College Nursing Care Plan Student: Date:9/16/2103 Pt. Data Objective & Subjective Nursing Diagnoses Goals (Short & long term Interventions & Rationale Pt. Teaching Eval. Subjective Data Patient states “I am afraid all the steroids are going to make me fat.” And was crying Patient was asking questions about covering the butterfly rash. Patient showed concern about swelled hand. She stated she did not want to look “crippled. “ Objective Data Patient is a healthy
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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
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Developing Implementation Plan According to Hill and Wee‚ 2012. Fall in the hospital among adult patients is a big problem for the health care sector‚ especially the nursing profession. Cognitive impairment‚ medically –induced immobility‚ past medical fall history‚ weak muscle and certain group of medications like psychotropic/benzodiazepines‚ are some factors that have been noted to be responsible for elderly patients vulnerability to falls. Educating the patients at risk for falls‚ lowering/stopping
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In the 1800’s an effort to redefine nursing‚ by improving upon patient care‚ Florence Nightingale stands as the patron leader. She went onto grapple with the task of improving upon deplorable hospital conditions; while‚ measuring patient’s outcomes in a statistical method. Over a hundred years later‚ more recent compiled research related to a link between hospital staffing issues and adverse patient outcomes grabs the attention of internal and external healthcare populations. In the 90’s and early
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States about the use of electronic medical records (EMRs) in outpatient settings. More than $20 billion of the federal economic stimulus (the American Recovery and Reinvestment Act of 2009) is slated to assist physicians‚ hospitals‚ and other health care settings in adopting health information technology (Gill‚ 2009). The government wants to shift into the digital era and it is highly recommended that all hospitals become compliant by 2015 and has provided reimbursement incentives and an electronic
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Patient abuse in nursing facilities is becoming more prominent. Abuse is not only physical‚ but emotional‚ sexual‚ neglect and financial exploitations. The elderly are the most vulnerable and least likely to complain‚ so unfortunately they are the targets. Most families research in depth about the nursing facility that they will place their loved one‚ in hopes that abuse doesn’t occur. Although the research is done‚ families should still look for signs and symptoms of abuse since they are leaving
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Improving Patient Care and Quality Utilizing the Electronic Health Record Melissa Fuller HCA 417 John Saindon April 29‚ 2013 Improving Patient Care and Quality Utilizing the Electronic Health Record Improving patient care is a process that always has room for improvements. It is important to make sure patients receive the best quality care available. "Studies suggest that high quality patient care relies on careful documentation of each patient ’s medical history‚ health
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The assessment of patients forms a major component of the nursing role. It allows the nurse to gain vital information to base the planning and implementation of prioritised care on. A systematic method of assessment is required‚ that ensures that all areas of assessment are covered and that the assessment and subsequent interventions are as effective and efficient as possible. One method that can be followed for patient assessment is the primary and secondary surveys‚ with an additional assessment
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Care Plans. Care plan for a long-standing condition called myxoedema‚ which is a condition I had never come across before. Therefore‚ in order to compile an accurate and comprehensive care plan I had to look into what myxoedema was. Myxoedema is caused by hypothyroidism (under activity of the thyroid gland). Myxoedema refers to the buildup of mucoploysaccharide in the subcutaneous tissues of the skin (Kumar and Clark‚ 1998). Signs and symptoms of myxoedema include oedematous swelling of the
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Discussion 4: Briefly describe the following issues in nursing as discussed in your text. • Back injuries and Workplace safety • WING USA • Safe Patient Handling (legislative efforts). Workplace injuries are one of the problems facing U. S nurses these days. Most nurses incur back injuries as a result of lifting patients each day leaving nurses disabled. Since they are cumulative effect injuries‚ it becomes very difficult to go for work compensation. Even as Wendy Lasko said‚ “Using this term
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