Data Base and Nursing Care Plan Student Name: Date: Pathophysiology (Include Normal Physiology‚ identify the Physiological Alteration‚ identify sings and symptoms). M.P. is a 56 year old African American male‚ with a history of progressive multiple sclerosis with multiple contractures‚ chronic decubitus ulcers‚ chronic indwelling urinary catheter and known osteomyelitis (infection of the bone). Mr. P. was admitted on October 25th with sepsis‚ a systemic response to infection.
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CARE PLAN Bipolar Disorder‚ Manic Episode [pic] Risk for Other-Directed Violence At risk for behaviors in which an individual demonstrates that he or she can be physically‚ emotionally‚ and/or sexually harmful to others. RISK FACTORS • Restlessness • Hyperactivity • Agitation • Hostile behavior • Threatened or actual aggression toward self or others • Low self-esteem EXPECTED OUTCOMES Immediate The client will • Be safe and free from injury throughout hospitalization
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Program – Region 6 Nursing Care Plan and Evaluation Student: __ Instructor: _Date: _1-28-2010_____ Instructions: 1. The nursing care plan evaluation is based upon the application of criteria appropriate for the student’s skill set. 2. All nursing care plans must be typed (Times New Roman‚ 12 point font). The nursing care plan form is available on Blackboard™ in each clinical course. 3. The grading rubric must be attached – last page of nursing care plan. 4. All relevant assessment
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THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SCHOOL OF NURSING NURS.3208 Nursing Care of Childbearing Families: Clinical Application Written Requirements DAILY ASSIGNMENTS Each week‚ daily assignments are to be submitted according to the directions of the clinical instructor. Use Daily Assignment grid (next page). One daily assignment will include a comprehensive list of all nursing diagnoses consistent with NANDA and ranked in priority order. State a rationale from
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previous ones. The main reason for this was the fact that I was the required to actively take part in the assessment‚ planning‚ implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements. My preceptor had explained to me the process involved in care planning for a patient on the unit‚ the doctor will do the majority of the assessment‚ the nurse carries out the risk assessment and completes Roper Logan and Tierney
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LOS ANGELES HARBOR COLLEGE Associate Degree Nursing Program STUDENT NAME: America Escobedo Client Initials: NURSING COURSE: 323 Client’s Secondary Roles: : Husband‚ father Primary Role: DDP NURSING PROCESS Nursing Care Plan Maturation Stage: The Generative Adult Tertiary Roles: reading‚ watching T.V Developmental Tasks: 1. Maintaining established economic standard and quality of living. 2. Likes to read for leisure time activities 3. Likes to assist children with growth
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Camden County College Nursing Care Plan Student: Date:9/16/2103 Pt. Data Objective & Subjective Nursing Diagnoses Goals (Short & long term Interventions & Rationale Pt. Teaching Eval. Subjective Data Patient states “I am afraid all the steroids are going to make me fat.” And was crying Patient was asking questions about covering the butterfly rash. Patient showed concern about swelled hand. She stated she did not want to look “crippled. “ Objective Data Patient
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Disturbed sleep pattern should be prioritized third‚ because lack of adequate rest can cause fatigue‚ further discomfort‚ and decreased ability to function and perform ADL’s which is important to a client’s self-esteem and independence. Nursing Care Plan Nursing Diagnosis: Acute Pain related to vaso-occlusive
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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
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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
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