Cues | Nursing Diagnosis | Scientific Explanation | Objectives/Plan of Care | Nursing Interventions | Rationale | Evaluation | S> “ Hindi pa masyado magaling ang sugat ko” as verbalized by the patientO> S/P Appendectomy>with surgical incision at right lower abdominal area>with dry intact dressing on the surgical site | Impaired Skin Integrity related to skin/tissue trauma | Inflammation of the appendix↓Acute Appendicitis↓Appendectomy↓Dissection if right lower abdominal tissues↓Disruption
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health patterns‚ nurses can form nursing diagnoses and plan the treatment options as needed for each person and family. Gordon’s health model incorporates all the physical‚ mental and social aspects in collecting data.Collection of data on all health function pattern is an important tool to formulate nursing diagnoses. Using Gordon’s functional health patterns‚ this paper will summarize the findings of each health pattern as well as the family based nursing diagnosis of each assessment along with different
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NURSING DIAGNOSIS | RATIONALE | NURSING INTERVENTIONS | RATIONALE | EVALUATION | February 21‚ 20132pm-10pmImpaired skin integrity related to vehicular accident as evidenced by abrasions.Objective:-abrasions on face‚ both arms‚ and left legGoal:After 6 hours of nursing intervention‚ patient will be able to display timely healing of skin lesions without complication. | Altered epidermis or dermis.Vehicular Accident direct trauma to the skinabrasions of extremities and swelling of the skin in upper
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Nursing Diagnosis Nursing diagnosis is a medical concept that is becoming a commonly applied approach in the aspect of healthcare and medical service. This aspect mainly focuses on the presumptive and initial health and medical analysis conducted by the nursing class of healthcare serving as an overview basis and diagnosis for the following treatment and medical application. Aiding as a primary health analysis‚ nursing diagnosis actually becomes the springboard for further treatment and observation
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Nursing Diagnosis: Excess fluid volume related to inactivity‚ secondary to congestive heart failure‚ as manifested by rapid weight gain‚ pitting edema in extremities‚ elevated blood pressure‚ bilateral crackle lung sounds‚ bradypnea‚ and dyspnea. Goal: Absence of fluid retention by discharge Desired Outcomes: 1. Blood pressure within regular limits by discharge 2. Absence of edema by discharge 3. Slow progression of weight gain by day 2 of admission 4. Ease of respirations
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The Complete list of NANDA Nursing Diagnosis for 2012-2014‚ with 16 new diagnoses. Below is the list of the 16 new NANDA Nursing Diagnoses 1. Risk for Ineffective Activity Planning 2. Risk for Adverse Reaction to Iodinated Contrast Media 3. Risk for Allergy Response 4. Insufficient Breast Milk 5. Ineffective Childbearing Process 6. Risk for Ineffective Child Bearing Process 7. Risk for Dry Eye 8. Deficient Community Health 9. Ineffective Impulse Control 10. Risk for Neonatal Jaundice
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The goal of this nursing diagnosis is make sure patient understand the importance of cataract treatment. The nursing intervention including assess motivation and willingness of patient to learn as patients must know need or purpose for learning‚ observe existing misconceptions regarding material to be taught as assessment is important starting point in education and assess barriers to learning as social interaction patterns‚ cultural norms and environmental can influence one’s learning. Next is
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International(Professional Assosiation of Nurses) Nursing Diagnosis is a clinical judgment about individual ‚ family or society responses to real or possible health problems or life process.Nursing diagnosis are developed based on the data obtained during the nursing assessment. A nursing diagnosis identifies problems that result from that disorder. An actual nursing diagnosis presents a problem response present at the time of assessment. Application To Personal Life Nursing diagnosis plays a vital role in the plan
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care study aims to outline the care provided to a patient during one 12hour shift. It will present the patients cause and course of ICU admission‚ identify problems both potential and actual‚ focussing particularly and two main problems. The nursing interventions preformed will be critically analysed and supported with research. Finally the care will be critically evaluated areas of possible improvement will be outlined. Patient chosen is a 36yr old male pseudonym ‘Frank’ chosen for the purpose of
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was later modified to A.S.P.I.R.E resulting in the systematic nursing diagnosis stage being brought in; By completing the initial assessment stage‚ it will help to establish the nursing diagnosis which involves making a decisive statement concerning the client’s needs (George 1995). This is often referred to as a Systematic Nursing Diagnosis; which involves identifying the patient needs from a nursing perspective. This nursing diagnosis differs greatly from that of a medical as it emphasises the holistic
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