COMPLETING A CARE PLAN A document or a personal record of the health conditions which stands as a mutual agreement between patient and his/her health care professional is referred to as a “Care Plan”. Usually a person with a health condition of long term opts for a care plan as it is helpful in assessing the care required and to be provided. A care plan is generally opted by the patient by insisting it to their GP or any other healthcare professional as this could help in improving health conditions
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prescribing medications because a patient has requested one (Shaw‚ D. 2012). The clinician can decline a request for NE if‚ in their clinical judgment‚ the patient’s welfare will be compromised. In this case if Dr. Wayne declines to prescribe a NE‚ the respect for autonomy compels him to explain his rationale to Mr. Smith. This must be done is a manner that the patient can understand and with the utmost respect. It is also the duty of the doctor to help his/her patient to assist him/her in identifying
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The Author will describe the nurses role and discuss individualised patient care based around legal and ethical frameworks that guide and govern nurses in their roles as healthcare professionals. A five stage process to nursing care is one framework use to deliver this care and consists of assessment‚ diagnosis‚ care planning‚ implementation and evaluation and is an on-going‚ continuous cycle that only ends when goals are achieved and homeostasis is restored‚ or reasonable expectations of health
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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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arthritis‚ and obesity Goals 1) The patient will demonstrate effective breathing patterns to ensure sufficient oxygen is being obtained throughout the body within two days 2) The patient will be able to state what a healthy‚ balanced meal is in two weeks’ time 3) The patient will be able to maintain an oxygen saturation > 93% R/A by the end of the week 4) The patient will verbalize when he is in pain and would like pain medications by the end of the shift 5) The patient will sit on the side of the bed
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NURSING CARE PLANS Impaired Physical Mobility Assessment | Nursing Diagnosis | Scientific explanation | Objectives | Nursing Interventions | Rationale | Expected Outcome | S > θO > Patient manifest:- weak and pale appearance - difficulty in standing and sitting - slowed movement - limited range of motion | Impaired Physical Mobilityr/t neuromuscular impairment aeb slowed movement | Limitation in independent‚ purposeful physical movement of the body or of one more extremities.Due
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Natalie Sullivan 6/4/2013 Nursing Care Plans Care Plan: Post Partum Patient’s initials: SR Date of Care: 5/6/2013 Assessment Data: * G1P1 * C/S on 5/5/2013 at 1832 * Incision at suprapubic region * Staples mid right side to end of left side of incision * Steri strips on right side of incision r/t to removal of 5 staples because staples were loose * Pt complaining of pain in lower abdomen * Pt complaining of “uncomfortableness” at incision
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with Conventional Cancer Care Nicholas James Gonzalez‚ M.D.‚ is a New York-based physician‚ and he’s gotten a lot of attention for his “controversial” cancer therapy. He’s been investigating and using individualized nutritional protocols and pancreatic enzyme therapy since 1981. As an introduction to this treatment approach‚ he and his partner‚ Dr. Linda Isaacs‚ recommend a 1-hour lecture originally presented as part of a podcast. In this talk‚ Dr. Gonzalez discusses 8 patients diagnosed with advanced
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Nursing care plan Name of client: Miss Ng Sex: F Date of assessment: 31/10/2014 Medical diagnosis: Caesarian section Diagnostic statement: Impaired comfort related to tissue trauma and reflex muscle spasms secondary to surgery as evidenced by vomiting Assessment Nursing diagnosis Goals & expected outcome Nursing interventions Rationales Method of evaluation Subjective data: 1. Patient reported of abdominal pain. 2. Elevated scoring of 8/10 of pain score Objective data: 1. Restlessness 2. Facial
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Nursing care plan (Colonoscopy) S.E is a 59 year old African-American male admitted to the critical care unit because of his left lower quadrant (LLQ) abdominal pain. S.E had a colonoscopy 2 days ago. He has a family history of hypertension (HTN) and a medical history of HTN and anemia. He is alert and oriented ×3 (time‚ place‚ and person). S.E has no known drug allergy and he is NPO except for medicine. Problem: LLQ abdominal pain Acute pain | Assessment | Planning/Nursing Goals |
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