) Chief Complaint or client’s request for care Present Illness: Present Illness or present health status OLD CART (Onset‚ Location‚ Duration‚ Characteristics‚ Associated factors‚ Response to treatments tried) Progression of disease/Illness: Chronological order of events Specific s/s Duration‚ characteristics‚ location Abrupt/gradual‚ related
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factors affecting the delivery of quality nursing care to the post-operative patients starting from the time they were transferred from the post-anesthesia care unit after operation to the ward until discharged. And within that period of care‚ problems arise in care plan and implementation especially on the aspect of patient-handling or what we call hands-on care. As a result‚ the study is conducted to investigate the quality of hands-on care given to post-operative patients. Statement of the Problem
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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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Post operative care There is a range of activities that nurses need to undertake when caring for postoperative patients. There are also specialist areas of surgery‚ e.g. bowel and thoracic surgery‚ which require more specific care and these are covered in Section 5. The patient is placed in the recovery room attached to theatre. The patients’ condition is assessed and he is nursed in the lateral recovery position to minimize risks of aspiration until fully conscious‚ when he can be transferred
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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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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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Indiana Nursing Program – Region 6 Nursing Care Plan and Evaluation Student: __ Instructor: _Date: _1-28-2010_____ Instructions: 1. The nursing care plan evaluation is based upon the application of criteria appropriate for the student’s skill set. 2. All nursing care plans must be typed (Times New Roman‚ 12 point font). The nursing care plan form is available on Blackboard™ in each clinical course. 3. The grading rubric must be attached – last page of nursing care plan. 4. All
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This essay will discuss the plan of care I developed for Mr X while he was under my care in a post anaesthetic unit. It will discuss my nursing assessments‚ and what diagnoses I developed from this. It will then discuss the rationale behind my nursing interventions using relevant literature. My plan of care will be analysed throughout while identifying how my nursing care meets best practice guidelines. A nursing care plan is begun at a patients admission. In this case Mr X was booked in for
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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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Cesarean Birth What is a cesarean birth (cesarean section)? A cesarean section‚ or C-section‚ is the surgical delivery of the baby through an incision in the mother’s abdomen and uterus. The procedure is usually performed using spinal anesthesia (an anesthetic injection into the fluid that surrounds the spinal cord) so that the mother can be awake during the birth without feeling pain. If the woman already had an epidural placed earlier (e.g.‚ during labor)‚ the epidural can also be used during
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