21 Nov Mrs. Jarrot is a 78-year-old Caucasian female who
Mrs. Jarrot is a 78-year-old Caucasian female who was brought in to the Emergency Department after falling down three steps in her house. She says she is a bit clumsy and lost her balance. She lives at home with her husband and has 5 grown children that live nearby. She complains of severe left hip and her left leg is slightly shortened. An x-ray in the Emergency Department shows a left intracapsular femoral neck fracture. She is scheduled to undergo a left total hip replacement. Throughout the next 24 hours Mrs. Jarrot has increasing pain and begins to exhibit some confusion. She reorients easily to person and place, however the time and situational confusion resumes. She is wanting to get out of bed. Mrs. Jarrot frequently states, “Why can’t I get up? I’m tired of lying in this bed, it has been days.” She is reminded that she just had surgery and will be getting up tomorrow. After repositioning her and sitting her up to the side of the bed she still she continues to want to get up. Safety precautions have been initiated at this time. Question 1 What is the best explanation for Mrs. Jarrot’s confusion? Question 2 Thinking about National Patient Safety Goal for Catheter Associated Urinary Tract Infections (CAUTI) – When should the nurse discontinue the Foley? Why? Question 3 What nursing interventions would you as the nurse implement for her comfort and confusion? Please list them with your nursing diagnosis. Question 4 What education would be appropriate for her at this time and what teaching would be appropriate for her husband and family?
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