right to confidentiality.’(NMC Code 2008)Moreover the workplace will remain anonymous and be referred to as Ward 1. Mr Brown is 90 years of age‚ he lives alone in sheltered housing and has careers three times daily to maintain housework and basic care needs. He has a past medical history of angina and is a non insulin dependent diabetic. Initially Mr Brown was admitted to hospital via A and E due to chest pains‚ which indicated Acute Coronary Syndrome.Mr Browns cardiac issues have been resolved
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RN Program CLINICAL PHYSICAL ASSESSMENT AND CARE PLAN NURSERY STUDENT NAME: Robin Rickards CLINICAL SITE/UNIT: SOH/Nursery CLINICAL DATE: 01/20/15 PATIENT INTIALS: F.P. AGE: 9 days Sex: M RELIGION/CULTURE: Not documented MATERNAL AND LABOR HISTORY: Mother was admitted to hospital on 01/09/15 for labor induction at 39 weeks and 4 days. Active labor began at 1015. F.P. was born at 1837
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Students Name: Laura Berrios‚ Lishana Casale‚ Kara Lanoue Date: 12/12/2014 Client’s Initials: E.P. DOB: 4/26/1937 Admission Date: 11/13/2014 from 4th Floor Religion: Jehovah’s Witness Allergies: NKA Advanced Directives: Healthcare Proxy‚ DNR Age: 77
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3N Clinical Nursing Care Plan NURS 2230 Lakehead University October 2‚ 2014 I declare that this paper is my original work. Excepting where I have cited my own previous work‚ this paper in its entirety‚ or any portion thereof‚ has not been submitted to meet the requirements of any other credit course. Student Signature: ____________________________________ Date: ____________________ Patient History In the context of this paper‚ the patient will be referred to as
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Patient Care Plan Student: Michelle Brook | Patient Initials: R.PAge: 85 m/ f Female | Admitting DiagnosisAcute/Chronic Kidney Failure | Nanda Dx and Statement: | Goals:Short Term/Long Term | Nursing Interventions | Rationales | Evaluation:Goals met? | Risk for excess fluid volume related to inability of kidneys to excrete fluid and excessive fluid intake as evidenced by edema‚ hypertension and shortness of breathSubjectiveR.P said “ouch” when touching areas with edema (feet and
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THE NURSING PROCESS: NURSING CARE PLAN NURSING DIAGNOSIS 2 (Problem; Etiology; Signs & Symptoms) P Decreased Cardiac Output R/T E Atrial Fibrillation and Mechanical Ventilation AEB S – Client on mechanical ventilation. Albumin 1.1 – 2/4/14 – low osmolality in blood – third spacing. Atrial Fibrilation Sluggish Pupil response Blood pressure 97/39 Heart Rate 54 Peripheral pulses diminished PLANNING ____________________________________________________________________________________
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Nursing Care Plan |Student | |Course |NURS 211L |Date |5/27/2011 | |Instructor | | | | | | |Patient Initial | _____J.G________ ___Age 59 Female_____
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COMMUNITY COLLEGE DEPARTMENT OF NURSING CLINICAL ASSESSMENT TOOL Subjective Data (Basic Conditioning Factors) Student: Date of Care: 10/03/09 Patient’s Initials: P. V. Age: 37 Room #: 3114 Bed 1 Allergies: Food: NKA Gender: F Medications: NKA Environmental: NKA Admitting Diagnosis: Pancreatitis Developmental Stage (Erickson and Havinghurst): (List Developmental stage and tasks‚ assess each task) 1. Selecting a mate: Although patient
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for imbalanced nutrition less than body requirement R/T: impaired fat digestion due to obstruction of bile flow Nursing diagnosis Patient Outcomes LT goals/ST Objectives Nursing Plan/Interventions Rationale Evaluation Nursing Diagnosis: Acute pain R/T: inflammation and obstruction of the gallbladder AEB: patient verbalizes abdominal pain of 7/10‚ grimaces‚ rubs his stomach‚ BP 158/79‚ T990F Objective: T:99F oral‚ BP158/79
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Nursing Diagnosis(ND): Ineffective breathing pattern Related to (R/T): The patient has decreased lung compliance. As Evidenced By (AEB): The patient having dyspnea and abnormal ABGs Desired Patient Outcomes(Goals) Nursing Interventions Rationales Evaluation STG: Patient will: Patient will exhibit signs of effective breathing pattern before end of Nursing shift. 1. Nurse will monitor patient’s prescribed oxygen therapy. 2. Nurse will titrate oxygen to keep oxygen greater than ninety
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