Bob Wells is an 82-year old male who has returned to the orthopedic ward yesterday following internal fixation of his right hip.

Bob Wells is an 82-year old male who has returned to the orthopedic ward yesterday following internal fixation of his right hip.

Bob Wells is an 82-year old male who has returned to the orthopaedic ward yesterday following internal fixation of his right hip. Mr. Wells fractured his hip when he tripped and fell in the long-term care facility where he lives. His vital signs have been stable but he is having difficulty maintaining attention and appears to be somewhat confused. His daughter tells you that he is ?normally as clear as a bell? and ?always coherent?. He has an epidural infusion in situ with low doses of bupivacaine and morphine.

Outline the key strategies that you would use to manage Mr. Wells? pain effectively giving arguments for your key points, which are supported by evidence from the literature.

Please follow the structure below to write this assignment:

? Introduction (100 words):

? What you are writing about (ie. clarify the topic)
? What your position/point of view is on the topic (sometimes called the thesis statement)
? Indicate its significance or importance
? Delimit/clarify the scope of your discussion on the topic (where relevant), and
? Provide a summary of the key points/arguments that you are going to make in support of your perspective/position

(Introduction also must include:Explain the case and address two issues in this case study. Describe the main strategies (non-pharmacological interventions and pharmacological intervention) for nurses to use in the pain management for elderly people with confused in fracture hip.
Issue 1: pain management of fracture hip in elderly patients
Issue 2: pain management of fracture hip in confusedpatients)