John Grant, a 63-year-old man has been diagnosed with bilateral knee osteoarthritis. The pain had been well controlled with paracetamol 1g four times daily. His general practitioner (GP) added oxycodone 5 mg prn, but due to his worsening pain, mostly in his right knee, John was referred for a right total knee replacement. A plan is in place to have the left knee replaced once he has completely recovered from the first operation. John has a history of angina, hypertension (HTN), hyperlipidaemia, type 2 diabetes (T2DM), and depression. He also has mild gastro-oesophageal reflux disease (GORD) and self-manages his symptoms with antacids prn and moderation of alcohol intake. Nursing Assignment Help
John is a widower and owns a café, along with his eldest daughter. He previously worked 6 days a week; however, due to his painful knees has reduced his work to light duties and office work 2 days a week and now worries about his daughter’s workload. John lives in his own home, which has six steps at the front, and is usually able to undertake all his own activities of daily living (ADLs), and housework independently. His family visit regularly, and recently his son and daughter-in-law have been helping with the housework and cooking. 2803NRS
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1. Discuss the risk factors for, and the pathophysiology of the chosen health concern for the patient in the scenario. 2803NRS
2. Discuss TWO (2) components of an initial post-operative assessment that an RN would undertake for the patient. Provide a rationale for each assessment relating to the patient condition and justify with evidence-based literature.
3. Identify TWO (2) priorities of nursing care to meet the patient’s needs identified in your initial post-operative assessment AND provide a rationale for why these are a priority. *One of your TWO nursing care priorities to be discussed must be postoperative compartment syndrome OR post-operative wound dehiscence. 2803NRS
4. Provide a comprehensive care plan to address the identified ONE (1) nursing care priority. Use evidence-based literature to justify why your intervention is likely to be appropriate for this patient.
5. Use Gibb’s Reflective Cycle as a framework to demonstrate how you would reflect on the process of managing the chosen post-operative potential health concern and what you have learnt from designing the plan. This section can be written in the first person. Nursing Assignment Help