Kenneth Patterson is a 78 year old gentleman who was admitted to hospital following a fall at his home. X-Rays have
confirmed a fractured neck of femur. On admission to the Emergency Department, Kenneth revealed he had experienced
increasing levels of pain in his right hip recently, however had not seen a GP. Surgery has now been scheduled for a
Right Total Hip Replacement.
Type II diabetes mellitus On admission BGL 15.2
Hypertension On admission 170/85
Ex-Smoker (Ceased 5 years ago)
Metformin 500mg BD
Paracetamol Osteo 665mg x 2 BD
Metroprolol 50 mg BD
Ibuprofen 400 mg TDS
Esomeprazole 20 mg OD
Kenneth has lived alone for the past two years following the death of his wife, Marie. He has three adult children who
are supportive, however they live with their families in the capital, five hours drive away. He does not recall what led
to his fall, and was lucky that his neighbour dropped in and found him in the bathroom and called an ambulance.
You are to provide a comprehensive nursing care plan for Kenneth that demonstrates the critical reasoning cycle. Your
plan must be focused on the holistic nursing management of Kenneth and include the pre-operative care and education, as
well as the post-operative management.