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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illness or disability should not be an overwhelming obstacle to that person’s nursing care. (p. 20) In this day and age‚ there are so many options for treatment‚ so even if a client becomes ill‚ he or she has a very likely chance at recovery. Every patient should have a health care plan that has been personalized just for him or her. I think it is really important to recognize that the elderly population may require different care‚ as their bodies are experiencing different processes. They need extra attention
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After reviewing the post‚ there are many aspects that I agree and disagree about the nursing care method. I definitely agree on the first priority of nursing care should be to address the patient’s cramping and bloating. The cramping and bloating was essentially the primary concern of the patient and was the result of the constipation. Additionally‚ I agree that the SMART outcome should involve the goal of the patient having a bowel movement by the end of the nurse’s shift‚ because having a bowel
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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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Nursing Care Plan Assessment equals Data Collection + Analysis | Nursing Diagnosis – Actual/Potential | Nursing Goal(SMART) | Nursing Interventions/ActionsInclude Rationale/Reference | Evaluation | Female Age : 85Code status: Full Code initially but changed to DNR on 14/Jan-2012Primary diagnosis: PancytopeniaReason for Hospital Admission: Fall at home. Allergy: PenicillinMedical History: Pacemaker‚ Hypertension‚ Fall at home‚ Bradycardia‚ Hyperlipidemia.Neurological: Alert‚ Oriented x 4.Diet
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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 kg
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organization I for work that remains unresolved is assigning patients to nurses based on acuity. This issue has been ongoing within the hospital and no one has been able to come up with a reasonable solution. The hospital has been faced several challenges due to the unsolved problem of unfair assignments by the charge nurse. Favoritism has been identified as the major cause of this ongoing problem whereby the charge nurse favors some staff by assigning them to lower acuity patients than other staff
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Karisa M. Young April 28‚ 2005 Nursing 374L Nursing Care Plan Twin ‘B’ was born on Monday February 14‚ 2005 at 35 weeks gestation. The mother was scheduled for a cesarean section at 38 weeks gestation‚ but presented in the hospital early with signs of labor. A cesarean delivery was performed. Twin ‘B’ APGAR scores at 1 minute and 5 minutes were 9 and the newborn weighted 4lbs 3 oz. Upon completion of the assessment‚ the newborn’s temperature decreased to 96.1 degree Celsius (axillary). Diagnosis
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dissatisfaction and improve on patient care outcome. The data suggested that nurses and other healthcare workers must strive in a collaborative environment; that to strengthen the work force‚ there must be less incivility in the work place. Further‚ the findings revealed that race was a significant factor in the frequency of inactivity coupled with those nurses with more than 5 years of work experience.
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The assessment of patients forms a major component of the nursing role. It allows the nurse to gain vital information to base the planning and implementation of prioritised care on. A systematic method of assessment is required‚ that ensures that all areas of assessment are covered and that the assessment and subsequent interventions are as effective and efficient as possible. One method that can be followed for patient assessment is the primary and secondary surveys‚ with an additional assessment
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