Assessments and Interventions for a Hypothetical Client:
During my clinical rotation, I worked with a hypothetical client who had recently undergone knee replacement surgery. My primary responsibility was to monitor the client’s vital signs, assess their pain level, and administer medications as ordered by the physician.
Assessment:
At the beginning of my shift, I introduced myself to the client and reviewed their medical history. I assessed their vital signs, including their blood pressure, heart rate, respiratory rate, and oxygen saturation. I also assessed the client’s pain level using a numeric pain scale and asked about any other symptoms they were experiencing.
Interventions:
Based on my assessment, I administered the prescribed pain medication and monitored the client’s vital signs to ensure that their pain was under control and there were no adverse effects from the medication. I also helped the client with activities of daily living, such as bathing, dressing, and using the restroom. Additionally, I encouraged the client to perform exercises and physical therapy as ordered by the physician to aid in their recovery.
Primary Pathophysiological Process:
The primary pathophysiological process that affected my hypothetical client’s care was inflammation. Knee replacement surgery is a major surgical procedure that involves the removal of damaged tissue and the insertion of an artificial joint. This procedure can cause inflammation in the surrounding tissues and joints, leading to pain, swelling, and decreased mobility.
According to two scholarly resources (Johnson & Lavigne, 2017; Van der Heijden et al., 2015), inflammation is a natural response to tissue injury or trauma, but it can also lead to further tissue damage if left unchecked. In the case of knee replacement surgery, interventions such as the administration of pain medication, physical therapy, and rest can help to reduce inflammation and promote healing. The use of nonsteroidal anti-inflammatory drugs (NSAIDs) or other medications may also be prescribed to help reduce inflammation and relieve pain.
Overall, understanding the pathophysiological process of inflammation and its impact on a client’s care can help nurses to provide effective assessments and interventions to promote healing and recovery.