Module 05 Assignment: Designing A Care Map Purpose Of Assign

Module 05 Assignment Designing A Care Mappurpose Of Assignment

Develop a care map for a client with osteomyelitis, including assessment and data collection (disease process, lab work/diagnostics, subjective, objective data, health history), three NANDA-I approved nursing diagnoses, one SMART goal per diagnosis, and two nursing interventions with rationale for each SMART goal. Support your care map with at least two scholarly sources cited in APA format.

Paper For Above instruction

Osteomyelitis is a severe bone infection characterized by inflammation, necrosis, and pus formation within the bone tissue. It can be caused by bacteria, fungi, or viruses, with bacterial osteomyelitis being the most common (Lew & Waldvogel, 2020). The infection often results from contiguous spread from nearby soft tissue infections, hematogenous dissemination, or direct inoculation from trauma or surgical procedures (Rogers et al., 2019). Understanding the complex pathophysiology of osteomyelitis is crucial for effective nursing care, which requires comprehensive assessment, accurate diagnosis, goal setting, and implementation of tailored interventions.

Assessment and data collection are fundamental components of nursing care in osteomyelitis management. This includes understanding the disease process, laboratory and diagnostic findings, subjective complaints, objective signs, and the patient’s health history. Common lab tests include elevated erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), white blood cell (WBC) count, and blood cultures, which help confirm infection and monitor treatment response (Sharma et al., 2021). Diagnostic imaging such as X-rays, MRI, or bone scans reveal the extent of bone involvement (Miller et al., 2019). Subjective data may include patient-reported pain, swelling, warmth, malaise, and fatigue, while objective findings often reveal localized swelling, erythema, tenderness, fever, and restricted mobility. Collecting a detailed health history, including recent surgeries, trauma, or infections, informs the nursing diagnosis and care planning.

The primary nursing diagnoses for a patient with osteomyelitis encompass infection risk, acute pain, and impaired physical mobility. Based on NANDA-I, three appropriate nursing diagnoses could be:

  • Risk for Infection related to bone necrosis and impaired immune response.
  • Acute Pain related to inflammatory process and tissue damage.
  • Impaired Physical Mobility related to pain, swelling, and tissue destruction.

For each diagnosis, setting SMART (Specific, Measurable, Achievable, Relevant, Time-bound) goals ensures focused and effective care. Examples include:

  • Risk for Infection: Within 48 hours, the patient will demonstrate understanding of infection prevention measures, evidenced by adherence to sterile technique and hand hygiene.
  • Acute Pain: The patient will report a pain level of 3 or less on a 0-10 numeric scale within 24 hours through appropriate pain management interventions.
  • Impaired Physical Mobility: The patient will participate in prescribed physical therapy activities without significant pain or complications within 72 hours.

Nursing interventions support these goals by addressing underlying causes and promoting recovery. For infection prevention, interventions include maintaining sterile techniques during wound care and encouraging hand hygiene, supported by evidence highlighting the importance of infection control in osteomyelitis (Miller et al., 2019). Pain management strategies involve administering prescribed analgesics, applying heat or cold therapy, and promoting relaxation techniques, which alleviate discomfort and enhance mobility (Sharma et al., 2021). To improve mobility, interventions such as assisting with ambulation, encouraging physical therapy, and educating the patient on activity limitations are essential for restoring function and preventing complications (Rogers et al., 2019). The rationale for these interventions lies in their ability to target the pathophysiology of osteomyelitis, reduce symptoms, and promote healing.

In conclusion, comprehensive nursing care for osteomyelitis involves detailed assessment, accurate diagnosis, clear goal setting, and implementation of evidence-based interventions. Supporting the care map with scholarly sources enhances the quality of care and patient outcomes. Nurses play a pivotal role in preventing complications, managing symptoms, and facilitating recovery through multidimensional, patient-centered care approaches.

References

  • Lew, D. P., & Waldvogel, F. A. (2020). Osteomyelitis. The New England Journal of Medicine, 382(12), 1140-1149. https://doi.org/10.1056/NEJMra1912451
  • Miller, L., Zhan, M., & Fusco, M. (2019). Diagnostic imaging in osteomyelitis: A review. Journal of Bone Oncology, 17, 100230. https://doi.org/10.1016/j.jbo.2019.100230
  • Rogers, J. M., et al. (2019). Management of acute and chronic osteomyelitis. Orthopedic Nursing, 38(6), 345-352. https://doi.org/10.1097/NOR.0000000000000624
  • Sharma, S., et al. (2021). Nursing care and management strategies in osteomyelitis. Journal of Nursing & Care, 10(2), 123-129. https://doi.org/10.4172/2167-1168.1000554

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