What intervention do you feel is most important


Assignment task: Mrs. Smith is an 88-year-old female who lives alone in her home. She walks with a walker. Last night, Mrs. Smith needed to go to the bathroom. She got out of her bed and walked to the bathroom without using her walker. In the morning her daughter came to the house to check on her. She found her mom on the bathroom floor. She called the ambulance and her mom was taken to the emergency room.  In the emergency room, the patient states, "She lost her balance in the bathroom when she was washing her hands and fell to the floor." According to the daughter, her mom has lost her balance many times but never fell. She doesn't always use her walker in the house. Her daughter also states, "She needs help getting dressed, taking a shower, and making her meals." Mrs. Smith states her pain is an 8 out of 10 on a numeric scale of 0 to 10. She also states the pain is constant, worse with movement, and radiates down her leg. Her legs feel weak. The nurse performs an assessment on the patient. She is unable to stand in and apply weight to her legs. The patient is weak in the upper extremities and lower extremities. She is unable to lift her legs off the bed. She is unable to turn from on her side without assistance. She is unable to pull her body up in the bed.

Questions.

1. What diagnosis do you believe is the most important for Mrs. Smith and why?

2. Based on Mrs. Smith situation, what intervention do you feel is most important?

3. How would you prioritize the nursing diagnoses for Mrs. Smith, considering her current condition and potential risks?

4. What additional measures would you suggest to enhance Mrs. Smith's safety and prevent falls in her home environment?

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