Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet Patient...

• Patient lives with her husband in a double storey house located 150kms from the nearest medical facilities. The bedrooms, toilet and shower are all upstair There is also a downstairs toilet


• Patient can transfer independently and is normally mobile with an altered gait and often needs to use a walking stick. However, states that she is currently not walking very much ‘my joints are too sore and stiff’ and needs help from her husband to climb up the stairs.


• She doesn’t drive so social connections are very limited


• Currently reports not being able to sleep properly and only managing 2-3 hours per night due to the pain in her joints


• She has a good appetite and states that she adheres to her diabetic diet


• Her husband does the housekeeping, but the patient is able to cook their meals.


• Is compliant with her prescribed medication but relies heavily on over the counter anti-inflammatory medications and bush remedies


• Relies on her husband to assist her with ADL’s due to her mobility


• Has difficulty at times changing her colostomy, husband assists her


• Patient has no deficits with hearing or communication, but wears glasses


• Has a supportive extended family

Please choose two (2) Nursing diagnosis from the list below

• Potential impaired skin integrity related to reduced mobility


• Inability to manage hygiene ADL’s related to restricted mobility


• Potential acute pain related to surgical incision


• Altered ability to manage bowel elimination via colostomy related to immobility


• Potential falls risks related to reduced mobility


• Potential for impaired skin integrity related to surgical incision right leg