Assessment Data J.D. is a 67 year old‚ African American male. He is currently single‚ living alone‚ and has one son that lives in New York. He is a family oriented man that has many family members that live locally. J.D.is religious and is currently a deacon in his local church. He is dating‚ but has decided to abstain from sexual activity unless he remarries. J.D. has experimented with drugs‚ alcohol‚ and cigarettes‚ but reports he has not used any of these substances in the past 7 years.
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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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Care Plan for Pain: Chronic| Student Name:|Samantha Lewis|Current Date: 4/19/12|| Patient:|SL|Age: |33|Sex:|F|Dates Care Given: 4/19/2012|| Admission Diagnosis/History: Chronic Pancreatitis| 1)PE 2) Hysterectomy 3)C Section | Nursing Diagnosis: Pain: Chronic | | ASSESSMENT| Objective Data|Subjective Data| · Increased blood pressure|· Pt holding lower left abdomen| · Increased heart rate|· Pt eyes closed| · Increased respirations|· Furrowed brow| · |· |
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Family Care Plan Thomas Chamness University of Phoenix Nursing 467 Karen Jones November 20‚ 2010 Family Care Plan My family consists of a single mother‚ age 27. Her child is a 3-year-old male. The characteristics of the mother are unique; she had to deal with losing both of her parents at a young age. Her father committed suicide when she was nine and her mother was murdered in the line of duty while working as a state trooper. The mother also has no siblings. At the present time
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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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Vol. 92/No.1 Risk Factors: People with a weak immune system‚ recent exposure with TB bacteria‚ immigration from area with high TB rates‚ IV drug users and people working in facilities at high risk for TB including hospitals‚ shelters‚ jails and nursing homes (Basic TB Facts‚ 2010). Questions to ask Patient: Are you having any difficulty with breathing now? Are you having any shortness of breath? How long have you had a cough? Describe your cough. Are you bringing up any phlegm? If yes
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elimination related to urinary tract infection Goals: After 30 minutes of nursing intervention‚ the patient will be able to gain knowledge on ways of managing Urinary Tract Infection. Objectives: Within 15 minutes of nursing intervention‚ the patient will be able to gain knowledge by : Enumerating 2/3 specific causative factors of UTI. Demonstrate behaviors and techniques to prevent urinary tract infection and manage care of urinary catheter. Shows positive attitude by verbalizing understanding
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Nursing Care Plan Nursing Diagnosis | Patient Outcomes/Goals | Nursing Interventions | Rationale | Evaluation | 1. Risk for systemic infection r/t cellulitis AEB breakdown of tissue on the lower extremities 2. Chronic pain related to multiply system diseases‚ gout‚ cellulitis‚ as demonstrated by patient complaints of pain | 1. Pt will demonstrate progressive healing of tissue by discharge(Long-term) 2. Manage acute & chronic pain to pt. identifiable tolerable level of 4 on scale of
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Teaching Plan Cognitive behavioral Distortions Guided Imagery Learner Outcomes Content Outline Methodology Time Frame Evaluation 1. Learner will recite their understanding of the connection between our thoughts‚ feelings‚ and behaviors. 2. Learner will be able to recite one way in which positive thinking can improve one’s outlook on life and ones decisions Examples of current application of guided imagery—sports psychology‚ cancer‚ HIV. Definition of cognitive errors
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student. The little bit crowded before is now already spacious. It can now accommodate student nurses‚ nurses’ trainees‚ doctors‚ and staffs at the same time without so much crowding. And it feels nice to stay in this station after interacting and giving care to our patients. As I tried to look at every angle of this station and was trying to figure out what kept the station looks different‚ I figured out that the big cabinet that was inside the station was no longer there. That’s the main reason why
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