COMPLETING A CARE PLAN A document or a personal record of the health conditions which stands as a mutual agreement between patient and his/her health care professional is referred to as a “Care Plan”. Usually a person with a health condition of long term opts for a care plan as it is helpful in assessing the care required and to be provided. A care plan is generally opted by the patient by insisting it to their GP or any other healthcare professional as this could help in improving health conditions
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ASSESMENT | GOAL OF CARE | PLAN OF ACTIONS | RATIONALE | IMPLEMENTATION | DOCUMENTATION | Subjective:“Daghan man na siya samad ug hubag sa iyang lawas”(She has many wounds and bruises on her body) as verbalized by the mother.Objective:-Presence of lesions and abrasions on the patient’s body.-greenish violet discolorated patches-soaked dressingNursing Diagnosis:Risk for impaired skin integrity related to superficial factors. | At the end of 8 hours nursing interventions‚ the client will be able
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Date of Care: 3/4/13 Client’s Initial: WB Room # 1011 Occupation: Teacher Age: 59 Sex: F Race: Black Religion: Christian Admission Date: 3/1/13 Primary Language: English Role in family: Widowed from husband Stage in Life Cycle: Generativity vs. Stagnation Surgery date(s) this admission: N/A Chief complaint: Brain Dysfunction/Traumatic‚ closed injury Admission Diagnosis: Post Blunt Force (Head) Trauma Additional Diagnosis: Type 2 DM; HTN; DM
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ACTIVITIES OF DAILY LIVING ADL is a way to describe the functional status of a person. A tool useful for assessing the elderly‚ the mentally ill‚ those with chronic diseases and others. Angela Caruana The model of living is a highly complex phenomenon 5 main components (concepts) Activities of daily living – 12 Lifespan from conception to death Dependence/independence continuum Factors influencing ADLs Individualities in living What does ‘everyday living’ involves? living’ Eating‚ drinking
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Natalie Sullivan 6/4/2013 Nursing Care Plans Care Plan: Post Partum Patient’s initials: SR Date of Care: 5/6/2013 Assessment Data: * G1P1 * C/S on 5/5/2013 at 1832 * Incision at suprapubic region * Staples mid right side to end of left side of incision * Steri strips on right side of incision r/t to removal of 5 staples because staples were loose * Pt complaining of pain in lower abdomen * Pt complaining of “uncomfortableness” at incision
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their family are educated about illness‚ medications‚ and other treatments‚ they are more likely to be interested in their healthcare and comply with the plan. An infection of the lungs triggers an inflammatory response‚ which results in edema in the alveoli. As a result of pulmonary edema‚ gas exchange becomes impaired leading to decreased activity tolerance. At the end of the shift‚ pt’s pulse oximetry will increase and remain above 90%. The nurse will position the pt’s bed into the semi-Fowler’s
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lan NURSING CARE PLAN | ASSESSTMENT | BACKGROUND KNOWLEDGE | PLANNING | INTERVENTION | RATIONALE | EVALUATION | Subjective:n/aObjective: * Preterm birth (36 weeks) * Weight: 1.75kgs. * Cool and dry skin. * Temperature: 33.6 degrees Celsius. * Poor muscle tone. * Placed under two droplights.Nursing Diagnosis: Ineffective thermoregulation related to immaturity. | Vaginal birthPretermPoor muscle developmenthypothermia | After 1 hour of nursing intervention‚ patient will maintain
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Vegetarian Queenie is 15 years old and has always been very interested in extreme sports. She was involved in a lorry crash on the A1 where she was working and is now paralysed from the waist down and is a wheelchair user. Although she can no longer work in hostile environments‚ she is extremely keen to retain his independence and stay active so has joined a wheelchair badminton club. The coach has said that she has a great deal of potential‚ and may even make the team for the next Olympics. Queenie
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Eastern cultures are known for having a greater collectivist focus‚ meaning that the culture stresses the needs of the community as a whole over the needs of each individual. -2- Such cultural differences can lead to dramatic variations in how children are raised. Parents from Western cultures might
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