Nursing Care Plan for Chest Pain NURSING DIAGNOSIS OUTCOME/GOALS INTERVENTIONS EVALUATION Acute chest pain related to ischemic cardiomyopathy as evidenced by tightness in chest. Patient will be chest pain free for duration of shift. Assess for chest pain q 4 hours during shift. Monitor vital signs q 4 hours during shift. Educate patient on importance of lifestyle modifications such as weight loss. Goal was met. Pt was chest pain free during shift. NURSING DIAGNOSIS
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NRSG258 Acute Care Nursing – S00169019 1- My chosen patient Paul is a 45-year-old man who has torn his rotator cuff during a rugby game. After consultation the surgeon informs Paul that he will require a shoulder arthroscopy with rotator cuff repair followed by rehabilitation. The rotator cuff is a group of muscles and tendons (supraspinatus‚ infraspinatus‚ teres minor and subscapularis) attached to the bones of the shoulder joint. The rotator cuff connects the humerus (upper arm) to the scapula
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III Clinical Path 1. I noticed in my nursing audits‚ incorrect or inaccurate documentation by nurses of procedures completed. • Visual Acuity exams documented as 20/30 (-3 or -2). • No documentation of cardiac monitoring or documentation as regular/irregular • Best practice for the administration and documentation of IVP medications. Practice Dimension-Nurse III 1. With the realization of the critical need for accurate and detailed documentation in nursing‚ I am prepared to utilize the expertise
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Care Plan: TURB and Kyphoplasty Recovery Situation and Background E.P. is an 88-year-old Caucasian male. He was admitted on 02/18/13. His code status is full code‚ and he declines to bring in his advanced directive. He reports that he is 68.5” tall‚ and his actual weight is 165 pounds. He and his wife are the sources of information‚ and they are reliable. His blood pressure is 124/62‚ taken on his right arm in a lying position‚ his oral temperature is 99.8‚ his right radial pulse is 74 beats per
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Nursing Care Plan Client name: Mrs. Chan Age/ sex: 48/F Medical diagnosis: Fluid overload‚ decreased TK output and decreased Hb Assessment date: 25-11-2012 Diagnostic statement (PES): Excess fluid volume related to compromised regulatory mechanism secondary to end-stage renal failure as evidence by peripheral edema and patient’s weight gained from 69.8kg to 73.6kg within 4 days. Assessment Nursing Diagnosis Goals & Expected Outcomes Nursing Interventions
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Mock Care Plan Assignment Instructions Each student selects a different Case Study and notifies the instructor via email on your selection. Instructor approval is required before you begin this assignment. Students are to download and complete the Care Plan using the Care Plan Grid. Students are to create a care plan using the selected and approved case study. The case study provides the students with a diagnosis to begin the care plan. Students are to use their critical thinking skills and
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Concept Map Care Plan E.T/49yr. old female‚ white Date of Admission: 08/01/11/Date of Care: 08/05/11 Attempted Suicide/Bipolar Disorder Depression/Alcoholism/Herniated Disc Nrsg Dx #1 (Psycho social) Supporting Data: (Include subjective‚ objective‚ lab‚ diagnostic‚ pharmacologic and other data which supports your use of this diagnosis.) Long Term Goal: Short-term goals: Nursing Interventions: Evaluation:
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Professional Career Action Plan Renika Johnson HCS/449 October 22‚ 2012 Urmi Bhaumik Professional Career Action Plan The professional career action plan gives in details my career goals‚ rather than the personal goals. This professional career action plan will give an insight into the professional strengths and weaknesses‚ the health care organization to work at‚ and the knowledge gaps that exist‚ and professional resume. In this paper will speak on professional
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Teaching Care Plan Ativan Assessment Diagnosis Plan/ Goal Implementation Evaluation *Assess patient’s knowledge of lorazepam. *Assess knowledge of intended response of medication. *Assess knowledge of when‚ and how to take medication. *Assess knowledge of side and adverse effects. *Assess patient’s degree of anxiety. *Assess patient for alcohol withdrawl symptoms. Knowledge‚ deficient r/t non exposure of information. Noncompliance r/t medication misuse. Patient should understand
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with chronic airflow limitations. International journal of nursing education.3(2): 34-7 Erin‚E.‚ Timmothy‚S.‚ Morris‚ W‚.(2007). Accuracy of the pain rating scale as screening in primary care. J Gen Inter Med‚ 22(10)‚ 1453-1458. Akinci‚C‚. Pinar‚ R‚. Demitri‚ T‚.(2013). The relation of subjective dyspnoea perception with objective dyspnoea indications‚ quality of life and functional capacity in patients with COPD. Journal of clinical nursing; 22(7/8): 969-76. Fremault‚ A‚. Silva‚ M‚. Beaucage‚ F‚.
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