An RN on the surgical floor at a VA hospital has a patient that had surgery for a stage fo

An RN on the surgical floor at a VA hospital has a patient that had surgery for a stage four sacral pressure ulcer and is 48 hours post-op. His condition has been stable since his surgery. Cyrus Cantrell is a white, 70-year-old, Vietnam combat veteran who is a T-8 paraplegic. Mr. Cantrell’s wife was his primary caregiver until her death 6 months ago. Since that time, his daughter has provided care. However, she also has a full-time job and two children, so her time is limited. Plus, dealing with his indwelling foley catheter, bowel program, and personal hygiene upsets her, and so she has performed these activities as quickly as possible.When checking his vitals before breakfast at the beginning of the shift, the RN finds:BP: 100/60RR: 18Oxygen saturation: 94% on 2l oxygen via nasal cannulaTemperature: 37°CBlood glucose: 515Make 2 CARE PLANS, 1 PHYSICAL AND 1 PSYCHOSOCIALRoom # Age: Sex: Admission Date: Student: Cultural/Ethnic Activity: Diet: Date: Background: Diagnosis: Focus:Assessment Analysis Planning 8: Implementation Evaluation Assessment Nursing Diagnosis Outcome CriteriaNursing Rationale Evaluation of Outcome Criteria Data (client specific 3 & Interventions (Cite… Show more… Show more Health Science Science Nursing NURSING 320 Share QuestionEmailCopy link Comments (0)

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