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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CASE STUDY IN NCM-103 (CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION‚ FLUID AND ELECTROLYTE BALANCE‚ NUTRITION AND METABOLISM AND ENDOCRINE) Submitted to : Mr. Darren N. Constantino Submitted by : Olive Keithy Ascaño CASE STUDY 1 1. a. The possible fluid and electrolyte imbalances that the 78-year-old woman may experience are hyponatremia‚ hypokalemia and hyperkalemia because of nausea and vomiting that are common in these imbalances. b. The following interventions are
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NURSING CARE PLAN Nursing Assessment: Ms. F.E. is a 20yr. old female who was involved in a motor vehicle accident (M.V.A.)‚ and was admitted on 04.03.12 to the surgical unit with Spinal injuries‚ Polytrauma and fractured right humerus. She started complaining of severe abdominal pains‚ one week after assessment by Doctor‚ she was scheduled for emergency laparotomy with ?diagnosis Perforated Hallow Viscus. Following surgery patient was diagnosed with Fecal Peritonitis and was transferred to the
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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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Original Care plans are in black text. Changes made appear in blue directly below the lines or parts that were changed. Minor changes/additions appear in blue within black text. Multiple interventions within the same nursing diagnosis have been indicated “Same reference as above” to save space. Nursing Diagnosis Form 1 (no changes made) NURSING DIAGNOSIS: Anxiety related to lack of knowledge about diagnostic procedures and uncertain condition of fetus as evidenced by (S) patient states she has fears
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Nursing Theory Plan of Care Theoretical Foundations of Practice NUR/513 March 05‚ 2012 Nursing Theory Plan of Care Ida Orlando literally wrote the book on the function of nursing. Her theory of the deliberative nursing process outlines a dynamic nurse-patient relationship in which the nurse uses his or her senses of perception together with deliberate actions to create an individualized care plan for each patient. Results of current research on the application of her theory follow
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Running Head: NURSE CARE PLAN EXERCISE Nurse Care Plan Exercise School of Nursing NURSING DIAGNOSIS (ACTUAL) 75-year old female Assessment: Subj cues: Usual pattern 1 movement/day. States she goes 1-2 days w/out movement as a result used laxative. Has difficulty drinking 6-8 glasses of H2O a day. Green leafy vegetables are a challenge due to poorly-fitted dentures. Has Hyperacidity and bloating. Obj cues: There are no objective cues. NURSING DIAGNOSIS (ACTUAL)
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NURSING CARE PLAN CARMENCITA ABAQUIN’S SELF-PREPARATION THEORY ASSESSMENT NURSING DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Subjective: Connection to self Express desire for enhanced acceptance; coping courage; forgiveness of self; hope;joy;love; meaning/purpose in life; satisfying philosophy of life; surrender Express lack of serenity Meditation Connection with Others Request interactions with significant others/spiritual leaders Requests forgiveness of others
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Family Nursing Care Plan Problem # 1: (Poor Personal Hygiene): Cues | Analysis | Objectives | Nursing Intervention | Rationale | Method of Contact | ResourcesRequired | ExpectedOutcome | Subjective:“Ayaw nilang lagging maglilinis ng katawan” as verbalized by the motherObjective:-Dirty and uncut nails- Uncombed hair- Not properly groomed | Inability of the family members to recognized the problem due to lack of knowledge- Inability to take appropriate actions to solve the health problem due to
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Family Nursing Plan of Care NUR/405 September 6‚ 2010 Sybil Beth Meadows‚ RN‚ MSN‚ NCSN CERTIFICATE OF ORIGINALITY: I certify that the attached paper is my original work and has not previously been submitted by me or anyone else for any class. I further declare I have cited all sources from which I used language‚ ideas‚ and information‚ whether quoted verbatim or paraphrased‚ and that any assistance of any kind‚ which I received while producing this paper‚ has been acknowledged
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