Karisa M. Young April 28‚ 2005 Nursing 374L Nursing Care Plan Twin ‘B’ was born on Monday February 14‚ 2005 at 35 weeks gestation. The mother was scheduled for a cesarean section at 38 weeks gestation‚ but presented in the hospital early with signs of labor. A cesarean delivery was performed. Twin ‘B’ APGAR scores at 1 minute and 5 minutes were 9 and the newborn weighted 4lbs 3 oz. Upon completion of the assessment‚ the newborn’s temperature decreased to 96.1 degree Celsius (axillary). Diagnosis
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dissatisfaction and improve on patient care outcome. The data suggested that nurses and other healthcare workers must strive in a collaborative environment; that to strengthen the work force‚ there must be less incivility in the work place. Further‚ the findings revealed that race was a significant factor in the frequency of inactivity coupled with those nurses with more than 5 years of work experience.
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including hospitals‚ shelters‚ jails and nursing homes (Basic TB Facts‚ 2010). Questions to ask Patient: Are you having any difficulty with breathing now? Are you having any shortness of breath? How long have you had a cough? Describe your cough. Are you bringing up any phlegm? If yes‚ what is the color? Does it hurt to cough? What would you rate the pain on a scale between 1 and 10 with 10 being the worst? Is there anything that relieves the cough or pain? Have you had any difficulty sleeping
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lan NURSING CARE PLAN | ASSESSTMENT | BACKGROUND KNOWLEDGE | PLANNING | INTERVENTION | RATIONALE | EVALUATION | Subjective:n/aObjective: * Preterm birth (36 weeks) * Weight: 1.75kgs. * Cool and dry skin. * Temperature: 33.6 degrees Celsius. * Poor muscle tone. * Placed under two droplights.Nursing Diagnosis: Ineffective thermoregulation related to immaturity. | Vaginal birthPretermPoor muscle developmenthypothermia | After 1 hour of nursing intervention‚ patient will maintain
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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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OPERATIVE REPORT Patient Name: Patul Barua Patient ID.: 135799 Room No.: CCU 4 Date of Surgery: 01/08/---- Admitting Physician: Simon Williams‚ MD‚ Pulmonology Surgeon: Simon Williams‚ MD Preoperative Diagnosis: Recent onset hemoptysis‚ history of tuberculosis. Postoperative Diagnoses: No tuberculosis lesions seen. Surgical Procedures: Bronchoscopy. Specimen Removed: Blood clots. INDICATIONS: Mr. Barua requires bronchoscopy because of recent onset
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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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South Padre Hospital________________________________________ OPERATIVE REPORT PATIENT: Greggory‚ Terry Emily SURGERY NO: B1821 UNIT NO: 2 SEX: F DATE: 04/0908 DOB/ AGE: 08/06/1956 (51) ANESTHESIA: General
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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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of overtime without considering the safety of the staff and patients. I work in a psychiatric hospital where safety is one of the company priorities. The majority of the decision-making in the facility where I work is controlled by the director of nursing who speaks to the manager who communicates the charge nurses; there is little or no input from the nurses on the floor even though they spend the most time with the patients. Incident report One of the most frequent incidents that occur in my work
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