Assessment | Nursing Diagnosis | Goals & Expected outcomes | Nursing Interventions | Rationales | Methods of Evaluation | Name of client: Mrs. Tam Age: 65 Sex: Female Student ID:1155016494 Assessment date: 29/11/12 Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily
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Impact and Penetration of Nursing Research It is common nursing knowledge that patient quality of care is directly related to improved outcomes and is based on the safety of the patient. Nurses play a direct role in a patient’s quality of care‚ because nurses have the most direct contact with the patient. The issues that I noticed in each of the website’s evidence based practices (EBP’s) include nursing education level‚ staffing levels‚ working environments‚ and organizational policy/procedure
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School of nursing Carmen Torres of Tiburcio TEACHING-LEARNING PLAN FOR THE FAMILY AS CLIENT Student name__ Joey Park _____________________________ Professor Vasquez Family Learning diagnosis________Hypertesion: Knowledge deficit____ __________________________ Date____10/22/12_____________ * Learning Objective | Topics/ContentOutline | Strategies | | ResourceMaterials and Equipment | Evaluation Methods | * | | | | | | After nursing I.
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lan NURSING CARE PLAN | ASSESSTMENT | BACKGROUND KNOWLEDGE | PLANNING | INTERVENTION | RATIONALE | EVALUATION | Subjective:n/aObjective: * Preterm birth (36 weeks) * Weight: 1.75kgs. * Cool and dry skin. * Temperature: 33.6 degrees Celsius. * Poor muscle tone. * Placed under two droplights.Nursing Diagnosis: Ineffective thermoregulation related to immaturity. | Vaginal birthPretermPoor muscle developmenthypothermia | After 1 hour of nursing intervention‚ patient will maintain
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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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Nursing Diagnosis # 1 Ineffective breathing pattern related to decreased oxygen saturation‚ poor tissue perfusion‚ obesity‚ decreased air entry to bases of both lungs‚ gout and arthritic pain‚ decreased cardiac output‚ disease process of COPD‚ and stress as evidenced by shortness of breath‚ BMI > 30 abnormal breathing patterns (rapid‚ shallow breathing)‚ abnormal skin colour (slightly purplish)‚ excessive diaphoresis‚ nasal flaring and use of accessory muscles‚ statement of joint pain‚ oxygen
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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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process used to select a topic for evidence- based practice? Student response: Percent Value Student Response Answer Choices a. Identifying clinical experts within the institution or system b. Exploring the problem to determine that it is unique to nursing 100.0% c. Ensuring that staff members who will be implementing the change are involved in topic selection d. Developing a decision algorithm to measure the level of resistance to changing the current practice parameter Score: 1 / 1 Question
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and bilateral ankle edema. The possible cause of the the patient’s symptoms include underlying causes like kidney diseases‚ renal ischemia or heart failure‚ obesity or being overweight‚ old age‚ varicosities and tight clothing. b. These are the nursing priorities in the management of the patient’s bilateral ankle edema : • Administer diuretics • Limit fluid intake • Restrict foods rich in sodium • Elevate the patient’s legs without causing pressure • Use compression socks or hosiery to help
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Medical Diagnosis #1: Multiple coronary artery disease Chief Complaint #1 Use Quotes: ”Shortness of breath and chest pain for over a month now” on 2/6/13 on day of Admission Chief Complaint #1 Use Quotes: “Pain 8/10” on day of your nursing care Prior Illnesses Hypertension‚ coronary artery disease‚ obesity‚ angina Family History Father passed away from a heart attack; Mother had a stroke General Survey Sex M Race Caucasian Age 74 Height 175cm Weight 90.7
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