RN Program CLINICAL PHYSICAL ASSESSMENT AND CARE PLAN NURSERY STUDENT NAME: Robin Rickards CLINICAL SITE/UNIT: SOH/Nursery CLINICAL DATE: 01/20/15 PATIENT INTIALS: F.P. AGE: 9 days Sex: M RELIGION/CULTURE: Not documented MATERNAL AND LABOR HISTORY: Mother was admitted to hospital on 01/09/15 for labor induction at 39 weeks and 4 days. Active labor began at 1015. F.P. was born at 1837
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Prioritized List of Nursing Diagnoses: | | | #1 | Ineffective airway clearance | Name: | | #2 | Risk for infection | Date: | 12/04/12 | #3 | Impaired verbal communication | Instructor: | | ASSESSMENT | PLANNING AND IMPLEMENTATION | EVALUATION | Data Collection & Organization | #1 Nursing Diagnosis | Expected Goal/Outcome | Nursing Interventions | Rationale | Evaluation of Goal/Outcome Attainment | Subjective:Unobservable subjective data due to patient unresponsive. Objective:-
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health and social care sectors have to follow principles and values‚ principles explain to people what the right way to behave is‚ whereas values are based on what beliefs are important to the person and what they believe to be right and wrong for themselves as an individual. There are many principles and values such as empowerment‚ choice‚ rights‚ respect and confidentiality. Empowerment of individuals is important when planning care as this is the way in which a health or social care worker will encourage
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Programme Edexcel BTEC Levels 4 and 5 Higher Nationals in Health and Social Care Unit Title: Personal and Professional Development in Health and Social Unit Code : 4 Date Issued: Week beginning 20th January 2014 Student Name Omonuwa Vanessa roger Student ID P1016288 Dates of Submission Unit Leader: E. Hedger Grace Internal Verifier Name: Mr Hasa Ram/ Purity Gekara/ Stefan Alexa/ Dr Umesh Prasad Introduction One method of assessment used is a holistic approach. To assess an individual in a holistic
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Myers‚ 2011). Coronary Artery Disease (CAD) is one of these clinical conditions that affect approximately 13 million people (Rimmerman‚ 2011). Because coronary diseases are the leading cause of death in men and women‚ nurses need to be involved in the care and education of people with or without CAD. Prevention is the best cure. Nurses play an important role in the treatment of CAD by offering and supplying comfort for anxiety and pain‚ minimizing symptoms and side effects‚ educating patients on the
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this may make them feel useless and worthless. 1.2 Explain how active participation promotes independence in the tasks of daily living Active participation means being involved as much as possible with every aspect of care needed. The more involved an individual is in their care the more independent they are as they are making choices for themselves. 1.3 Describe how daily living tasks may be affected by an individual’s culture or background Individuals from different backgrounds will have different
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try to support service users to further themselves and attempt to see what service users are able of achieving in a controlled manner. 1.4 – Explain how using an individual’s care plan contributes to working in a person centred way. It helps staff teams to work in a person centred way‚ by understanding what care plans are already in place‚ and what the service user is already working towards/achieved. Staff can see a simple and concise progression‚ over time‚ at what issues service users are
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The Data Protection Act does not require care workers to keep secrets; it is possible to share relevant information and important details with others. However this is usually only done on a need to know basis. The “need to know” policy works in junction with The Caldicott Principles as well as the Date Protection Act. The Caldicott Principles has six principles which guide the maintenance and sharing of personal information in health and social care settings. Another piece of legislation which
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b DEPARTMENT OF NURSING NURSING CARE PLAN |Student Name: p |Age: 89 | |Course number: Basic Skills & Concepts of Nursing |
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Module III Nursing AVS Transition Nursing Process Discussion Group 3 Case Study Michael Martinez is a 24-year-old Marine who was involved in a motor vehicle accident (MVA) while on leave. His face hit the dashboard‚ resulting in a fracture of the mandible. Yesterday‚ he underwent a surgical maxillomandibular fixation‚ (wiring of the jaw) for stabilization of the fracture. As a result of this surgery‚ he is unable to open his mouth and is limited to a liquid diet. The restricted diet
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