[Verified Answer]: Identification: – Ms

Identification: – Ms. Rebecca Moskowitz is a 79-year-old, Jewish lady who lives alone. Situation: – Ms. Moskowitz presented to the emergency department at 8:00 am this morning after a fall on the stairs in her two-story home at 6:30 am this morning. X-Ray of the right-sided elbow has revealed an Olecranon fracture. She has also sustained a small wound on her left elbow. She vomited once after having a sandwich around 11:00 am. Since then, she has refused to eat or drink anything. She has been transferred to the medical ward for a 48-hour observation. Ms. Moskowitz’s right arm has been placed in a back slab cast for 2 weeks. Background – Ms. Moskowitz’s past medical history includes: Unstable diabetes mellitus which was diagnosed at the age of 35 (Metformin 500mg / BDS) Diagnosed with osteoporosis last year (Fosamax 35 mg orally once a week) Hypertension (Ramipril 5mg / ODS) Operated for Uterine fibroid at the age of 30 post-pregnancy Personal, Social & family background: Lives alone in her own two-story house, independent with all ADLs. Has a cleaner come in once/ week. Her 52-year-old son and his family live nearby and are very supportive of their mother. Is retired. No Financial stress. Reports many social friends. Alcohol intake is the occasional Sherry at night. History of smoking (10 -12 cigarettes per day), however, quit smoking since she diagnoses with Osteoporosis. Poor diet quality, as she does not like to cook for ‘just herself’. Prefers ready-to-cook meals. Assessment: On examination, you note that the patient has a temperature 380C, BP – 155/ 88, RR- 18/min, and Pulse reported as 86/min, she is having 6 /10 pain in her right elbow. O2 saturation 100% on room air. Ms. Moskowitz is 156cm and her weight is 82 kg. Recommendation: 1 hourly observation for the next 12 hours including neurological observation. Regular pain assessment. Encourage food and fluid intake. Monitor for any dizziness, headache or nausea, or vomiting. QUESTION: Based on the information provided to you in the case study, develop an appropriate care plan for Ms. Moskowitz. You are required to: Specify four (4) nursing diagnoses or risk factors associated with the client’s health variations. You need to provide one (1) diagnosis for physical, emotional, psychosocial and cultural/ religious needs. Record at one (1) nursing interventions that could be applied for each diagnosis. Note at least one (1) expected outcomes that you would hope for as a result of each intervention (consider SMART goals when discussing outcomes).