Mrs. Law, a 77-year-old female, is at home recovering from surgery that she had after falling and breaking her hip 5 days ago. She lives with her husband, Dean, who helps to care for her. Mrs. Law is a former smoker and has a past medical history of hypertension and hyperlipidemia. You are the visiting nurse, assigned to check on her postoperative progress.
You ask the client how she is feeling, do an assessment, and inquire as to what she has eaten over the past 24 hours. Mrs. Law states that she has ?No pep, no appetite, has been taking her pain medication as prescribed (every 4 hours?but not real helpful!), cannot sleep well, doesn?t feel much like walking, except for to the bathroom, and has been unable to move her bowels for several days.?
Breakfast: Two glazed doughnuts, coffee (black)
Lunch: Tossed salad with oil and vinegar, diet soda
Dinner: Tomato soup, 1 cup; four soda crackers; and red homemade wine
Snack: Pretzels, diet soda
What nutrients that contribute to bone health are missing in Mrs. Law?s diet? What other dietary concerns do you have? Is Mrs. Law getting the appropriate amount of vitamins and minerals for her age and current condition? Why or why not
When you review the scenario with Mrs. Law, please think about how you might care for this client if you were the home health nurse. Be sure to address each question and sub-question in your initial post.
In addition to the thoughts you have from the questions above, what other concerns do you have based on:
no bowel movement for several days
pain
not slept well
little activity
If that were you, would you feel like eating? Why or why not? What other nursing interventions besides teaching her what she SHOULD be eating are necessary?
Discussion criteria for grading
Understanding of concepts, in-text citations, Clear and logical expression
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