Comprehensive nursing management for an older patient with diarrhoea and risk of dehydration

This case study examines the nursing management of Mrs H, a 78-year-old patient presenting with diarrhoea and a high risk of dehydration. Given her advanced age and medical history of hypertension, osteoarthritis and type 2 diabetes, Mrs H's symptoms pose significant health risks. The nursing process involves a thorough assessment, including both subjective and objective data, and advanced evaluations to determine the severity of her condition. Nursing diagnoses using North American Nursing Diagnosis Association International classifications highlight key issues such as diarrhoea, risk for deficient fluid volume, electrolyte imbalance and impaired skin integrity. Specific, measurable, achievable, relevant, time-bound goals were employed to mitigate these risks by controlling diarrhoea, preventing dehydration, correcting electrolyte imbalances and promoting skin integrity over a 1–7-day period. Essential interventions included medication administration, dietary adjustments, fluid balance monitoring, skin assessments and relevant laboratory investigations, such as stool and blood analysis. The evaluation of care demonstrates the effectiveness of these interventions, with Mrs H showing reduced diarrhoea episodes, adequate hydration, normalised electrolyte levels and improved skin integrity/condition. This case study underscores the importance of a structured and personalised approach in managing complex cases in older adults, ensuring comprehensive care that addresses both physical and emotional needs.