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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Professional Communication Cultural Sensitivity Professional communication requires skillful consideration of words‚ actions‚ and sensitivity to diverse cultures to achieve the best outcomes for health care teams and patients. This may also include evaluating beliefs and practices related to health promotion and illness prevention‚ educational level‚ family structure‚ roles and support and communication preferences (Denisco & Barker‚ 2016). Cultural competence is the key to thriving in the culturally
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Medical 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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CFP 208 A1 Nursing Challenges in Care Imagine waking up in the morning and no knowing your partner or spouse lying next to you in the bed. Imagine waking up and not knowing your own name‚ how old you are or when your birthday is. Imagine having to look at your children‚ grandchildren‚ brothers and sisters and asking who they are. Imagine seeing the one you devoted your life to and them not remembering you. Imagine going to visit them every day and every time having to explain to them who you are
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Karisa M. Young April 28‚ 2005 Nursing 374L Nursing Care Plan Twin ‘B’ was born on Monday February 14‚ 2005 at 35 weeks gestation. The mother was scheduled for a cesarean section at 38 weeks gestation‚ but presented in the hospital early with signs of labor. A cesarean delivery was performed. Twin ‘B’ APGAR scores at 1 minute and 5 minutes were 9 and the newborn weighted 4lbs 3 oz. Upon completion of the assessment‚ the newborn’s temperature decreased to 96.1 degree Celsius (axillary). Diagnosis
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dissatisfaction and improve on patient care outcome. The data suggested that nurses and other healthcare workers must strive in a collaborative environment; that to strengthen the work force‚ there must be less incivility in the work place. Further‚ the findings revealed that race was a significant factor in the frequency of inactivity coupled with those nurses with more than 5 years of work experience.
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CULTURAL DIVERSITY In the nursing field there are many cultural diversity issues. The issues with culture in nursing is that there will be patients that have different cultural beliefs and practices from one another. For this reason the nurse must keep this in mind and is taught how to behave‚ react‚ and respond to different cultures before entering and during his or her nursing career. The nurse must honor and respect all cultural differences as well as maintain equal and professional care for
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The assessment of patients forms a major component of the nursing role. It allows the nurse to gain vital information to base the planning and implementation of prioritised care on. A systematic method of assessment is required‚ that ensures that all areas of assessment are covered and that the assessment and subsequent interventions are as effective and efficient as possible. One method that can be followed for patient assessment is the primary and secondary surveys‚ with an additional assessment
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Nursing Diagnosis # 1 Ineffective breathing pattern related to decreased oxygen saturation‚ poor tissue perfusion‚ obesity‚ decreased air entry to bases of both lungs‚ gout and arthritic pain‚ decreased cardiac output‚ disease process of COPD‚ and stress as evidenced by shortness of breath‚ BMI > 30 abnormal breathing patterns (rapid‚ shallow breathing)‚ abnormal skin colour (slightly purplish)‚ excessive diaphoresis‚ nasal flaring and use of accessory muscles‚ statement of joint pain‚ oxygen
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Nursing Process Planner DATA | ANALYSIS | NURSING DIAGNOSIS | PLANNING | Group significant data according to needs‚ patient concerns. | Compare with normal standards‚ knowledge‚ and interpret the meaning of the data and knowledge. | State problem or concern according to needs with reasons and related factors. | Outcomes/ Objectives. A goal with more detailed objectives. | | Reference | | | Ms. C.M62 years oldDiagnosis:RT lung CancerSx:RLL&RML wedge‚ RLLwedge+mediastinal lymphadectomy
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