Please submit your post work to Canvas within 48 hours of the completion of your VCBC Experience. ?Please refer to the Experiential Learning Orientation for fur

Concept Notebook

Name:Stacey Villareal Concept: Mobility

Course: Nurs 205 Activity:SimChart

Faculty Facilitator: Prof. Sargent Date/Time: 2/4/21 – 10 am- 12:30 (PST)

If you did a notebook for this concept in a previous term, you should add to the content, but you will need to date all new content and expand, using different color and/or font. Submitting the same notebook without noting the changes is considered plagiarism. ANY plagiarism issues noted will result in a 0 grade. The assignment will need to be redone for the ability to pass the course, but your score will remain a 0.

Example: Gas Exchange BSN205; Gas Exchange BSN246, Gas Exchange BSN366

This will also serve as a study aide for you as you continue through the program, study for the HESI and NCLEX exams. Your reference should be your course textbooks available via the course link, so please site per APA guidelines. Do NOT copy and paste, it must all be in your own words.

Client (virtual or living) background: Please tell us a little about the client you cared for today, either virtual or living, just one sentence telling us about them. For living clients, no personal identifying information needed.

Mr. Royer is a 92-year-old man who was found in the flood in his bed this morning. Pt. was diagnosed with pneumonia and dehydration.

Related concepts (explain): Related exemplars:

Pt should be eduated on mobility impairments and tools to use to mobize (Giddens, 2017)

Collarobation among healthcare providers- having the physical therapist evaluate mobility and CNA to assist patient when mobilizing (Giddens, 2017)

Sprains- can happen due to patient having muscle weakness (Giddens, 2017)

Fractures- patient has muscle weakness can fall and fracture- common fractures in elderly include hip dislocation. 90 % estimation. (Giddens, 2017)

Osteoporosis- due to the patient not being mobile enough the blood is not circulating enough due to lack of activity this causes people to gain weight and stress the bones. (Giddens, 2017)

Related Assessments (explain):

Related Lab & Diagnostic Test (explain):

Related Nursing Interventions (explain):

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We want to assess for patient cognitive understanding of medications and importance of safety when moving around (Giddens, 2017)

We want to also further assist the patient with assessing for pain when moving (Giddens, 2017)

CBC- with this test we can see where his blood levels are such as calcium levels which assist with bone growth as well as protecting the bone (Giddens, 2017)

Arhtroscopy- helps diagnose if there are problems in joints that can be contributing to patient falls. (Giddens, 2017)

X-rays- that way we can see if patient has any fractures present (Giddens, 2017)

Call light within reach- pt can have an easy access to reaching out for assistance. (Giddens, 2017)

Nonskid footwear in use- helps prevent the patient from sliding when walking (Giddens, 2017)

Safety belt in use when walking with patient- helps monitor the patient walk while keeping the patient safe with assistance (Giddens, 2017)

Related Medications (explain):

Potential Complications (explain):

Collaborative Care (explain):

Insulin Glargine – (Lantus) Subcutaneous, 60 units daily is a long acting insulin that is given to patients that have type 1 and 2 diabetes (Rosenthal, 2019)

Insulin Regular – subcutaneous 5 units – 4 times daily- short acting insulin that helps treat patients with type 1 and 2 diabetes (Rosenthal, 2019)

Lisinoril Tablet- oral 20 mg daily- high blood pressure medication. (Rosenthal, 2019)

Infection- can lead to further complications if pneumonia is not taking care of. (Yoost & Crawford, 2020)

Fractures- are further complications that can occur if patient was to fall because patient is an older. (Giddens, 2017)

Nurse assistant – can assist the patient by ambulating to the restroom or walk area, nurse assistant can assist with ambulation. (Yoost & Crawford, 2020)

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References:

Giddens, J. F. Concepts for Nursing Practice, 2nd Edition. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9780323374736/

Rosenthal, J.B. L. Lehne's Pharmacology for Nursing Care. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9780323512275/

Yoost, L.C. B. Fundamentals of Nursing. [VitalSource Bookshelf]. Retrieved from https://online.vitalsource.com/#/books/9780323508643/

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