Cues Nursing Problem Scientific Reasoning Planning Implementation Evaluation Subjective: >”Nay‚ kelan po tayo uuwi?” as verbalized by the patient >”Nag-aaya na nga syang umuwi.” as verbalized by the caretaker Objective: >Patient is silent when hospital staff is around >Patient does not have eye contact with the hospital staff Fear related to hospitalization as manifested by alteration in behavior. Hospitalization is usually perceived as a threat that is consciously
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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:
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This article was selected‚ because the author provides nursing professionals an overview of skills‚ frameworks‚ mnemonics‚ and cultural assessment tools that can be utilized in their practice to provide effective patient-centered care even in the presence of cultural conflict (Campinha-Bacote‚ 2011). As a future nurse educator‚ my role will encompass assisting students to provide patients culturally competent care “... even when the patient’s health beliefs‚ practices‚ and values are in direct conflict
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approaches in Palliative care in the process relate them to my practice as a generalist nurse in a hospital setting‚ its impact on palliative care‚ and finally discuss on findings and recommendations to my practices. Palliative care is one of the most sensitive specialists in nursing today. Hence the guidance published in nursing times [2012]recommends that trusts draws up a plan to raise awareness of end of life issues in all wards as to improve rapid discharge process for patients who choose to die
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Unity and Diversity in Spiritual Care We are told that the very essence of good nursing is to help a person attain or maintain wholeness in every dimension of their being. ’Holism’ has become the buzz word of the nineties‚ and nurses are frequently exhorted to care for the whole person. A new wave of terminology has evolved around this concept‚ and now in nursing theory you’ll sometimes find a person described as a biopsychosocial unit! Is this a new direction or focus for nursing‚ or are we
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Patient’s safety and care is an important facet in any health facility. That is why I‚ Susan‚ decided to take a professional approach in caring for Josie when she was admitted with severe body burns in the Hopkins hospital (King 14). In fact‚ a fair share of challenges should be faced by a renowned health facility‚ patients‚ and their family members. Medical practitioners are supposed to observe high level of professionalism when discharging their services. Despite the high expectations‚ medical
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Student Name: Date: February 25‚ 2006 Nursing Diagnosis Outcome Criteria (Goal) Evaluation of Outcome Criteria (Goal) PC: Postpartum Hemorrhage Patient will develop no complications related to excessive bleeding‚ will maintain normal vital signs of express understanding of her condition‚ its management‚ and discharge instructions‚ identify and use available support systems. R/T‚ RTRF and secondary to: Pathophysiology Supporting Nursing Diagnosis Statement (cite source) Uterine atony
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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
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DIFFICULTY OF BREATHING” As verbalized by the patient. OBJECTIVE: ➢ Weak and pale in appearance ➢ Difficulty of breathing ➢ Poor skin turgor ➢ Clutching of hands to chest ➢ Shortness of breath ➢ Restlessness VITAL SIGNS: ➢ BP- 130/90 mmHg ➢ T- 37.5 C ➢ PR- 98 BPM ➢ RR-25BPM ➢ PAIN SCALE- 8 | ➢ ACUTE PAIN RELATED TO MYOCARDIAL ISCHEMIA. |SHORT TERM GOAL: After 8 hours of nursing intervention: ➢ The patient will be able to verbalize relief from chest pain
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PATIENT CENTERED NURSING CARE PLAN STUDENT NAME: _________________________ CLIENT’S AGE: ___________ SEX: MALE FEMALE DATE: _________________________________ DIAGNOSIS: __________________________________ Assessment (Subjective and Objective Data‚ Fundamental Needs) Nursing Diagnosis (NANDA) Planning Intervention Evaluation Analysis Statement… Related to… As Evidenced by… Need Specific Goal (RUMBA‚ SMART) Source
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