Nursing Care Plan for Rhonda Silverman (pseudonym) Introduction Rhonda Silverman is a 89 year old female who is currently residing in a rest home. She formerly worked as a short hand typist prior to her marriage after which she had 3 children and was actively involved in volunteer work within her community while her children were being raised. Rhonda has had a very active life and loves to travel. She has visited North America‚ Europe‚ Asia and Oceania. As she has aged her health as deteriorated
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OBJECTIVES OF CARE INTERVENTION PLAN‚ METHOD OF CONTACT‚ PROPOSED ACTIONS‚ METHOD OF TEACHING EVALUATION PLAN RESOURCES AVAILABLE IN THE FAMILY OUTCOME CRITERIA METHODS/TOOLS Presence of health deficit: Illness state related to elevated blood pressure Community Nursing Diagnosis: Inability to make decisions with respect to taking appropriate health action due to: a. failure to comprehend the magnitude of the condition b. Inaccessibility of appropriate resources for care‚ specifically physical
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NURSING CARE PLAN Nurs 326 SFSU Student Name: Alena Makarava Instructor/Clinical Site Gerardo Caritan‚ RN‚ MSN Date: 2/26/2015 Ms. X is a 34 year old female. The patient is a G3 P2‚ with both children delivered by C-section‚ with the only complication in both being low birth weights. Ms. X has a longstanding history of hypertension‚ anxiety and depression. Additional health history includes a vitamin D deficiency‚ back surgery in 05/06 due to a herniated disc‚ and two previous cesarean
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3N Clinical Nursing Care Plan NURS 2230 Lakehead University October 2‚ 2014 I declare that this paper is my original work. Excepting where I have cited my own previous work‚ this paper in its entirety‚ or any portion thereof‚ has not been submitted to meet the requirements of any other credit course. Student Signature: ____________________________________ Date: ____________________ Patient History In the context of this paper‚ the patient will be referred to as
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Breathlessness 1. Presenting condition (PC) = Increase SOB 2. History of presenting condition (HPC) = Gradual decline or sudden. Any changes or normal exercise tolerance. Sleep at night‚ does lying flat make it worse? What makes it better/worse? 3. Past Medical History (PMH) 4. Drug History 5. Social History – include smoking‚ family history ect. 6. Examination of patient O – onset L – Location D – Duration C – Character A – Aggrevating R – Relieving T - Treatment TAKING A HISTORY Started
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Nursing Diagnosis 1. Acute pain R/T: inflammation and obstruction of the gallbladder AEB: patient verbalizes abdominal pain of 7/10‚ grimaces‚ rubs his stomach‚ BP 158/79‚ T990F 2. Deficient knowledge R/T: lack of knowledge about the importance of incentive spirometer AEB: patient says that he does not know how to use and needs to know more about its importance. 3. Risk for deficient fluid volume R/T: restricted intake 4. Risk for imbalanced nutrition less than body requirement R/T: impaired
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Nursing Care Plan |Student | |Course |NURS 211L |Date |5/27/2011 | |Instructor | | | | | | |Patient Initial | _____J.G________ ___Age 59 Female_____
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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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I. SAFE AND QUALITY NURSING CARE CORE COMPETENCY 1: Demonstrate knowledge based on health/illness status of individual/ groups Indicators : ○ Identifies health needs of patients/groups ○ Explains patient/group status CORE COMPETENCY 2: Provides sound decision making in care of individual/groups considering their beliefs‚ values Indicators : ○ Problem identification ○ Data gathering related to problem ○ Data analysis ○ Selection appropriate action ○ Monitor progress of action
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1 Chapter c0001 1 Nursing knowledge and practice Maggie Mallik‚ Carol Hall and David Howard KEY ISSUES s0005 u0190 u0195 u0200 u0205 s0010 u0210 u0215 u0220 u0225 u0230 u0235 u0240 s0015 u0245 u0250 u0255 s0020 u0260 u0265 INTRODUCTION SUBJECT KNOWLEDGE l Definitions‚ theories and models of nursing l Role and image of the nurse l People as recipients of nursing care l Contexts for delivering nursing care Nursing care is provided for people with widely
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