[Verified Answer]: Case Study 1: Martha Simmons is a…

Case Study 1: Martha Simmons is a 78-year-old patient who fell and broke her right hip yesterday evening at her home. She is on the orthopedic unit with Buck’s traction on her right leg. She is scheduled for surgery tomorrow morning. She is married and has five children. Mrs. Simmons is obese but ambulates independently. She is active in her church and enjoys watching her grandchildren. Mr. Simmons does much of the cleaning and cooking at home. He is a very doting husband. Dana is a nursing student who is assigned to Mrs. Simmons for the next 3 days. She is 45 years old and has been a nursing assistant for the past 10 years. As Dana enters the room, Mr. Simmons is telling his wife that she must eat all of her breakfast and is helping her eat. 1. After assessing Mrs. Simmons, Dana gets ready to administer a bed bath because Mrs. Simmons is in Buck’s traction. Mrs. Simmons tells Dana that she is not dirty and does not want to be moved around because it will hurt. Dana wants to respond by letting Mrs. Simmons know how important it is to be active even while she is in traction. What are the consequences of bed rest that Dana will need to tell Mrs. Simmons about? 2. Dana reviews Mrs. Simmons’ orders and sees that she is to have elastic stockings and a sequential compression device (SCD) on her lower extremities. Mrs. Simmons asks Dana why she must put those on. How should Dana reply? 3. Dana explains to Mrs. Simmons that another way to prevent complications from immobility is to perform range-of-motion (ROM) exercises. What types of ROM exercises should Dana perform with Mrs. Simmons to be most effective? 4. On the day after Mrs. Simmons’ surgery, Dana notices that Mrs. Simmons has scooted down in the bed and appears uncomfortable. How many staff members should she get to help her reposition Mrs. Simmons? 5. The doctor has ordered Mrs. Simmons to get up in a chair on the day after surgery. What is the best way for Dana to get Mrs. Simmons up?