Comprehensive Basic Care and Comfort for the Immobolized Client

A 78-year-old female was admitted to the medical-surgical unit three days ago following a right hip fracture. She is currently on strict bed rest awaiting surgical clearance due to a history of chronic obstructive pulmonary disease (COPD) and heart failure. Upon assessment, the nurse notes the client is lethargic, reports a pain level of 7/10 in her right hip, and has not had a bowel movement since admission. Her skin is pale and dry, with a 2 cm area of non-blanchable erythema on the sacrum. Vitals: T 98.9°F, HR 92, RR 22, BP 138/84, SpO2 91% on 2L NC. The client's appetite has been poor, consuming less than 25% of her meals.