ASSESSMENT & CARE PLAN CLIENT CASE STUDY #2 Student: Fall 2010 Client Initials: VC Age: 82 Gender: Female Date Admitted to Nursing Home: 12/14/07 Assessment Date: 12/3/10 1. HEALTH HISTORY Brief description of health history and reason in nursing home: VC has a history of malignant neoplasm of her large intestine which lead to her colostomy status. She also has a history of fracture and fall. She was admitted to the nursing facility secondary to her alzheimer’s diagnosis
Premium Red blood cell Blood Blood urea nitrogen
Concept Map Care Plan E.T/49yr. old female‚ white Date of Admission: 08/01/11/Date of Care: 08/05/11 Attempted Suicide/Bipolar Disorder Depression/Alcoholism/Herniated Disc Nrsg Dx #1 (Psycho social) Supporting Data: (Include subjective‚ objective‚ lab‚ diagnostic‚ pharmacologic and other data which supports your use of this diagnosis.) Long Term Goal: Short-term goals: Nursing Interventions: Evaluation:
Premium Bipolar disorder Suicide Parasuicide
history of uterine atony‚ high parity‚ prolonged labor‚ ocytocin-induced labor‚ trauma during labor and birth) Lacerations of the birth canal Retained placental fragments Ruptured uterus Inversion of the uterus Placenta accrete Coagulation disorders Placental abruption Placenta previa Manuel Removal of a retained placenta Magnesium Sulfate administration during labor or postpartum period Endometritis Uterine suninvolution A blood loss greater than 500 mls in the first 24 hours after
Premium Childbirth Blood Uterus
I. INTRODUCTION A client diagnosed with Bipolar I disorder‚ such as Mary Ann Garces‚ intrigues and challenged the student nurses to applying onto the practical field‚ their acquired knowledge‚ attitude and skills from preceding lessons in order to function as an operative and effective member of the multidisciplinary team. The group members are determined to broaden their knowledge concerning the disorder‚ particularly in the various methods in which they are supposed to
Premium Bipolar disorder Nervous system
Health problem Family nursing problem Goal of care Objectives of care Intervention plan Nursing intervention method resources Improper drainage as a health treat Inability to recognize the improper drainage. Inability to do appropriate action due to failure to comprehend the good environment. Inability to conduct adequate drainage. Lack of knowledge about proper drainage. After my 2 months nursing intervention the
Premium Milk Breastfeeding Breast milk
UNIT CU1520 Questions 1 – Be able to assess the development needs of children or young people and repare a development plan. 1.1 – Explain factors that need to be taken into account when assessing development. * Progress * Improvement * Behaviours * Look at goals within care plan are they on track? * What activities they are partaking in and how well are they dealing with them. * Whether they are interested‚ compliant and accepting or not. 1.2 – Assess
Premium Psychology Young Youth
Nursing Care Plan Assessment equals Data Collection + Analysis | Nursing Diagnosis – Actual/Potential | Nursing Goal(SMART) | Nursing Interventions/ActionsInclude Rationale/Reference | Evaluation | Female Age : 85Code status: Full Code initially but changed to DNR on 14/Jan-2012Primary diagnosis: PancytopeniaReason for Hospital Admission: Fall at home. Allergy: PenicillinMedical History: Pacemaker‚ Hypertension‚ Fall at home‚ Bradycardia‚ Hyperlipidemia.Neurological: Alert‚ Oriented x 4.Diet
Premium Nursing Health care Patient
School of Nursing Care Plan Student’s Name: Joie Ferreiro________________________________ Date: 9/5/14 Client’s Initials: R.S. Admission Date: 7/30/14 Age: 96 Sex: f___ Race: __w____ Religion: Jewish Allergies: Phenobarbital Diet: NPO Activity: Bed rest Admitting Medical Diagnosis (es): Sacral decubitus ulcer‚ polymicrobic sacral osteomyelitis Past Medical History (including past surgical history): Illnesses include: 1) Renal insufficiency 2) Anemia 3) hyperthyroidism
Premium Bedsore Nursing
I would rather live in a bipolar system. Before stating reasons of this preference‚ it would be useful to define polarization and bipolar system. Polarization means the union of like- minded countries into a single homogeneous unit in order to safeguard their national interests. Polarization thus‚ naturally means that various countries with similar ideas on various problems confronting the world unite around a super power with a view to giving united front. Polarization has been facilitated by
Free Soviet Union World War II Superpower
Hospice Care Plan Walden University Hospice Care Plan Mrs. Thomas has a history of breast cancer and is status post bilateral mastectomies with subsequent radiation and chemotherapy treatments. She has recently been diagnosed with lung metastasis and further treatment is not recommended by her physician and due to a poor prognosis he is recommending palliative care. Mrs. Thomas has been spending most of her days in her bed crying. She has had very little contact with her sons and
Premium Hospice Medicine Nursing