NURSING MANAGEMENT PLAN (Case Study Sample)

Nursing Management Plan Student ID: Subject Name and Code: Due Date: Date submitted: Word Limit: 1000 WordsActual Word Count: 1004 Words Nursing Management Plan The elderly people that undergo hip surgery are prone to complications and impaired recovery due to their age. In this case, Mrs. Wang is an 84-year-old woman who presents with a history of hypertension and congestive heart failure. She reported fracture of her left neck of femur which happened following her fall while at home. This predisposed her to pain and risk of immobility later after surgery was conducted. We will utilize the Clinical reasoning cycle to come up with the priorities in managing the patient. Actual/Potential Problems In the case of the patient, Mrs. Wang is an 84-year-old woman who has been surgically repaired with left neck of the femur after a fall in her house. She has a history of hypertension, hypercholesterolemia and congestive cardiac failure that makes her susceptible to postoperative risk. She is stable in terms of vital signs but is very vulnerable to pain, bleeding, infection, and mobility restriction. Being alone since the death of her husband recently, she is also exposed to psychosocial vulnerability that should be carefully handled in a person-centred manner. The second action is to gather cues and data in which the evaluation shows bruising on her left hip, arm, and face and an 8-stitch cut on her forehead (Mohammadi-Shahboulaghi et al., 2021). Her heart diseases are associated with an increased risk of fluid imbalance and cardiac stress, and her mild forgetfulness and anesthesia predisposes her to postoperative delirium. Being an elderly patient post-surgery, she is also vulnerable to pressure injuries and infection, which emphasizes the importance of careful and holistic nursing examination and treatment (Yilmaz & Basli, 2021). The identification and prioritization of the nursing problems is carried out after the information is processed. Consideration of the assessment data of Mrs. Wang unveils three important issues that nursing intervention ought to address. Acute pain associated with surgical incision and tissue trauma is also one of the issues as evidenced by bruising and reported hip pain. There is also risk of impaired mobility related to pain, surgical procedure, and advanced age as evidenced by reduced movement and need for assistance (Sayilan et al., 2022). Lastly, there is risk of postoperative delirium related to advanced age, anesthesia effects, and pre-existing forgetfulness as evidenced by recent cognitive changes (Ho et al., 2021). Priority Statement According to the nursing problems mentioned above, the most pressing issue of Mrs. Wang is acute postoperative pain associated with surgical incision and tissue trauma. Pain management is crucial because unmanaged pain may slow down the mobilization process, wound healing, and cause severe complications including thromboembolism and pneumonia (Imdad et al., 2025). Pain also increases blood pressure and heart rate, which puts extra risk to Mrs. Wang, who already had congestive cardiac failure. In addition to physiological manifestations, unmanaged pain can increase anxiety levels, decrease rest, and decrease the ability to recover emotionally among the elderly (Tadesse et al., 2022). Solving this problem is consistent with the principles of person-centred care because it focuses on her comfort and dignity and active participation in care. The patient-centred objectives will be that Mrs. Wang will rate her pain as less than 3/10 on the Numeric Rating Scale in two hours of intervention and will be able to achieve adequate comfort to participate in the breathing exercises and assisted mobilization eight hours after surgery. Nursing interventions and Rationales The initial intervention is to apply prescribed analgesia based on postoperative orders and observe its efficacy. It is recommended to use multimodal analgesia that incorporates paracetamol and opioids, including morphine, to promote pain relief and reduce opioid addiction (Afshan et al., 2021). The evaluation of pain should also be carried out on a regular basis with the help of the Numeric Rating Scale (NRS) to increase or decrease the dosage. In the case of Mrs. Wang, close observation is crucial since her age and prior experiences of congestive cardiac failure predispose her to such adverse effects as respiratory depression and hypotension. Early and personal analgesia administration helps maintain the comfort level, early mobilization, and prevents physiological stress reactions to poorly managed postoperative pain. The second intervention entails incorporating non-pharmacological measures including the best limb positioning, supportive pillows, and relaxation as supplements to analgesic therapy. Correct positioning of the limb in use also reduces tension in the operation site and enhances comfort, whereas relaxation or controlled breathing is more likely to reduce anxiety and increase calmness (Niyonkuru et al., 2025). Involving Mrs. Wang in these comfort measures will help build autonomy and also agree with the principles of person-centred care. Integrating pharmacological and non-pharmacological interventions is more effective to control pain, decrease medication use, and increase patient satisfaction (Tano et al., 2022). These strategies consider the preferences of Mrs. Wang, and she is able to take an active role in her healing journey, as well as support physical and emotional health. The third intervention is to enable early, yet safe mobilization, together with the physiotherapy team. Assisted ambulation should be introduced within 24 hours of hip surgery to promote circulation, avoid complications including deep vein thrombosis and pneumonia, and functional recovery (Sara & Lewis, 2023). Prior to mobilization, it is important to guarantee a proper level of pain control in order to allow confidence and safety. The work of the nurse involves evaluation of readiness, physical assistance, and the effective use of assistive devices. Early mobilization does not only keep the muscles strong and joints flexible, but also it improves mood and independence. In the case of Mrs. Wang, the slow and assisted movement promotes recovery and minimizes the risks associated with immobility-related complications. In conclusion, the Clinical Reasoning Cycle was utilized to design a safe and person-centred postoperative care plan with acute pain as the highest priority issue since it can severely affect recovery and overall well-being. Pharmacological and non-pharmacological management of pain and early mobilization is an evidenced-based intervention measure that guarantees comfort and functional independence. The patient should also be mobilized early to prevent further complications and promote recovery. References Afshan, G., Khan, R. I., Ahmed, A., Siddiqui, A. S., Rehman, A., Raza, S. A., Kerai, R., & Mustafa, K. (2021). Post-operative pain management modalities employed in clinical trials for adult patients in LMIC; a ...