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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Brunner: Medical-Surgical Nursing‚ 11th Edition Test Bank Chapter 1: Health Care Delivery and Nursing Practice Multiple Choice 1. The school nurse teaching a health promotion class to high-school students informs the group that health may be defined as: A) Being disease free B) Having fulfilling relationships C) Having a clean drinking source and nutritious food D) Being connected in body‚ mind‚ and spirit Ans: D Chapter: 1 Cognitive Level: Application Difficulty:
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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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Reflection - IOM Future of Nursing Kavitha Joseph Grand Canyon University Trends and Issues in Today’s Health Care NRS 440V June Helbig April 14‚ 2013 Reflection - IOM Future of Nursing Knowledge can give nurses greater power to take action and lack of knowledge can leave nurses powerless to provide safe or effective care ( Innocent‚ 2011). During this difficult economic time many recruiters prefer to hire experienced nurse with knowledge. To gain knowledge one must have education. Education makes
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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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of overtime without considering the safety of the staff and patients. I work in a psychiatric hospital where safety is one of the company priorities. The majority of the decision-making in the facility where I work is controlled by the director of nursing who speaks to the manager who communicates the charge nurses; there is little or no input from the nurses on the floor even though they spend the most time with the patients. Incident report One of the most frequent incidents that occur in my work
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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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ASSOCIATE DEGREE NURSING NURSING PROCESS FORM: PART I – ASSESSMENT Student: Date of Care: 3/4/13 Client’s Initial: WB Room # 1011 Occupation: Teacher Age: 59 Sex: F Race: Black Religion: Christian Admission Date: 3/1/13 Primary Language: English Role in family: Widowed from husband Stage in Life Cycle: Generativity vs. Stagnation Surgery date(s) this admission: N/A Chief complaint: Brain Dysfunction/Traumatic‚ closed injury Admission Diagnosis:
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SAMPLE FAMILY NURSING CARE PLAN Health Problem | Family Nursing Problems | Goal of Care | Objectives of Care | INTERVENTION PLAN | | | | | Nursing Interventions | Method of Nurse-Family contact | Resources required | 1.Family size beyond what family resources can adequately provide | Inability to make decisions with respect to taking appropriate health action due to lack of knowledge as to alternative courses of action open to the family. | After nursing intervention‚ the family will provide
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