In addition to meeting patients’ physical requirements, effective nursing care also considers their mental health and coping mechanisms. The subject of this case study is Yolanda Yost, an 80-year-old woman who fractured her hip and needed a total hip replacement. Yolanda has shown signs of improvement in her physical condition, but she still shows signs of severe psychological suffering. To maximize patients’ overall well-being and rehabilitation process, this paper will examine these interventions’ assessment, diagnosis, planning, implementation, and evaluation. It will emphasize the significance of attending to patients’ holistic needs.
Assessment
When talking about her circumstances, Yolanda frequently breaks down in tears as she displays her emotions of powerlessness and lack of control over her conditions. A total hip replacement involves surgery to replace a diseased or broken hip joint with synthetic parts (Ferguson et al., 2018). She is adamant that her choices have no bearing on the result. Yolanda’s frequent weeping fits, her declarations of powerlessness, and her refusal to participate in self-care routines because she feels her efforts are in vain, are significant indicators of medical conditions. All of these indications point to an anxiety disorder.
Diagnose
Impaired coping linked to the emotions of impotence and incompleteness are potential nursing diagnoses. Additionally, there is a probability of momentary negative self-esteem linked to functionality loss and autonomy and inefficient health maintenance related to refusal to partake in caregiving obligations (Segev-Jacubovski, O., 2019).
Validation: Comparing signs and symptoms with the defining characteristics of the possible nursing diagnoses:
It is clear from comparing Yolanda Yost’s ailments to the fundamental characteristics of prospective nursing diagnoses that she is exhibiting substantial proof of impaired coping. Yolanda frequently lets down in tears and expresses desolation, signs of emotional anguish. She also lacks ambition and coping skills by refusing to participate in care activities since she thinks it won’t change the outcome. Consequently, Yolanda’s nursing diagnostic statement is impaired coping related to feelings of powerlessness and lack of control over the condition.
Plan
Several interventions have been developed to help Yolanda Yost manage her helplessness and participate in self-care activities. First, allowing Yolanda to express her emotions and worries freely gives her a much-needed outlet for her emotional pain. It establishes an atmosphere of affection where she is accepted and appreciated. Yolanda can learn beneficial strategies for managing her emotions and coping better if she is actively engaged in the recognition and execution of coping strategies.
Implement: Put the planned interventions into action by scheduling therapeutic conversation sessions with Yolanda, investigating coping mechanisms together, encouraging social interactions, and imparting self-care knowledge. Incorporate empathy and active listening to establish a nurturing ambience that promotes Yolanda’s involvement and enhances her capacity for coping.
Evaluate: Through continuous evaluation of Yolanda Yost’s willingness to use coping mechanisms and participate in care, the efficacy of the interventions for her emotional well-being and engagement in self-care activities is assessed. Keeping an eye on Yolanda’s mental wellness and engagement level gives us essential information about her development and coping skills. Yolanda’s enhanced enthusiasm for self-care activities and her increased willingness to deploy techniques for coping are signs that the interventions were effective.
Reference
Segev-Jacubovski, O. (2019). Positive Psychological Factors, Functional Ability, Participation and Health-Related Quality of Life in Older Adults After Hip Fracture. The Hebrew University of Jerusalem (Israel).
Ferguson, R. J., Palmer, A. J., Taylor, A., Porter, M. L., Malchau, H., & Glyn-Jones, S. (2018). Hip replacement. The Lancet, 392(10158), 1662-1671.
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