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Answer :
* 86 years old patient awaiting for Hip surgery.
The assessment information is :
* urine odor is foul smell,
* cloudy and full of sediment,
* urgency of urine, it is not there before fall.
These assessment information I should be noted in the chart.
Because these all symptoms includes in " urinary tract infections ".
The additional information like,
* client past medical and surgical history,
* client is having any diabetes mellitus and hypertension ect.
* if client is having any chronic diseases related to heart and kidney, liver ect.
SBAR communication means :
S - situation
B - background
A - Assessment
R - recommendation
Here the client situation is preoperative patient is posted for Hip surgery,
Background information is past medical and surgical history
Assessment physical assessment, psychological assessment.
Recommendations are maintain aseptic techniques after surgery,
Intake adequate fluids to reduce urinary tract infections.
Follow up care.
Urologist consultation I advise for clearance of surgery because client is having as having urinary tract infections.
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