COMMUNITY COLLEGE DEPARTMENT OF NURSING CLINICAL ASSESSMENT TOOL Subjective Data (Basic Conditioning Factors) Student: Date of Care: 10/03/09 Patient’s Initials: P. V. Age: 37 Room #: 3114 Bed 1 Allergies: Food: NKA Gender: F Medications: NKA Environmental: NKA Admitting Diagnosis: Pancreatitis Developmental Stage (Erickson and Havinghurst): (List Developmental stage and tasks‚ assess each task) 1. Selecting a mate: Although patient
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ulcers continue to be a prevalent issue in the health care system and causes “pain‚ slow recovery from morbid conditions‚ infection and death” (Kwong‚ Pang‚ Aboo‚ & Law‚ 2009‚ p. 2609). In the field of nursing turning and repositioning patients is a well-known nursing intervention to prevent development of pressure ulcers. However‚ many hospitals and facilities still neglect to apply this as a standard policy. This gives room for nurses and nursing aides to overlook the importance of this intervention
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beneficially develop the knowledge base of nursing‚ guide practice‚ and contribute to favorable outcomes. Description of Theory Purpose Myra Levine was an experienced nurse and teacher who sought to educate medical-surgical students about major concepts in nursing. Levine wanted the focus of nursing to be patient-centered instead of task-oriented (Sitzman & Eichelberger‚ 2011). Also‚ like other early nursing scholars‚ Levine wanted to distance nursing practice from medicine (Meleis‚ 2012).
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important part of the nursing process happens to the comprehensive assessment. Sharon Jensen (2011) describes health assessment as the process of “gathering information about the health status of the patient‚ analyzing and synthesizing those data‚ making judgements about nursing interventions based on the findings‚ and evaluating patient care outcomes.” In other words‚ the health assessment is not only the first step or part of the nursing process but it is the cornerstone of the nursing process. How difficult
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............................ 3 IV. BACKGROUND OF THE STUDY ..................................... 4 A. DEFINITION B. SIGNS/SYMPTOMS C. CAUSES V. PATIENT’S PROFILE ..................................................... 5 VI. NURSING HISTORY....................................................... 6 A. PRESENT ILLNESS B. PAST ILLNESS C. FAMILY HISTORY D. SOCIO-ECONOMIC VII. GORDON’S ................................................................. 7 VIII
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spiritual life. According to Kolcaba comfort is the satisfaction of basic human needs for relief‚ ease‚ and transcendence arising from health care situations. After learning this theory I have understood three important aspects of nursing theories. These aspects are: the terms transcendence and midrange theories and the application of theory in the nursing process. When I first read the articles about the comfort theory I got mixed up. The confusion was brought about by the various terms used
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box may not be as usual or as routinely as we do every shift‚ like doing endorsements or administering medications. On the floor‚ not every issue‚ challenges and patient’s problem requiring nursing intervention necessitate out of the box thinking. We incorporate the nursing process‚ with adequate knowledge‚ nursing skills and attitude learned from getting the degree and through our mere experience. Many problems can be effectively solved using a more conventional approach. However‚ sometimes to achieve
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equality by introducing anti-discrimination policies in the workplace. Also known as anti-oppressive practice. 2. Explain why it is important to recognise and respect an individuals heritage. Some individuals may become very withdrawn when they enter a care Home. Being able to do individual things like listen to their favourite piece of music‚ or having their hair done a certain way‚ can be very reassuring. Ask family and friends to fill a “memory box” with meaningful items such as photographs‚ books
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Case Study Grid List five factors of the patient’s history that demonstrates nursing needs. 1. Limited social support in and out of the hospital 2. Weight loss 3. Lack of knowledge about the importance of self-breast examination 4. Smokes approximately two packs of cigarettes a day. 5. No emotional support from her spouse‚ and abusive spouse Complete the table below with the following information: Formulate three nursing diagnoses using the Problem‚ Etiology‚ and Signs and Symptoms (PES) format
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integrated in a blended learning approach for training to be more effective and realistic on the use of EHR. Designing the blended learning approach training entails the use of computer room and internet connection if necessary. IT department and nursing continuing education facilitator may be coordinated to decide on the training venue in the hospital where planned intervention will take place. The proposed intervention needs to form an informatics team composed of nurse supervisor‚ senior nurse
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