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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) Chief Complaint or client’s request for care Present Illness: Present Illness or present health status OLD CART (Onset‚ Location‚ Duration‚ Characteristics‚ Associated factors‚ Response to treatments tried) Progression of disease/Illness: Chronological order of events Specific s/s Duration‚ characteristics‚ location Abrupt/gradual‚ related
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Nursing Care Plan for Rhonda Silverman (pseudonym) Introduction Rhonda Silverman is a 89 year old female who is currently residing in a rest home. She formerly worked as a short hand typist prior to her marriage after which she had 3 children and was actively involved in volunteer work within her community while her children were being raised. Rhonda has had a very active life and loves to travel. She has visited North America‚ Europe‚ Asia and Oceania. As she has aged her health as deteriorated
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OBJECTIVES OF CARE INTERVENTION PLAN‚ METHOD OF CONTACT‚ PROPOSED ACTIONS‚ METHOD OF TEACHING EVALUATION PLAN RESOURCES AVAILABLE IN THE FAMILY OUTCOME CRITERIA METHODS/TOOLS Presence of health deficit: Illness state related to elevated blood pressure Community Nursing Diagnosis: Inability to make decisions with respect to taking appropriate health action due to: a. failure to comprehend the magnitude of the condition b. Inaccessibility of appropriate resources for care‚ specifically physical
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Nursing Care Plan |Student | |Course |NURS 211L |Date |5/27/2011 | |Instructor | | | | | | |Patient Initial | _____J.G________ ___Age 59 Female_____
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RN Program CLINICAL PHYSICAL ASSESSMENT AND CARE PLAN NURSERY STUDENT NAME: Robin Rickards CLINICAL SITE/UNIT: SOH/Nursery CLINICAL DATE: 01/20/15 PATIENT INTIALS: F.P. AGE: 9 days Sex: M RELIGION/CULTURE: Not documented MATERNAL AND LABOR HISTORY: Mother was admitted to hospital on 01/09/15 for labor induction at 39 weeks and 4 days. Active labor began at 1015. F.P. was born at 1837
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COLLEGE DEPARTMENT OF NURSING CLINICAL ASSESSMENT TOOL Subjective Data (Basic Conditioning Factors) Student: Date of Care: 10/03/09 Patient’s Initials: P. V. Age: 37 Room #: 3114 Bed 1 Allergies: Food: NKA Gender: F Medications: NKA Environmental: NKA Admitting Diagnosis: Pancreatitis Developmental Stage (Erickson and Havinghurst): (List Developmental stage and tasks‚ assess each task) 1. Selecting a mate: Although patient is single‚ she
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I. SAFE AND QUALITY NURSING CARE CORE COMPETENCY 1: Demonstrate knowledge based on health/illness status of individual/ groups Indicators : ○ Identifies health needs of patients/groups ○ Explains patient/group status CORE COMPETENCY 2: Provides sound decision making in care of individual/groups considering their beliefs‚ values Indicators : ○ Problem identification ○ Data gathering related to problem ○ Data analysis ○ Selection appropriate action ○ Monitor progress of action
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1 Chapter c0001 1 Nursing knowledge and practice Maggie Mallik‚ Carol Hall and David Howard KEY ISSUES s0005 u0190 u0195 u0200 u0205 s0010 u0210 u0215 u0220 u0225 u0230 u0235 u0240 s0015 u0245 u0250 u0255 s0020 u0260 u0265 INTRODUCTION SUBJECT KNOWLEDGE l Definitions‚ theories and models of nursing l Role and image of the nurse l People as recipients of nursing care l Contexts for delivering nursing care Nursing care is provided for people with widely
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errors. Patient safety is the core value of the nursing profession‚ while nursing is being embraced in its caring attitude toward the patient‚ patient safety should be our number one priority. This article is very important to the nursing profession in part because it addresses one of the most significant issues of the profession‚ which is patient safety. According to the Nurse’s Practice environment article Flynn‚ Liang‚ Dickson‚ Xie‚ & Suh (2012) RNs are well positioned to serve as patient safety
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