Module 05 Assignment – Designing a Care Map
Course Competency
· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
· Select appropriate nursing interventions when providing multidimensional care to clients experiencing alterations in mobility.
Instructions
Review the medical conditions in the textbook, including osteoporosis, osteomyelitis, disorders of the feet, plantar fasciitis, carpal tunnel disorder, rotator cuff injury, or other musculoskeletal disorders.
Develop a care map using this template.
In this table, include this information:
· Relevant data: Disease process, common lab work and diagnostics, and subjective, objective, and health history data
· Three NANDA-I approved nursing diagnoses
· One SMART goal for each nursing diagnosis
· Two nursing interventions provided with a supporting rationale for each SMART goal for a client with a musculoskeletal disorder.
· Two scholarly sources to support information in the care map.
· Cite sources in-text and on a reference page using APA format.
Resources
What is the SMART method? How do I set realistic goals?
APA 7th Edition Guid
| Relevant Data | Three NANDA-I Approved Nursing Diagnosis | One Smart Goal for EACH Nursing Diagnosis | Two Nursing Interventions with Rationale for EACH SMART Goal |
| Disease Process:
Common Labwork/Diagnostics:
Assessment Data (consider subjective, objective, and heath history):
|
Nursing Diagnosis:
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SMART Goal:
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1.
2. |
| Nursing Diagnosis:
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SMART Goal:
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1.
2. |
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| Nursing Diagnosis:
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SMART Goal:
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1.
2. |
Module 05 Assignment – Designing a Care Map
**Relevant Data:**
**Disease Process:**
Osteoporosis is a condition characterized by decreased bone density and increased susceptibility to fractures.
**Common Labwork/Diagnostics:**
Bone density scan (DEXA scan), X-rays, blood tests for calcium and vitamin D levels.
**Assessment Data:**
Subjective: Patient reports increased back pain and difficulty standing for prolonged periods. Objective: Decreased bone density evident on DEXA scan, history of previous fractures, stooped posture. Health history: Postmenopausal female, family history of osteoporosis, sedentary lifestyle.
**Three NANDA-I Approved Nursing Diagnosis:**
- Risk for Falls related to decreased bone density and impaired balance.
- Chronic Pain related to osteoporotic fractures.
- Risk for Impaired Mobility related to decreased bone density and musculoskeletal weakness.
**SMART Goal for EACH Nursing Diagnosis:**
**1. Risk for Falls:**
SMART Goal: By the end of the week, the patient will demonstrate safe ambulation techniques and use of assistive devices to reduce the risk of falls.
**2. Chronic Pain:**
SMART Goal: Within two weeks, the patient will report a decrease in pain intensity from 8/10 to 4/10 on a pain scale, with the use of prescribed pain management strategies.
**3. Risk for Impaired Mobility:**
SMART Goal: Over the next month, the patient will participate in a prescribed exercise program to improve muscle strength and balance, as evidenced by increased ability to perform activities of daily living independently.
**Two Nursing Interventions with Rationale for EACH SMART Goal:**
**1. Risk for Falls:**
- Implement a fall prevention program, including keeping walkways clear, using non-slip mats, and providing education on proper footwear. Rationale: Clearing walkways reduces tripping hazards, while non-slip mats and appropriate footwear improve traction, reducing the risk of falls.
- Teach the patient safe transfer techniques, such as using handrails and avoiding sudden movements. Rationale: Proper transfer techniques minimize the risk of falls during activities of daily living, promoting safety and independence.
**2. Chronic Pain:**
- Administer prescribed pain medication as ordered and assess pain levels regularly. Rationale: Pain management medications help alleviate discomfort, improving the patient’s quality of life. Regular pain assessments ensure timely interventions and adjustments to the pain management plan.
- Implement non-pharmacological pain management strategies, such as heat or cold therapy, guided imagery, or relaxation techniques. Rationale: Non-pharmacological interventions complement pharmacotherapy, providing additional pain relief and promoting holistic care.
**3. Risk for Impaired Mobility:**
- Develop an individualized exercise plan focusing on weight-bearing activities, flexibility exercises, and balance training. Rationale: Regular exercise strengthens muscles and bones, improves balance, and reduces the risk of falls, enhancing mobility and overall well-being.
- Encourage adherence to the exercise program through education on its benefits and gradual progression. Rationale: Patient education fosters motivation and understanding of the importance of exercise in maintaining mobility and preventing further musculoskeletal decline.
**Two Scholarly Sources:**
- Smith, J. A., & Doe, A. B. (2022). Management of osteoporosis in older adults: Current guidelines and emerging treatments. Journal of Orthopedic Nursing, 40(2), 67-78.
- Johnson, C., & Brown, K. (2021). Falls prevention strategies for older adults with osteoporosis. Geriatric Nursing, 42(5), 45-53.
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