This essay will discuss the plan of care I developed for Mr X while he was under my care in a post anaesthetic unit. It will discuss my nursing assessments‚ and what diagnoses I developed from this. It will then discuss the rationale behind my nursing interventions using relevant literature. My plan of care will be analysed throughout while identifying how my nursing care meets best practice guidelines. A nursing care plan is begun at a patients admission. In this case Mr X was booked in for
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Psychiatric Clinical Nursing Assessment Jennifer Stokes Daytona State College Directions: Please assess your client and place an X in the appropriate box to represent level of severity of each symptom. Patient Initials | EM | Physician | Dr. Singh | Date | 08/07/2013 | | Not Present | Very Mild | Mild | Moderate | Moderately Severe | Severe | Extremely Severe | SOMATIC CONCERNS – preoccupation with physical health‚ fear of physical illness‚ hypochondriasis | ☐ | ☐ | ☒ | ☐ | ☐ | ☐ | ☐
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Data Base and Nursing Care Plan Student Name: Date: Pathophysiology (Include Normal Physiology‚ identify the Physiological Alteration‚ identify sings and symptoms). M.P. is a 56 year old African American male‚ with a history of progressive multiple sclerosis with multiple contractures‚ chronic decubitus ulcers‚ chronic indwelling urinary catheter and known osteomyelitis (infection of the bone). Mr. P. was admitted on October 25th with sepsis‚ a systemic response to infection.
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assessment‚ planning‚ implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements. My preceptor had explained to me the process involved in care planning for a patient on the unit‚ the doctor will do the majority of the assessment‚ the nurse carries out the risk assessment and completes Roper Logan and Tierney nursing assessment which is the nursing model used by the Louth/Meath services. The nurse also carries
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Medical Diagnosis: sickle cell anemia with vaso-occlusive crisis Nursing Diagnosis List 1. Impaired Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis‚ because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs‚ such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the
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NURSING CARE PLAN FOR IMPAIRED SOCIAL INTERACTION ASSESSMENT |NURSING DIAGNOSIS |SCIENTIFIC ANALYSIS |GOAL |INTERVENTIONS |RATIONALE |EVALUATION | |Objectives: - Don’t like to mingle with others. - When talked to‚ he always looked at different directions. - Isolate him from others. - Does not participate in ward activities. Subjective: “Ayoko sa kanila makihalubilo minsan kasi pakiramdam ko sasaktan nila ako at pinagtritripan.” |Impaired Social Interaction related to social
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References Student X Baton Rouge General School of Nursing Nursing Care Plan for Herpes Zoster Patient Patient is a 33 year old African American female with infected herpes zoster‚ sepsis‚ and gastroenteritis. The patient was admitted to the Mid-City Baton General Hospital on Sunday‚ June 15‚ 2014 for infected herpes zoster‚ where a chest x-ray‚ blood culture‚ specimen arm wound culture‚ and urinalysis was performed. The results showed lungs clear‚ heart size with in normal limits‚ and no abnormal
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LOS ANGELES HARBOR COLLEGE Associate Degree Nursing Program STUDENT NAME: America Escobedo Client Initials: NURSING COURSE: 323 Client’s Secondary Roles: : Husband‚ father Primary Role: DDP NURSING PROCESS Nursing Care Plan Maturation Stage: The Generative Adult Tertiary Roles: reading‚ watching T.V Developmental Tasks: 1. Maintaining established economic standard and quality of living. 2. Likes to read for leisure time activities 3. Likes to assist children with growth
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THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO SCHOOL OF NURSING NURS.3208 Nursing Care of Childbearing Families: Clinical Application Written Requirements DAILY ASSIGNMENTS Each week‚ daily assignments are to be submitted according to the directions of the clinical instructor. Use Daily Assignment grid (next page). One daily assignment will include a comprehensive list of all nursing diagnoses consistent with NANDA and ranked in priority order. State a rationale from
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Care Plan Worksheet Student: Date of Care: Age/Gender: Rm Number: Code Status: full Allergy: NKA Admitting Diagnosis : embolic cerebral vascular accident (CVA)‚ right side Current Medical/Surgical Diagnosis: chronic left ventricle thrombus on anticoagulant‚ hypertension‚ chronic kidney disease stage 3 Past Medical/Surgical History: metastasis of prostate cancer‚ primary; bone cancer‚ secondary; cardiomyopathy‚ a central hypertension‚ left bundle branch lock‚ past substance abuse
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