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
Premium Pain
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
Premium Nursing
Medical Diagnosis: sickle cell anemia with vaso-occlusive crisis Nursing Diagnosis List 1. Impaired Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis‚ because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs‚ such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the
Premium Nursing Sickle-cell disease Morphine
CARE PLAN Bipolar Disorder‚ Manic Episode [pic] Risk for Other-Directed Violence At risk for behaviors in which an individual demonstrates that he or she can be physically‚ emotionally‚ and/or sexually harmful to others. RISK FACTORS • Restlessness • Hyperactivity • Agitation • Hostile behavior • Threatened or actual aggression toward self or others • Low self-esteem EXPECTED OUTCOMES Immediate The client will • Be safe and free from injury throughout hospitalization
Premium Attention Nursing care plan Nursing
RN Program CLINICAL PHYSICAL ASSESSMENT AND CARE PLAN NURSERY STUDENT NAME: Robin Rickards CLINICAL SITE/UNIT: SOH/Nursery CLINICAL DATE: 01/20/15 PATIENT INTIALS: F.P. AGE: 9 days Sex: M RELIGION/CULTURE: Not documented MATERNAL AND LABOR HISTORY: Mother was admitted to hospital on 01/09/15 for labor induction at 39 weeks and 4 days. Active labor began at 1015. F.P. was born at 1837
Premium Pregnancy Fetus Childbirth
Care Plan Problem: Risk for bleeding r/t postpartum complications. Patient Centered Goal: Patient will not experience any abnormal/excessive bleeding by the end of clinical shift. Expected Outcomes: 1. Patient will experience lochia reducing in amount and lightening in color by the end of clinical shift. 2. Patient will observe fundus that is firm‚ midline‚ and decreasing in height by the end of clinical shift. 3. Patient will verbalize understanding of signs and symptoms
Premium Blood Childbirth Uterus
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
Premium Nursing Patient Nursing care plan
Discharge Planning/Self-Care Needs: Discharged to hospice. Self-care deficit. | Admission Date: | 3/31/13 | Time: 0500 | | Admitted From: (Home‚ ECF or ?) | Nursing Home | Admission DX: | Aspiration related pneumonia | Chief Complaint (“patient’s own words” – PUT IN QUOTES): patient unresponsive due to cognitive impairment. | Medical HX: COPD‚ anxiety‚ atrial fibrillation‚ dementia‚ dysphagia‚ hypertension‚ heart disease‚ hyperlipidemia‚ Parkinsonism‚ and urinary incontinence. | Previous
Premium Blood sugar Red blood cell Blood
References Student X Baton Rouge General School of Nursing Nursing Care Plan for Herpes Zoster Patient Patient is a 33 year old African American female with infected herpes zoster‚ sepsis‚ and gastroenteritis. The patient was admitted to the Mid-City Baton General Hospital on Sunday‚ June 15‚ 2014 for infected herpes zoster‚ where a chest x-ray‚ blood culture‚ specimen arm wound culture‚ and urinalysis was performed. The results showed lungs clear‚ heart size with in normal limits‚ and no abnormal
Premium Herpes zoster Immune system Red blood cell
PN 0004C Weekly Clinical Planning Sheet Student Name: S.H Care plan #5 Patient Initials: t.l Age/Sex: 73/f Allergies: Potassium Nurse on Duty: Regin Admission Date: 06/29/2013 Admitting Physician: Dr. Cole Consulting physician: Code status: Hospice‚ dnr Activity Level: As tolerated Diet: nectar thick/puree Patient History and Diagnoses: primary
Premium Medicine Patient Nursing