Case Nursing (NUR302) Nursing Care Plan: Osteoporosis.Head to Toe Assessment
Patient: The patient is a 49 years old woman who presents with back pain and swollen upper thigh/hip.
CC: The patient complains of back pain,
...
Case Nursing (NUR302) Nursing Care Plan: Osteoporosis.Head to Toe Assessment
Patient: The patient is a 49 years old woman who presents with back pain and swollen upper thigh/hip.
CC: The patient complains of back pain, swollen hip, and significant weight loss in the last two and a half months. The Caucasian female visits the office with concerns over prolonged back pain, significant weight loss, and stopped posture. She reports that mild pain started three months ago but became more severe in the last two weeks. Her upper leg was hit by a chair one day ago, causing swelling. She expected the pain and swelling to go away, but it persisted, hence seeking medical care. The patient also reports that she has had fractures two times in the last year, and mild traumas caused all. She says that the pain is aggravated by minimal activities such as walking short distances, bending, and carrying out daily house chores with no relieving factors. She rates the pain as 8/10. She reports that she has also lost significant weight despite eating the same food she eats without engaging in physical activity. The patient reports she is currently unable to perform some ADLs due to pain and limited mobility. However, the patient denies loss of height, chills, headache, and tingling of feet. She is also not on medication but took Tylenol for pain before she decided to come for help.
PMH: Pneumonia during childhood, bone fractures Surgical History: myomectomy six years ago Allergy: No known allergies
Immunizations: The patient took a flu shot in 2019.
Personal History: Married with two children and live together as a family in their apartment. The patient denies smoking or alcohol use.
Family History: Father (deceased) had diabetes and hypertension. The mother has osteoporosis.
Review of Systems: Subjective
General: The patient denies headache, bruises, and chills but reports fever and is concerned about weight loss.
[Show More]