NR 326 Relearning Clinical Judgment Plan of Care Template for V.J. (91 Year Old)
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4191009491344 Student Name: Date of Admission: 12/7 Client Initials: V.J. Date of Care: 12/7 Age/DOB: 91 years old Admitting Diagnosis: Complex distal femur fracture with hip Allergies: NKDA fracture after a fall at home, requiring surgical hip BSA/BMI:20.6 Code Status: DNR/DNI replacement. Comorbidities: Advanced age, dehydration, anemia, history of hemorrhagic shock, and blood transfusion reaction. Also, high fall risk and weakness related to deconditioning after lying on the floor for many hours. Planned Treatments/Procedures: Post-operative care after hip replacement, pain management, anti
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