Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic
Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic
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Pt is a 67 y.o female as documented in addition to chronic smoking and malnutrition, she initially substained a right intertrochanteric hip fracture which was treated with intranadullary nailing last year. This unfortunately went on to a aseptic nonunion with subsequent screw cut out. Pt than underwent conversion to hemiarthroplasty complicated by distal femur fracture which was treated by ORIF of the distal femur. Pt was discharged to a rehab facility on chronic ceftriaxone with the plan for life long chronic suppression. Altered mental status and hypertension and leukocytesis. UA was suspicious to possible UTI. CT shows no obvious evidence but chronic perioslitis of her proximal femur. Risks for fall, left risk restriction, thrombocytosis, asymptomatic pyuria, lactic acidosis, chronic back pain, CVA with dysphasia presenting for septic shock, COPD, anxiety, depression, anemia, opioid use, smoking, Encephalopathy. At 8:30am pain was 7/10 and at 11:45am pain was 5/10.
Base on the information above can you please do a intervention for each body system. Neurological, Musculoskeletal, cardiovascular, respiratory, integumentary,
GI, GU Patient discharge planing and education needs include community and financial resources)
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