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 Problem: Risk for bleeding r/t postpartum complications. Patient Centered Goal: Patient will not experience any abnormal/excessive bleeding by the end of clinical shift. Expected Outcomes: 1. Patient will experience lochia reducing in amount and lightening in color by the end of clinical shift. 2. Patient will observe fundus that is firm‚ midline‚ and decreasing in height by the end of clinical shift. 3. Patient will verbalize understanding of signs and symptoms
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Camden County College Nursing Care Plan Student: Date:9/16/2103 Pt. Data Objective & Subjective Nursing Diagnoses Goals (Short & long term Interventions & Rationale Pt. Teaching Eval. Subjective Data Patient states “I am afraid all the steroids are going to make me fat.” And was crying Patient was asking questions about covering the butterfly rash. Patient showed concern about swelled hand. She stated she did not want to look “crippled. “ Objective Data Patient
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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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What is it and how can it help me? Pre-operative assessment (POA) and planning‚ carried out prior to treatment‚ ensures that the patient is fully informed about the procedure and the post operative recovery‚ is in optimum health and has made arrangements for admission‚ discharge and post operative care at home. POA and planning is an essential part of the planned care pathway which enhances the quality of care in a number of ways. * If a patient is fully informed‚ they will be less stressed
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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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This paper will critically examine the care needs and management of Mr Braun. An appropriate framework will be used‚ namely the ABCDE. Alternative treatment will be analysed using the 5 WHs critical decision making too (Jasper‚ 2006)l. His care will be based upon the nursing process ensuring that patient outcomes are agreed‚ implemented and evaluated. The assessment framework to be used is this assessment is the ABCDE assessment framework. The ABCDE framework looks at Airway‚ Breathing‚ Circulation
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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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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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