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
Premium Nursing care plan Patient Hypertension
Nursing Process Planner DATA | ANALYSIS | NURSING DIAGNOSIS | PLANNING | Group significant data according to needs‚ patient concerns. | Compare with normal standards‚ knowledge‚ and interpret the meaning of the data and knowledge. | State problem or concern according to needs with reasons and related factors. | Outcomes/ Objectives. A goal with more detailed objectives. | | Reference | | | Ms. C.M62 years oldDiagnosis:RT lung CancerSx:RLL&RML wedge‚ RLLwedge+mediastinal lymphadectomy
Premium Abdominal pain Nursing Constipation
Richard J. Daley College Nursing 101 Data Collection for Care Plan Section I – Demographic Data: Patient Initials: K. J. Sex: Female MSWD: Married Age: 44 No. of children: 1 Occupation: Disabled Section II- Admission Data 1. Date admitted: 10/19/2007 2. Admitting diagnosis: Hematomesis‚ melanotic stools‚ cirrhosis‚ hepatorenal syndrome. 3. Allegries: Codiene 4. Signs and symptoms on admission: jaundice appearance‚ lethargic‚ oriented x 1‚ vomiting bright red blood‚ has had
Premium Blood Coagulation
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
Premium Temperature Nursing care plan
Introduction As Donahue (1996) writes‚ the origin of the words "nurse" and "nursing" are varied‚ and shift in meaning as reflected in the perception of nursing’s role in health care and in society. From nursing’s earliest Latin derivative from nutrire‚ "to nourish‚" and nurse‚ nutrix‚ meaning "nursing mother‚" Donahue (1996) continues‚ " the meaning of the word [nurse] has progressed from a term indicating a woman who performed the basic unlearned human activity of suckling an infant to one describing
Premium Nursing Nursing theory
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
Premium Educational psychology Cognition Learning
accept this claim. It is reported that around 59 million Americans are without health insurance and are aware that our health care system does not work for everyone. This has caused a growing recognition that the major problems of rising costs and lack of access constitute a real crisis. However‚ the search solutions have not been easy or clear cut. The problems of our health care system have been responded to with various makeshift solutions rather than analyzing the system itself as a whole to take
Premium Health care Medicine United States
OPERATIVE REPORT Patient Name: Patul Barua Patient ID.: 135799 Room No.: CCU 4 Date of Surgery: 01/08/---- Admitting Physician: Simon Williams‚ MD‚ Pulmonology Surgeon: Simon Williams‚ MD Preoperative Diagnosis: Recent onset hemoptysis‚ history of tuberculosis. Postoperative Diagnoses: No tuberculosis lesions seen. Surgical Procedures: Bronchoscopy. Specimen Removed: Blood clots. INDICATIONS: Mr. Barua requires bronchoscopy because of recent onset
Premium Surgery Physician Pulmonology
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
Premium Wound healing Cleanliness Color
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
Free Blood pressure Hypertension