ASSESSMENT & CARE PLAN CLIENT CASE STUDY #2 Student: Fall 2010 Client Initials: VC Age: 82 Gender: Female Date Admitted to Nursing Home: 12/14/07 Assessment Date: 12/3/10 1. HEALTH HISTORY Brief description of health history and reason in nursing home: VC has a history of malignant neoplasm of her large intestine which lead to her colostomy status. She also has a history of fracture and fall. She was admitted to the nursing facility secondary to her alzheimer’s diagnosis
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Vol. 92/No.1 Risk Factors: People with a weak immune system‚ recent exposure with TB bacteria‚ immigration from area with high TB rates‚ IV drug users and people working in facilities at high risk for TB 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
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elimination related to urinary tract infection Goals: After 30 minutes of nursing intervention‚ the patient will be able to gain knowledge on ways of managing Urinary Tract Infection. Objectives: Within 15 minutes of nursing intervention‚ the patient will be able to gain knowledge by : Enumerating 2/3 specific causative factors of UTI. Demonstrate behaviors and techniques to prevent urinary tract infection and manage care of urinary catheter. Shows positive attitude by verbalizing understanding
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Nursing Care Plan Nursing Diagnosis | Patient Outcomes/Goals | Nursing Interventions | Rationale | Evaluation | 1. Risk for systemic infection r/t cellulitis AEB breakdown of tissue on the lower extremities 2. Chronic pain related to multiply system diseases‚ gout‚ cellulitis‚ as demonstrated by patient complaints of pain | 1. Pt will demonstrate progressive healing of tissue by discharge(Long-term) 2. Manage acute & chronic pain to pt. identifiable tolerable level of 4 on scale of
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This therapeutic care plan will utilized the “I can treat and prescribe framework” to ensure that appropriate patient treatments are selected using a step by step approach‚ including assessment integration‚ drug and/or disease related problems‚ therapeutic goals‚ therapeutic alternatives and indications‚ plan of care and evaluation (OPHCNPP‚ 2012). By going through each step of this framework‚ and including or excluding treatment options based on individual patient factors and strong clinical evidence
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Professional Portfolio CONTENTS: SECTION 1 SECTION 2 : Personal Data : SECTION 3 : SECTION 4 : SECTION 5 SECTION 6 SECTION 7 : SECTION 8 : Academic & Professional Qualifications Employment History Continuing Professional Development ( CPD) Activities Professional Development Plan Evidence of Achievement Reflective Practice Appendix : : Acknowledgment: The Nursing Professional Portfolio Group
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& research Exploring Orem’s self-care deficit nursing theory in learning disability nursing: Philosophical parity paper: part 1 In a two-part article‚ Paul Horan and colleagues explore the relevance of this popular nursing model from a variety of perspectives. Can Orem’s self-care deficit nursing theory be helpful in meeting the needs of people with learning disabilities? (Taylor 2002) and is one of the most frequently used theories in general nursing practice (Alligood and Marriner-Tomey
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Health Promotion in Nursing Care Margaret Brzoza Lauer Grand Canyon University: NRS 429v October 16‚ 2011 Health Promotion in Nursing Care The three levels of health promotion and prevention are primary‚ secondary‚ and tertiary prevention education. Primary health care promotion focuses on making individuals‚ families‚ and communities aware of health related issues and provides education on alternatives for a healthy lifestyle. Secondary health care promotion provides the screening necessary
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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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Teaching Plan Cognitive behavioral Distortions Guided Imagery Learner Outcomes Content Outline Methodology Time Frame Evaluation 1. Learner will recite their understanding of the connection between our thoughts‚ feelings‚ and behaviors. 2. Learner will be able to recite one way in which positive thinking can improve one’s outlook on life and ones decisions Examples of current application of guided imagery—sports psychology‚ cancer‚ HIV. Definition of cognitive errors
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