Assessment |Nursing Diagnosis |Analysis |Goals and Objectives |Interventions |Rationale |Evaluation | | Subjective: “kala ko nung una dahil sa kinain kong pinya‚ pero imposible naman iyon. Kasi hindi naman sumakin tiyan ng mga kasama ko” | Knowledge deficient related to unfamiliarity with information resources | A deficit in knowledge is commonly experienced by individuals coping with new medical diagnosis varied pharmacological and treatment regimens‚ unfamiliar and often complex problems
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co-ordinated care pathways. (see attached form as an example) When cleaning the wound‚ the 2 most common methods involve : a) irrigation with warmed 0.9% Normal Saline b) using a gauze soaked with 0.9 % normal saline to wipe the wound. (Remember 1 gauze = 1 wipe!) What method (a or b) would you use to cleanse wounds #1 to #5? References Crisp‚J & Taylor‚ C. (2005). Potter & Perry¡¦s Fundamentals of Nursing. (2nd ed) Elsevier: Australia. Wound care made incredibly
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NURSING CARE PLAN ASSESSMENT SUBJECTIVE: “Bakit kaya madalas ako mahilo?” (Why do I always feel dizzy?) as verbalized by the patient. OBJECTIVE: ♦ Request for information. ♦ Agitated behavior ♦ Inaccurate follow through of instructions. ♦ V/S taken as follows: T: 37.2 P: 84 R: 18 BP: 180/110 DIAGNOSIS ♦ Risk for prone behavior related to lack of knowledge about the disease INFERENCE ♦ High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels
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The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of
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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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followed. These are defined by statutes‚ regulations and legislation. Ambulance Transport Attendant’s (ATA) legal duties are to the patient‚ their employer and the public. We have to take into consideration patient confidentiality‚ duty of care and the scope of practice for ATA’s. The case study I will be discussing is of a 75 year old woman who needs to be
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Your patient’s ECG shows depression S-T in leads V1–V2 and ST elevation in Leads II‚ III‚ and AVF. You realize that this indicates: Acute inferior infarction. Acute Anterior infarction Acute Lateral infarction Acute inferior-Posterior infarction The above ECG changes can be found if there is an occlusion of the: RCA LAD circumflex all of the above. the most complications associated with this problem is ventricular dysrhythmias. AV block. atrial flutter. hemodynamic
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Student Name: Date: February 25‚ 2006 Nursing Diagnosis Outcome Criteria (Goal) Evaluation of Outcome Criteria (Goal) PC: Postpartum Hemorrhage Patient will develop no complications related to excessive bleeding‚ will maintain normal vital signs of express understanding of her condition‚ its management‚ and discharge instructions‚ identify and use available support systems. R/T‚ RTRF and secondary to: Pathophysiology Supporting Nursing Diagnosis Statement (cite source) Uterine atony
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ASSESMENT | GOAL OF CARE | PLAN OF ACTIONS | RATIONALE | IMPLEMENTATION | DOCUMENTATION | Subjective:“Daghan man na siya samad ug hubag sa iyang lawas”(She has many wounds and bruises on her body) as verbalized by the mother.Objective:-Presence of lesions and abrasions on the patient’s body.-greenish violet discolorated patches-soaked dressingNursing Diagnosis:Risk for impaired skin integrity related to superficial factors. | At the end of 8 hours nursing interventions‚ the client will be able
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M/601/1699 CT232 Understand how to support positive outcomes for children and young people You have been asked to give a two short talks‚ one to parents and one to students about to start working with children‚ both talks concern understanding how to support positive outcomes. You must produce two leaflets or posters to give out at each talk which the parents or students can then display as reminders. The leaflet/poster must be supported either by a talk given to the assessor and recorded
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