Assessment | Nursing Diagnosis | Goals & Expected outcomes | Nursing Interventions | Rationales | Methods of Evaluation | Name of client: Mrs. Tam Age: 65 Sex: Female Student ID:1155016494 Assessment date: 29/11/12 Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily
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Nursing Care Plan As soon as the history and head-to-toe assessment were completed nursing priorities focused on alleviating pain‚ preventing infection and urinary obstruction‚ and providing information about disease process and treatments. Physical assessment data included: vital signs B/P 87/51‚ HR 110‚ T 99.7 F; weight 160lb‚ height 5’8”. MK presented to the ED with acute severe right colicky flank pain that radiated into the abdomen and lower back‚ guarding his abdomen‚ and moaning. MK rated
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Student Name: Date: February 25‚ 2006 Nursing Diagnosis Outcome Criteria (Goal) Evaluation of Outcome Criteria (Goal) PC: Postpartum Hemorrhage Patient will develop no complications related to excessive bleeding‚ will maintain normal vital signs of express understanding of her condition‚ its management‚ and discharge instructions‚ identify and use available support systems. R/T‚ RTRF and secondary to: Pathophysiology Supporting Nursing Diagnosis Statement (cite source) Uterine atony
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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
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NURSING CARE PLAN Nursing Assessment: Ms. F.E. is a 20yr. old female who was involved in a motor vehicle accident (M.V.A.)‚ and was admitted on 04.03.12 to the surgical unit with Spinal injuries‚ Polytrauma and fractured right humerus. She started complaining of severe abdominal pains‚ one week after assessment by Doctor‚ she was scheduled for emergency laparotomy with ?diagnosis Perforated Hallow Viscus. Following surgery patient was diagnosed with Fecal Peritonitis and was transferred to the
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Care Plan: TURB and Kyphoplasty Recovery Situation and Background E.P. is an 88-year-old Caucasian male. He was admitted on 02/18/13. His code status is full code‚ and he declines to bring in his advanced directive. He reports that he is 68.5” tall‚ and his actual weight is 165 pounds. He and his wife are the sources of information‚ and they are reliable. His blood pressure is 124/62‚ taken on his right arm in a lying position‚ his oral temperature is 99.8‚ his right radial pulse is 74 beats per
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Diagnosis #1: Multiple coronary artery disease Chief Complaint #1 Use Quotes: ”Shortness of breath and chest pain for over a month now” on 2/6/13 on day of Admission Chief Complaint #1 Use Quotes: “Pain 8/10” on day of your nursing care Prior Illnesses Hypertension‚ coronary artery disease‚ obesity‚ angina Family History Father passed away from a heart attack; Mother had a stroke General Survey Sex M Race Caucasian Age 74 Height 175cm Weight 90.7 kg
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objective cues. __________ _ Scientific Explanation : Disturbance in urine elimination. After 8 hrs of nursing interventio n the client will be able to portray and verbalize improve urinary elimination pattern. Plan of care to meet the desired outcome for the client. Make a teaching plan appropriate for the clients condition. .Determine clients previous pattern of elimination and compare with current situation. Note reports of frequency‚ urgency‚ burning‚ incontinence‚ nocturia‚ enuresis. Palpate
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if someone says they have an addiction don’t automatically assume drugs because you don’t know what they’re addiction may be. The article I will be analyzing is called “Definitions & Characteristics of Addiction by Charles N. Roper”. In the article Charles N. Roper talks about the different types of addictions. Many people with an addiction sometimes don’t even know they have an addiction depending on what they’re addiction is. Whether it’s shopping‚ tv‚ food‚ caffeine‚ or sugar. But if it is
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Infection. Objectives: Within 15 minutes of nursing intervention‚ the patient will be able to gain knowledge by : Enumerating 2/3 specific causative factors of UTI. Demonstrate behaviors and techniques to prevent urinary tract infection and manage care of urinary catheter. Shows positive attitude by verbalizing understanding of her condition. Establish rapport Assess level of awareness of the mother regarding the child’s condition. Broaden the knowledge of the mother by teaching:
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