will demonstrate the ability to assess and develop a care plan for this patient. For this case study‚ the patient’s name will be changed to Paul and confidentiality will be kept at all times. The nursing process will be described and used to develop a nursing care plan for the above patient. The setting is an integrated hospital service made up of Older Peoples health which provides services such as assessment‚ treatment and rehabilitation care for the over 65 years old population. These services
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and the other assessments then the nurse would be able to pick it up and act according to it. | Assess level of consciousness and ability to protect airway | Agitation‚ irritation‚ confusion and restlessness which might lead to hypoxemia. (Brian 2011) | Participates and understand instructions. E.g. deep breathing exercises. | Positioning‚ semi fowlers or upright | Proper positioning helps to drain secretions with the help of gravity | Able to cough and breathe more freely. | Encourage expulsion
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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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Monitor‚ assess‚ perform‚ check‚ obtain‚ teach‚ follow protocols/guidelines 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
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Professional Career Action Plan Renika Johnson HCS/449 October 22‚ 2012 Urmi Bhaumik Professional Career Action Plan The professional career action plan gives in details my career goals‚ rather than the personal goals. This professional career action plan will give an insight into the professional strengths and weaknesses‚ the health care organization to work at‚ and the knowledge gaps that exist‚ and professional resume. In this paper will speak on professional
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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 will be able to participate in activities
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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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Running Head: NURSE CARE PLAN EXERCISE Nurse Care Plan Exercise School of Nursing NURSING DIAGNOSIS (ACTUAL) 75-year old female Assessment: Subj cues: Usual pattern 1 movement/day. States she goes 1-2 days w/out movement as a result used laxative. Has difficulty drinking 6-8 glasses of H2O a day. Green leafy vegetables are a challenge due to poorly-fitted dentures. Has Hyperacidity and bloating. Obj cues: There are no objective cues. NURSING DIAGNOSIS (ACTUAL)
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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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Sickle Cell Plan of Care Read the situation provided. Then‚ provide a brief description of the pathophysiology of sickle cell anemia and complete the nursing care plan by filling in the goals‚ outcomes‚ and nursing orders for the diagnoses provided in the table. SITUATION: Lavon is a 30 year old‚ single African American who was diagnosed with sickle cell anemia when he was 4 years old. He works for a computer company and has been working 12 hour days to meet the deadline for a special project
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