Complete the History Assignment for Tina Jones before completing the discussion question. Your response to the discussion questions will be based on the findings in the Shadow Health assessments.
You must submit the assessment to receive credit for the activity. Assessments that have not been submitted cannot be verified as complete.
In the health history, Tina informed you about her acute foot pain resulting from her infected wound. After your assessment, identify four SMART goals for Tina based on the findings with two evidence-based practice nursing interventions for each. How will you know if your intervention worked? If you were to perform this exam within tight time constraints, what tasks, questions and assessments would be priorities for Tina? Include a minimum of two references to support your evidence-based plan. Support your discussion and opinions with facts, relevant examples from personal nursing practice, and at least two citations from the reading or peer-reviewed professional nursing literature. Remember to use APA 6th edition formatting for all discussion posts and reference citations.
Expert Solution Preview
Introduction:
The health history of Tina Jones provides an opportunity to identify SMART goals and evidence-based nursing interventions for her acute foot pain due to an infected wound. This response will discuss four SMART goals for Tina along with two evidence-based practice nursing interventions for each. Additionally, the response will highlight the tasks, questions, and assessments that would be priorities for Tina within tight time constraints. Finally, the response will include a minimum of two references to support the evidence-based plan.
Answer:
Four SMART goals for Tina based on the findings from the assessment are as follows:
1. Tina will report a 50% reduction in pain within 24 hours of receiving the first dose of pain medication.
2. Tina will show a 25% reduction in the size of the wound after one week of daily wound care.
3. Tina will demonstrate an understanding of the importance of proper wound care by correctly identifying the steps of the procedure within one week.
4. Tina will have complete wound healing, with no signs of infection, within two weeks of receiving the initial treatment.
Two evidence-based nursing interventions for each SMART goal are as follows:
SMART Goal 1:
1. Administer acetaminophen every four hours as ordered by the healthcare provider.
2. Provide ice packs to apply to the affected area to reduce swelling and inflammation.
SMART Goal 2:
1. Cleansing the wound with a sterile saline solution.
2. Applying a sterile dressing and antibiotic ointment to the wound daily.
SMART Goal 3:
1. Provide Tina with written and verbal instructions regarding wound care.
2. Demonstrate proper wound care technique and allow Tina to practice under supervision.
SMART Goal 4:
1. Monitor Tina’s vital signs and the wound for signs of infection. Administer antibiotics as needed.
2. Encourage Tina to eat a balanced diet and maintain adequate hydration to support wound healing.
To determine if interventions work for Tina, the healthcare provider can evaluate progress towards meeting each SMART goal. For example, if Tina reports a 50% reduction in pain within 24 hours as outlined in SMART goal 1, then the intervention has worked for that specific goal.
Within tight time constraints, priorities for Tina would include a quick assessment of vital signs, including temperature, heart rate, and respiratory rate. Additionally, a brief physical examination focusing on the affected foot’s appearance and characteristics would be appropriate. Following the primary assessment, the healthcare provider can ask a few targeted questions to determine if Tina is experiencing any other symptoms related to the wound, such as fever or nausea.
References
Parker, R., & Brown, D. (2019). Nursing care of the patient with an infected wound. American Nurse Today, 14(6), 42-46.
Shimizu, T., Yoshida, T., Fukuda, H., Yajima, K., & Suzuki, H. (2018). Effects of footbath on wound healing quality and physiological responses after toe amputation in hospitalized patients with diabetes: A randomized controlled trial. International Journal of Nursing Studies, 77, 18-25.
