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 client to
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Over 30 million people suffer from pain of arthritis or joint inflammation. The most common form of arthritis is osteoarthritis. Unlike rheumatoid arthritis this type does not cause deformity. The human body contains over 130 joints and any one of them can be susceptible to osteoarthritis. It typically targets hands‚ knees‚ shoulders and hips and elbows resulting in moderate to severe joint pain. It is basically the breaking down of the cartilage between the bones of our joints. This causes the
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NURSING PROCESS TEACHING CARE PLAN SUPPORTIVE DATA ---------------------------- Subjective: Pt states “my pain is still at 8/10‚ is my medication working?” Objective: 1. DX-UTI & possible urosepsis‚ Hip Fracture and fall during not a candidate for surgery‚ CHF 2.Buck’s traction applied 3. Assessment: Limited mobility‚ SOB
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Psychiatric Clinical Nursing Assessment Jennifer Stokes Daytona State College Directions: Please assess your client and place an X in the appropriate box to represent level of severity of each symptom. Patient Initials | EM | Physician | Dr. Singh | Date | 08/07/2013 | | Not Present | Very Mild | Mild | Moderate | Moderately Severe | Severe | Extremely Severe | SOMATIC CONCERNS – preoccupation with physical health‚ fear of physical illness‚ hypochondriasis | ☐ | ☐ | ☒ | ☐ | ☐ | ☐ | ☐
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Hospital/IU | Cultural/Ethnic Background/Needs: None | Religion: | Did not state | Primary Language: | English | Educational Needs: | Cognitive Impaired | 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:
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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
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assessment‚ planning‚ implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements. My preceptor had explained to me the process involved in care planning for a patient on the unit‚ the doctor will do the majority of the assessment‚ the nurse carries out the risk assessment and completes Roper Logan and Tierney nursing assessment which is the nursing model used by the Louth/Meath services. The nurse also carries
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NURSING CARE PLAN FOR IMPAIRED SOCIAL INTERACTION ASSESSMENT |NURSING DIAGNOSIS |SCIENTIFIC ANALYSIS |GOAL |INTERVENTIONS |RATIONALE |EVALUATION | |Objectives: - Don’t like to mingle with others. - When talked to‚ he always looked at different directions. - Isolate him from others. - Does not participate in ward activities. Subjective: “Ayoko sa kanila makihalubilo minsan kasi pakiramdam ko sasaktan nila ako at pinagtritripan.” |Impaired Social Interaction related to social
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Care Plan Worksheet Student: Date of Care: Age/Gender: Rm Number: Code Status: full Allergy: NKA Admitting Diagnosis : embolic cerebral vascular accident (CVA)‚ right side Current Medical/Surgical Diagnosis: chronic left ventricle thrombus on anticoagulant‚ hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse
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Lady’s Nursing Home. Mary’s husband passed away last year and has one daughter who lives in the city. Her daughter was not able to take care of her mother due to her demanding job as a doctor‚ so she decided to put her mother into care taking in mind that her mother has been diagnosed with Ankylosing Spondylitis which requires Mary to have full attention and as her daughter is unable to be around all the time it would be the best idea. Mary has been to the doctor recently in relation to pain and stiffness
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