Richard J. Daley College Nursing 101 Data Collection for Care Plan Section I – Demographic Data: Patient Initials: K. J. Sex: Female MSWD: Married Age: 44 No. of children: 1 Occupation: Disabled Section II- Admission Data 1. Date admitted: 10/19/2007 2. Admitting diagnosis: Hematomesis‚ melanotic stools‚ cirrhosis‚ hepatorenal syndrome. 3. Allegries: Codiene 4. Signs and symptoms on admission: jaundice appearance‚ lethargic‚ oriented x 1‚ vomiting bright red blood‚ has had
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DATE | CUES | NURSING DIAGNOSIS | KNOWLEDGE BACKGROUND | GOAL | NURSING INTERVENTION | RATIONALE | EVALUATION | | Subjective:“Medyo masakit ang dibdib ko pag umuubo ako.”as verbalized by the patientObjective:Productive coughYellow sputum dischargedPain scale of 10/10 | Acute pain R/T coughing | Acute pain is described as an unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in terms of such damage ;sudden or slow onset of any intensity from
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Care Delivery & Management Special Care In Mental Health Nursing Practice Word Count In Total: 5458 Word Count Reflective Practice Paper: 4372 Action Plan: 1086 The purpose of this assignment is to reflect upon my personal and professional development. It will consider the quality of the care I provided‚ the skills I developed in my specialist placement‚ plus my learning since the commencement of my nurse training. Personal learning and self-reflection will be identified. I shall be
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Cues Nursing Problem Scientific Reasoning Planning Implementation Evaluation Subjective: >”Nay‚ kelan po tayo uuwi?” as verbalized by the patient >”Nag-aaya na nga syang umuwi.” as verbalized by the caretaker Objective: >Patient is silent when hospital staff is around >Patient does not have eye contact with the hospital staff Fear related to hospitalization as manifested by alteration in behavior. Hospitalization is usually perceived as a threat that is consciously
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NURSING DIAGNOSIS GOAL INTERVENTIONS RATIONALE EVALUATION impaired Gas Exchange R/T STG: 3/17/2014 throughout shift 1. Auscultate breath sounds 1. Abnormal breathing STG: PT O2 saturation on admission abnormal breathing AEB PT will maintain O2 saturation noting areas of decreased sounds are indicative was 87%. Measured at 1602 with a Objective: use of wall oxygen of 95 or higher AEB breathing sounds of numerous problems reading of
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treatment in order to maximize therapeutic effect and facilitate healing. When a patient and their family are educated about illness‚ medications‚ and other treatments‚ they are more likely to be interested in their healthcare and comply with the plan. An infection of the lungs triggers an inflammatory response‚ which results in edema in the alveoli. As a result of pulmonary edema‚ gas exchange becomes impaired leading to decreased activity tolerance. At the end of the shift‚ pt’s pulse oximetry
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References: Gulanick‚ M.‚ Myers‚ J.L. (2013). Nursing care plans. Diagnose‚ interventions‚ outcomes. USA: Mosby.
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Name: John Doe Class: NRN 101 Date: 12/12/12 Pt. initial RB Age 100 Date of Admit 01/01/01 DOB 07/01/01 Code Status full Allergies NKDA Admitting Diagnosis: Pneumonia secondary to a bacterial infection Nursing Diagnosis: Risk for ineffective tissue perfusion (arterial‚ venous‚ and peripheral) STG: Patient will have adequate perfusion AEB Spo2= 95% or greater LTG: Patient will maintain adequate tissue perfusion to vital organs AEB mucous membranes‚ capillary refill time
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A payment status of IN PROCESS means your payment is still being processed. A payment status other than PAID indicates that the Department of State has not received your payment. If you receive a notice that your case has entered termination do not attempt to pay any fees. You must contact the NVC immediately to resume processing of your petition. NVC contact information can be found at http://travel.state.gov/visa/immigrants/info/info_3177.html. Next Steps 1. When the IV fee payment status is
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NM5004 Nursing Management of Care Delivery and Therapeutic Interventions Summary Management of a Proposed Service Improvement Word Count: 1‚051 The following assignment will discuss a proposed service improvement. It will detail what the proposed improvement will be‚ why this is a significant improvement to current services. How the plan would be managed and implemented. The student has chosen to plan an improvement to physical health needs assessments for mental health
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