https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g en-us 2021-10-25 07:04:07 UTC 2021-10-27 02:13:17 UTC hello@padlet.com https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846752911 subjective data : analgesia on demand, anxious about pain, facial grimace, vomiting after lunch
objective data : Temperature of 36.8C, pulse rate 110bpm, respiratory rate 22 bpm, blood pressure 146/88 mmHg, pain score of 6 to9 over 10
goal: patient will be comfortable and pain score goes down and shows compliance to medication
Nursing interventions: 
-provide  comfortable position
-encourage patient to have diversional activities
-apply cold patch to reduce pain
-provide medication
-assess and evaluate reaction


]]> 2021-10-27 01:30:35 UTC https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846752911 https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846758203 Assessment: 
OD: Patient vital signs 110/bpm, 22 breaths per min, Blood pressure is 146/88 mmHg, 36.8C temperature. Pain score of 6-9 for past 8 hours.
Admitted for post-elective bilateral total knee arthroplasty
SD: Patient mentioned he vomited once after lunch and is more anxious about his pain. 

Patient Problem: Joint pain related to post elective bilateral total knee arthroplasty evidenced by pain score of 6 to 9.

Goal: Mr Koh will be able to reduce his pain score to below 3 after 2 weeks. 

Interventions: 
-Prescribe pain medication to patient to relieve pain in knee. 
-Apply cold patch to the incision on patient's knee to relieve pain. 
-Prop up patient's leg when resting to relieve improve circulation to relieve pain

Evaluation: Mr Koh's knee pain will be largely reduced and his pain score will be below 3 after 2 weeks of care.]]> 2021-10-27 01:32:45 UTC https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846758203 https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846775146 2021-10-27 01:39:33 UTC https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846775146 https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846833746 Nursing Problem 
Risk of Infection related to bilateral total knee arthroplasty as evidence by PCA of IV Morphine on demand and pain score of 6-9 over 10 hours.

Assessment
SD: pain score of 6-9 over 8 hours
OD: PCA of IV Morphine, vomitted and anxious about pain, temperature of 36.8 degree, pulse rate at 110 betas/min, respiratory rate at 22 breaths/min and blood pressure 146/88 mmHg

Goal: Reduce pain score from 6 to 1 within 24 hours. Relieve discomfort, access wound and change dressing if soaked or due. Maintain good condition of wound to prevent any infections by going for checkup regularly. Ensure that patient understands why he is having pain, and also communicate effectively

Intervention/ Implementation
- Elevate knees above waist level
- Change wound dressing when dressing soaked or due
- Make sure your surrounding and equipment are clean and sterile before using
- Morphine medication as prescribed to control patient's pain
- ordered and wound charting for record


Evaluation
- pain score will be reduce and patient will be comfortable 
- vital signs will be on a stable side as patient is more calm
- wound infection will not occur as we’ve check the dressing daily]]> 2021-10-27 02:02:25 UTC https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846833746 https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846840210 HELLO LESSON END ALREADY]]> 2021-10-27 02:05:12 UTC https://padlet.com/andrea_evangeline_lim/eceh0d44ghgku80g/wish/1846840210