Griselda Richard June 18‚ 2014 Focus Assessment The purpose of this paper is to document a focused history‚ physical exam‚ nursing diagnoses‚ and nursing process of a case study about a 22-year-old woman that reports as chief complaint : feeling “sick with the flu” for the past 8 days. History of present illness : vomiting several times every day‚ having difficulty keeping liquids or food
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and function of blood‚ diet and nutrition‚ family and social support‚ pain‚ and medicine and herbs. Prior to the cesarean section‚ Patient Y did consent to a blood transfusion if needed during or after the procedure. She also expressed to the nurse that she only wanted her husband to be in the delivery room because of her personal beliefs. After the cesarean section‚ Patient Y stated that she was on a regular diet with no food allergies. Patient Y’s family is extremely involved and supportive. After
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Carper (1978) identified four fundamental patterns of knowing which are (1) empirics‚ or the science of nursing; (2) personal knowledge; (3) esthetics‚ or the art of nursing; and (4) ethics‚ or the moral component of nursing. The purpose of this discussion is to explain how each pattern of knowing affects this author’s practice‚ and to identify the author’s preferred paradigm and provide justification for choosing this paradigm. Empirical knowing is based on the belief that what someone knows
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Pain control is the second nursing priority for Candace that needs attention. Women who undergo caesarean section experience high levels of pain during the first 24 hours post-operation (Acton‚ 2011). One study suggests that those women need more adequate pain relief than other surgical patients because women start to breastfeed and look after their infants while they are still recovering from major abdominal surgery (Shahraki‚ Jabalameli‚ & Ghaedi‚ 2012). Inadequate postoperative pain control during
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NURSING CARE PLAN STUDENT’S NAME: Louanne Tracy B. Cruz PATIENT’S NAME: R.F. AGE: 13 GENDER: M CIVIL STATUS: S ADMISSION DATE: 11-22-12 WARD: Palacol 3 ROOM NO.: BED NO.: 15 MEDICAL DIAGNOSIS: Dengue Fever NURSING DIAGNOSIS: Ineffective tissue perfusion related to decreased HgB concentration in the blood secondary to Dengue fever SHORT-TERM GOAL: After8 hours of nursing intervention‚ the client will demonstrate behaviour to improve circulation. LONG-TERM GOAL:
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TEST A PRACTICE TEST I Situation 1 – Nurse Mito is assigned to the triage area. While on duty‚ he assesses the condition of a client with asthma. She has difficulty breathing and her respiratory rate is 45 per minute. The doctor prescribed epinephrine 0.3 mg subcutaneously. 1. The medication for epinephrine injection for the client is to: a. Reduce anaphylaxis b. Relieve hypersensitivity to allergen c. Relieve respiratory distress due to bronchial spasm d. Restore client’s
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principles of the nursing assessment process exploring what it is‚ why we do it and what factors influence the nursing process will be discussed. Also discussed in this paper will be the holistic aspects of the assessment process as well as an example of an assessment tool I used on a recent placement. I will explore the effectiveness of my assessment and highlight the disadvantages which I came across. Are the principles for assessment really the foundation of good practice? The nursing process is unique
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Patient’s name: K.M Age: 17 Diagnosis: Pain related to increased uterine contractions and pressure on pelvic structures Assessment Nursing Diagnosis Scientific Analysis Goals/Objectives Interventions Rationale Evaluation Subjective: “Ang sakit ng tiyan ko at ng likod ko‚ humihilab” as verbalized by the patient Objective: BP: 120/70 mmHg PR: 71 bpm RR: 17bpm Temp: 36.6 C Pain scale: 8 Pain related to increased uterine contractions and pressure on pelvic structures as evidenced by reports of pain
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cotton and grain. There are many complications of COPD‚ the most common are pneumonia‚ pneumothorax‚ cor pulmonale‚ atelectasis‚ and in severe cases there maybe respiratory insufficiency and failure (Bare‚ Cheever‚ Hinkle‚ & Smeltzer‚ 2010). Nursing management for a patient with chronic obstructive pulmonary disease begins with assessment; gathering information from the patient including detailed medical history‚ present symptoms and evaluate findings of diagnostic tests. Symptoms vary with
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NURSING CARE PLAN FOR ACUTE CHOLECYSTITIS • Assessment • • • • • • Assessing (Pre-operative): Head-to-toe subjective and objective assessments including smoking history‚ OTC drugs‚ anti-coagulant drugs‚ herbal remedies‚ past respiratory problems‚ and nutritional status. Focused assessment of the heart‚ lungs and abdomen. Completion of an ECG because of the patient’s previous myocardial infarction history‚ and chest X-ray to exclude right lower lobe pneumonia. Full pain assessment (COLDSPAA)‚ and
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