike
Outside the hospital
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they should be referred to physiotherapy, occupational therapy and speech therapy in the commuity service where available
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