Why should we be doing this? Use a textbook for reference if possible. Actual interventions Usually past tense What care was provided for patient? How did you gather data to measure against your normal ranges in your outcome criteria? Frequency - How often did you obtain patient data? Each goal met/not met: Should read like you actually documented vital signs‚ assess‚ care on your patient What were the results of labs/dx What was taught/what support measures‚ comfort used? WBC 14.2 Keep
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References: Gulanick‚ M.‚ Myers‚ J.L. (2013). Nursing care plans. Diagnose‚ interventions‚ outcomes. USA: Mosby.
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Nursing Care Plan for Chest Pain NURSING DIAGNOSIS OUTCOME/GOALS INTERVENTIONS EVALUATION Acute chest pain related to ischemic cardiomyopathy as evidenced by tightness in chest. Patient will be chest pain free for duration of shift. Assess for chest pain q 4 hours during shift. Monitor vital signs q 4 hours during shift. Educate patient on importance of lifestyle modifications such as weight loss. Goal was met. Pt was chest pain free during shift. NURSING DIAGNOSIS
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Family Health Problem | Family Nursing Problem | Goal of Care | Objective of Care | Nursing Intervention | Method of Family Contact | Resources Required | 1. Malnutrition as health deficit. | Inability to recognize the presence of malnutrition due to lack of knowledge. | After the intervention‚ the family will be able to recognize the problem. | After the nursing Intervention‚ the family will be able to plan and prepare balanced meals within the family’s budget.After the intervention‚ the family
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Student Name: Dealon Rouse | Patient Initials: JB | Admission Diagnosis: Left Total Knee Arthroplasty &Excision of Left Knee Mass Related to Gouty Arthritis | Date(s) of Care: 11/10/11- 11/12/11 | Age: 46 | | Date of Admission: 11/10/11 | Gender: Male | | Marital Status: Married | Room #: 507 | Code Status: Full Code | Occupation: Electrician | Race: Hispanic | Isolation Type: | Religion: Roman Catholic | | Allergies: No Known Allergies | History of Present Illness:
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Nursing Care Plan Client name: Mrs. Chan Age/ sex: 48/F Medical diagnosis: Fluid overload‚ decreased TK output and decreased Hb Assessment date: 25-11-2012 Diagnostic statement (PES): Excess fluid volume related to compromised regulatory mechanism secondary to end-stage renal failure as evidence by peripheral edema and patient’s weight gained from 69.8kg to 73.6kg within 4 days. Assessment Nursing Diagnosis Goals & Expected Outcomes Nursing Interventions
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X Nursing Care Plan |Assessment |Diagnosis |Planning |Intervention |Rationale |Evaluation | | | | | | | | |Subjective: “nahihirapan siyang |Activity intolerance related to |Within the
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Cellulitis is a common‚ potentially serious bacterial skin infection. Cellulitis appears as a swollen‚ red area of skin that feels hot and tender‚ and it may spread rapidly. The skin on the lower legs is most commonly affected‚ though cellulitis can occur anywhere on the body or face. Cellulitis may affect only the skin’s surface or cellulitis may also affect tissues underlying the skin and can spread to the lymph nodes and bloodstream. Left untreated‚ the spreading infection may rapidly turn life-threatening
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Marras‚ 2008). The group of most likely causative bacteria in includes Streptococcus pneumoniae‚ Mycoplasma pneumoniae‚ Hemophilus influenzae‚ and Chlamydophila pneumoniae. This essay will appraise the treatment of CAP in an elderly patientwhose care plan can be found in Appendix 1. For the purpose of this essay we will discuss the severity assessment criteria‚ choice and effectiveness of antibiotics in treatment of severe CAP. We will examine also the management of severe CAP in renal impairment
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Metropolis City Budgetary Plan Insert Your Name Here Insert Your Class Here Insert Instructor Here Insert Due Date Here Executive Summary Metropolis City is a thriving location of approximately 230‚000 residents which strives to provide programs and services to optimize the quality of life of its residents. Officials pride themselves with providing decent‚ affordable housing for the elderly‚ indigent and homeless‚ as well as a wide array of after-school and other recreational programs
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