PN 0004C Weekly Clinical Planning Sheet Student Name: S.H Care plan #5 Patient Initials: t.l Age/Sex: 73/f Allergies: Potassium Nurse on Duty: Regin Admission Date: 06/29/2013 Admitting Physician: Dr. Cole Consulting physician: Code status: Hospice‚ dnr Activity Level: As tolerated Diet: nectar thick/puree Patient History and Diagnoses: primary
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It is commonly known as “water on the lungs” 3. NONCONTRIBUTORY A pension plan in which participating members or employees are not required to support with their own contributions. 4. FUNDOSCOPIC The act of examining the fundus of the eye‚ as with an ophthalmoscope or with a bio microscope. 5. SUPPLE Physical exam adjective referring to free movement of a body part. 6. CRACKLES A small‚ sharp sound
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FLORIDA INTERNATIONAL UNIVERSITY COLLEGE OF HEALTH AND URBAN AFFAIRS SCHOOL OF NURSING CLINICAL WORKSHEET: NURSING PROCESS CARE PLAN STUDENT NAME DATE |Client Initials A.R |Culture/Ethnicity White |Support system Mother‚ Father | |Unit Telemetry Room/Bed 478D |Religion Catholic |
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NURSING CARE PLAN FOR IMPAIRED SOCIAL INTERACTION ASSESSMENT |NURSING DIAGNOSIS |SCIENTIFIC ANALYSIS |GOAL |INTERVENTIONS |RATIONALE |EVALUATION | |Objectives: - Don’t like to mingle with others. - When talked to‚ he always looked at different directions. - Isolate him from others. - Does not participate in ward activities. Subjective: “Ayoko sa kanila makihalubilo minsan kasi pakiramdam ko sasaktan nila ako at pinagtritripan.” |Impaired Social Interaction related to social
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A: | Patient still has drainage coming from bottom buttock area after it was cut open at the ER previously. | Dx: | Infected site on buttock. | P: | Will make a small incision on lower area of buttock to allow proper drainage. Inform pt. of the care of the area when he goes home and prescribe pt.meds. | Patient Three – Chapter 14 Soap Notes Date: | 09/26/11 | Chart #: | 013 | Age: | 45 | Name: | Janet Doe | Date of Birth: | 04/12/1966 | Sex: | F | S: | Pt. states that she has a history
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References Student X Baton Rouge General School of Nursing Nursing Care Plan for Herpes Zoster Patient Patient is a 33 year old African American female with infected herpes zoster‚ sepsis‚ and gastroenteritis. The patient was admitted to the Mid-City Baton General Hospital on Sunday‚ June 15‚ 2014 for infected herpes zoster‚ where a chest x-ray‚ blood culture‚ specimen arm wound culture‚ and urinalysis was performed. The results showed lungs clear‚ heart size with in normal limits‚ and no abnormal
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DOI: 8/15/2013. Patient is a 58-year-old female cleaner who sustained injury while she was cleaning and mopping the bathroom when she fell and hit her head/back. Per OMNI‚ she was diagnosed with cervical and lumbar radiculopathy‚ cervical herniations at C5-7‚ and lumbar herniation at L3-4. She underwent an anterior cervical diskectomy and fusion at C5-6 and C6-7 on 04/03/14 and lumbar laminectomy at L4-5 on 09/10/15. Based on the medical report dated 01/19/16 by Dr. Haftel‚ the IW presents with
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DOI: 07/19/2015. Patient is a 38-year-old female registered nurse who sustained injury to her low back while holding heavy legs of patient in the emergency department. Per OMNI‚ she was diagnosed with intractable lower back pain with left lower extremity radiculopathy to disc herniation and left S1 nerve root compression. Per operative reports‚ she is status post left L5-S1 hemilaminenctomy with mesial facetectomy and removal of very large herniated disc on 08/02/15‚ and status post reexploration
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This essay will discuss the plan of care I developed for Mr X while he was under my care in a post anaesthetic unit. It will discuss my nursing assessments‚ and what diagnoses I developed from this. It will then discuss the rationale behind my nursing interventions using relevant literature. My plan of care will be analysed throughout while identifying how my nursing care meets best practice guidelines. A nursing care plan is begun at a patients admission. In this case Mr X was booked in for
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Care Plan Problem: Risk for bleeding r/t postpartum complications. Patient Centered Goal: Patient will not experience any abnormal/excessive bleeding by the end of clinical shift. Expected Outcomes: 1. Patient will experience lochia reducing in amount and lightening in color by the end of clinical shift. 2. Patient will observe fundus that is firm‚ midline‚ and decreasing in height by the end of clinical shift. 3. Patient will verbalize understanding of signs and symptoms
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