Maria Case Study
Case Study Maria
Terri L Bray
NUR 403
November 7, 2011
Case Study Maria
List five factors of patient history that demonstrates nursing needs: | 1. The patient speaks little English and may need an interpreter at the hospital. 2. The patient has little to no emotional support from her spouse. 3. The patient has not support system. 4. The patient is new to the United States and may have fears about delivering her child in an American hospital. 5. The patient has the beginning signs of depression. | State three nursing diagnoses using taxonomy of NANDA: | 1. Knowledge deficit related to language differences as evidenced by expression of feeling alone and depressed. 2. Impaired verbal communication related to language barrier as evidenced by inability to speak the dominant language of the culture. 3. Stress overload related to multiple stressors and family demands as evidenced by patient stating feeling of depression. | For each nursing diagnosis, state two desired outcomes: | 1. Knowledge deficit * Patient will be able to verbalize signs and symptoms of potential complications by the end of this appointment. * The patient will participate in learning about the pregnancy process by the end of this appointment 2. Impaired verbal communication * Patient will demonstrate ability to express self by the end of next visit * Patient will relate findings of decreased isolation with communication by the end of the month. 3. Stress overload * Patient will be able to identify stressors that can be modified or eliminated within the next two visits. * Patient will mobilize social supports to help lower stress levels within the next three visits. | For each outcome, state two nursing interventions: | 4. Knowledge deficit * Patient will be able to verbalize signs and symptoms of potential complications by the end of this appointment. a. Give clear, thorough explanations and demonstrations b. Encourage repetition of
Terri L Bray
NUR 403
November 7, 2011
Case Study Maria
List five factors of patient history that demonstrates nursing needs: | 1. The patient speaks little English and may need an interpreter at the hospital. 2. The patient has little to no emotional support from her spouse. 3. The patient has not support system. 4. The patient is new to the United States and may have fears about delivering her child in an American hospital. 5. The patient has the beginning signs of depression. | State three nursing diagnoses using taxonomy of NANDA: | 1. Knowledge deficit related to language differences as evidenced by expression of feeling alone and depressed. 2. Impaired verbal communication related to language barrier as evidenced by inability to speak the dominant language of the culture. 3. Stress overload related to multiple stressors and family demands as evidenced by patient stating feeling of depression. | For each nursing diagnosis, state two desired outcomes: | 1. Knowledge deficit * Patient will be able to verbalize signs and symptoms of potential complications by the end of this appointment. * The patient will participate in learning about the pregnancy process by the end of this appointment 2. Impaired verbal communication * Patient will demonstrate ability to express self by the end of next visit * Patient will relate findings of decreased isolation with communication by the end of the month. 3. Stress overload * Patient will be able to identify stressors that can be modified or eliminated within the next two visits. * Patient will mobilize social supports to help lower stress levels within the next three visits. | For each outcome, state two nursing interventions: | 4. Knowledge deficit * Patient will be able to verbalize signs and symptoms of potential complications by the end of this appointment. a. Give clear, thorough explanations and demonstrations b. Encourage repetition of