Nursing Assessment of the Postpartum Patient Date of data collection:___13 November 2014___ Patient initials _K.M.___ Age__28_ PP day _1__ (# days since delivery- 0‚ 1‚2 3‚ etc) Grav _4__ Para _3__ Term _3__ Preterm _0___ Ab_0__ LC___ Weeks gestation @ delivery (via EDC) _39.2____ Weeks gestation at delivery (from neonatal maturity rating/Ballard exam):_ 40_____ Date/time of delivery _12 Nov. / 1640_________ Labor onset - induced or spontaneous (circle one) If induced: indication (why)
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PATIENT CENTERED NURSING CARE PLAN STUDENT NAME: _________________________ CLIENT’S AGE: ___________ SEX: MALE FEMALE DATE: _________________________________ DIAGNOSIS: __________________________________ Assessment (Subjective and Objective Data‚ Fundamental Needs) Nursing Diagnosis (NANDA) Planning Intervention Evaluation Analysis Statement… Related to… As Evidenced by… Need Specific Goal (RUMBA‚ SMART) Source
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Geriatric Teaching Plan Bryant and Stratton College Nursing 222 Geriatrics Geriatric Teaching Plan Mr. R.D. is an eighty-year-old male. He currently resides at the Manor Care Rehabilitation/Nursing Center. Mr. D was admitted on January 5‚ 2010 for pneumonia. Mr. D has other medical history problems‚ which include leukocytosis‚ headache‚ hypertension‚ depressions‚ postural insufficiencies‚ arteriosclerotic heart disease and dementia Parkinson’s. Mr. D does not currently have any food or drug
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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
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Student Name: Date: February 25‚ 2006 Nursing Diagnosis Outcome Criteria (Goal) Evaluation of Outcome Criteria (Goal) PC: Postpartum Hemorrhage Patient will develop no complications related to excessive bleeding‚ will maintain normal vital signs of express understanding of her condition‚ its management‚ and discharge instructions‚ identify and use available support systems. R/T‚ RTRF and secondary to: Pathophysiology Supporting Nursing Diagnosis Statement (cite source) Uterine atony
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WAYNE COUNTY COMMUNITY COLLEGE DISTRICT NURSING PROGRAM NURSING CARE PLAN General Information: Postop pt undergone a cholecystectomy Patient intials: R.M. Confidential Marital Status: SINGLE Student’s Name: Hanadi Abdou Age: 61 Birthdate: 12/3/1950 Religion: not specified (pt nonverbal) Clinical Instructor: Mary Servey Admittance date: 3/12/12 Interest: not specified (pt nonverbal) Date: 3/21/12 Class: Med Surg Diagnoses: Impaired skin integrity Diet: NPO Allergies: None
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a skill reimbursed by Medicare & other commercial insurance carriers. It is important for the nurse to include knowledge deficit in the plan of care. The deficit in knowledge may relate to clients lack of information about their disease process‚ medication or resources Kozier‚ 2007; Perry and Potter‚ 2002 | After couple of nursing interventions‚ the patient will gain enough knowledge regarding the disease processes‚ causes and factors contributing to symptoms as measured by verbalization of
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Alternative Medicine (CAM) Therapies in Cancer Patients Acquiring the knowledge and understanding of how to get complementary and alternative medicine (CAM) treatment covered by health insurance companies can be extremely convoluted and unclear—in fact‚ one would be hard-pressed to make a specific statement regarding CAM treatment because coverage varies so significantly depending on state laws‚ regulations‚ and differences among specific health insurance plans. Considering the use of CAM therapy
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Holistic Nursing Holistic nursing care involves taking care of the patient as a whole and this includes the physical‚ spiritual‚ emotional‚ and mental well- being (Doosey and Keegan‚ 2013). As a nurse‚ taking care of these modalities will assist with promoting healing within and allow the patient to cope with their illnesses. An interview was conducted with a close family member in order to develop a holistic care plan. The family member sometimes struggles with dealing and coping with the current
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ASSESSMENT & CARE PLAN CLIENT CASE STUDY #2 Student: Fall 2010 Client Initials: VC Age: 82 Gender: Female Date Admitted to Nursing Home: 12/14/07 Assessment Date: 12/3/10 1. HEALTH HISTORY Brief description of health history and reason in nursing home: VC has a history of malignant neoplasm of her large intestine which lead to her colostomy status. She also has a history of fracture and fall. She was admitted to the nursing facility secondary to her alzheimer’s diagnosis
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