Fall prevention, mobility, patient education, ankle fracture, rehabilitation, physiotherapy, CLSC, post-hospitalization follow-up, risk of falling, walker usage
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Abstract
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Abstract
A patient's journey since hospitalization for a 45° oblique fracture of the right ankle is summarized, highlighting the need for education on fall prevention and mobility.
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[...] - Expected objectives with the client: [...]
[...] Assistance/medication management: supervision is necessary for medication following treatment changes. Medication in progress medications in link with the patient's admission reason and 2 in link with the ATCD and exclude acetaminophen) Medications and links Class and indications Elements of monitoring and nursing care Side effects Enoxaparine 40 mg In relation to the risk of post-operative thrombosis. Class: anticoagulant injectable Indications: prophylaxis of deep vein thrombosis A subcutaneous syringe once a day AD mobilization. Injection in a skin fold at the abdominal level pinched between two fingers. [...]
[...] Presence of a CAM Boot to protect the fracture and help the patient regain strength and mobility in the ankle. Guide for filling the systems review Systems Review Impacts and/or changes Coping mechanisms O/F/R/M Cardio-respiratory : Presence of a balanced HTA. T.A : 131/89 Pls : 103/min Resp : 21/min Sat 02 : 94% Monitoring of vital signs does not show any significant change from a cardio-respiratory point of view. Some lung noises were noted leading to a prescription of salbutamol. [...]
[...] It favors the risk of falls, mobility difficulties . Increased surveillance is necessary. Dysphagia and post-liquid dyspnea: these are difficulties in swallowing and apnea or respiratory difficulties after the absorption of liquid. The risk of false routes is very high, especially given the amount of treatment to be taken by the patient. Constipation: here, the patient complains of chronic difficulties in evacuating her stools, alternating with phases of fecal incontinence, which corresponds to the definition 'decrease in stool frequency and difficulty in evacuating them'. [...]
[...] The patient has neither children nor grandchildren, only a nephew whom she is close to. She is quite solitary. Reason for admission Chx, etc): - Brief summary of what led to hospitalization - Summarize the client's journey since hospitalization - Main reason for consultation (current problem, symptoms) - Date of admission - Diagnostic The patient fell from her height at her home on 13/04, resulting in an open reduction with internal fixation (ROFI) operation on 19/04 for a 45° oblique fracture of the right ankle. [...]
