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
Premium Wound Vaccination Vaccine
ASSOCIATE DEGREE NURSING NURSING PROCESS FORM: PART I – ASSESSMENT Student: 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:
Premium Traumatic brain injury
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
Premium Temperature Nursing care plan
ADULT SOCIAL CARE SETTING TASK B – SHORT ANSWER QUESTIONS Bi Describe two ways of finding out about the history‚ preferences‚ wishes and needs of an individual using the service. * By asking the individual at their initial assessment‚ a full history should be taken as part of their care plan * By referring to past notes from social care workers‚ GP’s and family Bii Describe two ways of making sure that the history‚ preferences‚ wishes and needs of an individual using the service
Premium Self-esteem
unfamiliarity with information resources | A deficit in knowledge is commonly experienced by individuals coping with new medical diagnosis varied pharmacological and treatment regimens‚ unfamiliar and often complex problems. Because of the patient’s education is considered a skill reimbursed by Medicare & other commercial insurance carriers. It is important for the nurse to include knowledge deficit in the plan of care. The deficit in knowledge may relate to clients lack of information about their disease
Premium Educational psychology Cognition Learning
Thinking September 14‚ 2013 Individual Career Plan Building Activity: Competencies And Career Interests Profiler According to my personal competency chart‚ all of my abilities are in the middle range. Organizing‚ researching‚ talking initiative‚ delivering results‚ following instructions and entrepreneurial thinking are all pretty much on the same level. This tells me that my critical thinking skills have the ability to grow and adapt to different situations. Each individual competency will be able
Free Critical thinking Skill
communication takes place - discomfort about the topic in hand. 1.2: Create a special needs trust that is managed by a trustee. To not jeopardize government assistance‚ the disabled individual cannot have access to draw from the trust at any time. The trustee must be responsible for spending the money only for the care not covered by Medicaid or SSI. Try to obtain the advice of an attorney experienced in the setup of special needs trusts. All it takes is one word or phrase that is stated incorrectly
Premium Hygiene
Unit 1- D1: Explain how communication skills can be used in health or care environment in effective communication Communication is much more than just talking; it the means of getting the message across through obtaining information‚ giving information‚ ideas shared‚ opinions and views. (buzzle.com‚ 2010)However it is important to have a good communication between service users and the service providers which then helps to build a good relationship. There are four types of communication which
Premium Communication Writing Nonverbal communication
Richard J. Daley College Nursing 101 Data Collection for Care Plan Section I – Demographic Data: Patient Initials: K. J. Sex: Female MSWD: Married Age: 44 No. of children: 1 Occupation: Disabled Section II- Admission Data 1. Date admitted: 10/19/2007 2. Admitting diagnosis: Hematomesis‚ melanotic stools‚ cirrhosis‚ hepatorenal syndrome. 3. Allegries: Codiene 4. Signs and symptoms on admission: jaundice appearance‚ lethargic‚ oriented x 1‚ vomiting bright red blood‚ has had
Premium Blood Coagulation
COMUNICATION IN HEALTH AND SOCIAL CARE OANA ALEXANDRA NITICA COMMUNICATION IN HEALTH AND SOCIAL CARE OANA ALEXANDRA NITICA AUGUST 12‚ 2013 LO1 BE ABLE TO EXPLORE HOW COMMUNICATION SKILLS ARE USED IN HEALTH AND SOCIAL CARE psychology * Is the study of human behavior‚ thought processes and emotions. * It can contribute to our understanding of ourselves and our relationship to other people. THERE ARE FOUR APPROACHES THAT PSYCHOLOGY USE MOST OFTEN * THE BEHAVIORAL approach
Premium Communication Writing Nonverbal communication