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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DATE | CUES | NURSING DIAGNOSIS | KNOWLEDGE BACKGROUND | GOAL | NURSING INTERVENTION | RATIONALE | EVALUATION | | Subjective:“Medyo masakit ang dibdib ko pag umuubo ako.”as verbalized by the patientObjective:Productive coughYellow sputum dischargedPain scale of 10/10 | Acute pain R/T coughing | Acute pain is described as an unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in terms of such damage ;sudden or slow onset of any intensity from
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This essay will aim to discuss from the perspective of mental health nurse the assessment skill needed to be carried out to enable effective care planning for Lisa. This assessment will be in partnership with Lisa which will take into consideration her physical‚ emotional‚ psychological‚ social and environmental developments in order to provide appropriate care plan. This discussion will be around dual diagnosis‚ prevalence‚ assessments‚ health promotion and recovery concepts. From the case scenario
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➢ 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 and difficulty of breathing ➢ The patient will be able to reduce anxiety regarding his condition. LONG TERM GOAL: After 3 days of nursing intervention: ➢ The patient will report pain being absent or controlled with medication administration. ➢ The patient will
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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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NURSING DIAGNOSIS GOAL INTERVENTIONS RATIONALE EVALUATION impaired Gas Exchange R/T STG: 3/17/2014 throughout shift 1. Auscultate breath sounds 1. Abnormal breathing STG: PT O2 saturation on admission abnormal breathing AEB PT will maintain O2 saturation noting areas of decreased sounds are indicative was 87%. Measured at 1602 with a Objective: use of wall oxygen of 95 or higher AEB breathing sounds of numerous problems reading of
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States Surgeon reports‚ stigma is one of the main barriers to mental health care (Bharadwaj et al.‚ 2015). It has also been noted that it is one of the many reasons why people make the choice to not get the necessary treatment they need is because they feel the stigma associated to the mental illness (Corrigan et al.‚ 2004). A lot of prior research has indicated the growing concern that stigma is an obstacle between appropriate care and letting the symptoms get worst when help seeking doesn’t occur
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Mental illness is any disease or condition that influences the way a person thinks‚ feels‚ behaves‚ and/or relates to others and to his or her surroundings. Although the symptoms of mental illness can range from mild to severe and are different depending on the type of mental illness‚ a person with an untreated mental illness often is unable to cope with life’s daily routines and demands. Mental illnesses can be put into two types - Psychoses and Neuroses. Psychoses: symptoms are normally severe
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treatment in order to maximize therapeutic effect and facilitate healing. When a patient and their family are educated about illness‚ medications‚ and other treatments‚ they are more likely to be interested in their healthcare and comply with the plan. An infection of the lungs triggers an inflammatory response‚ which results in edema in the alveoli. As a result of pulmonary edema‚ gas exchange becomes impaired leading to decreased activity tolerance. At the end of the shift‚ pt’s pulse oximetry
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Mental disorders include variety of obstacles‚ the severity of which is not the same. The impact on the mental illness of individuals and families can be very serious and the impact on the whole society is far-reaching. according to the 2007 National Survey of Mental Health welfare survey About 7.3 million or 45 percent of Australians aged 16 to 85 have encountered some common mental health-related illnesses‚ such as material use disorder‚ as depression and anxiety.People with mental illness encounter
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