NURSING PROCESS TEACHING CARE PLAN SUPPORTIVE DATA ---------------------------- Subjective: Pt states “my pain is still at 8/10‚ is my medication working?” Objective: 1. DX-UTI & possible urosepsis‚ Hip Fracture and fall during not a candidate for surgery‚ CHF 2.Buck’s traction applied 3. Assessment: Limited mobility‚ SOB
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Assessment |Nursing Diagnosis |Analysis |Goals and Objectives |Interventions |Rationale |Evaluation | | Subjective: “kala ko nung una dahil sa kinain kong pinya‚ pero imposible naman iyon. Kasi hindi naman sumakin tiyan ng mga kasama ko” | Knowledge deficient related to 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
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medication Glucotrol. She has no prior experience with the self-administration of insulin. Therefore‚ her nursing diagnosis would be: knowledge deficit related to unfamiliarity with Insulin and how to self-administer it‚ as evidenced by patient verbalizing and requesting that someone show her how to take insulin (Doenges‚ 2005 p.358). Goal for client teaching: by the end of this teaching‚ the patient will be able to describe the diabetic medications that she is on and how to properly take the
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NURSING CARE PLAN ASSESSMENT SUBJECTIVE: “Bakit kaya madalas ako mahilo?” (Why do I always feel dizzy?) as verbalized by the patient. OBJECTIVE: ♦ Request for information. ♦ Agitated behavior ♦ Inaccurate follow through of instructions. ♦ V/S taken as follows: T: 37.2 P: 84 R: 18 BP: 180/110 DIAGNOSIS ♦ Risk for prone behavior related to lack of knowledge about the disease INFERENCE ♦ High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels
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Developing Implementation Plan According to Hill and Wee‚ 2012. Fall in the hospital among adult patients is a big problem for the health care sector‚ especially the nursing profession. Cognitive impairment‚ medically –induced immobility‚ past medical fall history‚ weak muscle and certain group of medications like psychotropic/benzodiazepines‚ are some factors that have been noted to be responsible for elderly patients vulnerability to falls. Educating the patients at risk for falls‚ lowering/stopping
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CLINICAL TEACHING PLAN Name: Course and Year: BSN 3-A Class Schedule: Monday‚ Tuesday & Wednesday Instructor: Date of Submission: Oct. ‚ 2011 A) Description of Learners The learners are BSN Level 3 students. The average age range is from 18- 20 years old‚ single and full- time students. Enrolled and registered in the said college school. The new curriculum requires them to
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Application of Grand Theory to Nursing Practice In today’s world there are many nursing theories and theorists that not only define the nursing profession‚ but also are used as the basis to guide a nurse in his or her current practice. Meleis defines nursing theory “as a conceptualization of some aspect of nursing reality communicated for the purpose of describing phenomena‚ explaining relationships between phenomena‚ predicting consequences or prescribing nursing care. Nursing theories are
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Months & Seasons Vocabulary Games Match the names of the celebrations/ holidays with the months that they take place in. January February March April May June July August September October November December Mother’s Day International Children’s Day US Independence Day Christmas’s Eve Halloween Mid Fall Festival Vietnam Teacher’s Day International Women’s Day International Lefthanders’ Day Valentine’s Day New Year’s Eve April’s Fool Now discuss with your partners what people often do during those holidays
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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
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NURSING CARE PLAN Nursing Assessment: Ms. F.E. is a 20yr. old female who was involved in a motor vehicle accident (M.V.A.)‚ and was admitted on 04.03.12 to the surgical unit with Spinal injuries‚ Polytrauma and fractured right humerus. She started complaining of severe abdominal pains‚ one week after assessment by Doctor‚ she was scheduled for emergency laparotomy with ?diagnosis Perforated Hallow Viscus. Following surgery patient was diagnosed with Fecal Peritonitis and was transferred to the
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