DATE | CUES | NURSING DIAGNOSIS | KNOWLEDGE BACKGROUND | GOAL | NURSING INTERVENTION | RATIONALE | EVALUATION | | Subjective:“Medyo masakit ang dibdib ko pag umuubo ako.”as verbalized by the patientObjective:Productive coughYellow sputum dischargedPain scale of 10/10 | Acute pain R/T coughing | Acute pain is described as an unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in terms of such damage ;sudden or slow onset of any intensity from
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The aim of this assignment is to critically discuss the nursing assessment individualised care and nursing interventions of the acutely ill patient. The patient discussed developed severe sepsis due to a urinary tract infection and her condition deteriorated during the recovery process in the nurse’s care. Lovick (2009) defines sepsis ‘as a known or suspected infection accompanied by evidence of two or more of the SIRS criteria’. SIRS is outlined as a ‘systemic inflammatory response’ consisting of
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Nursing Care Plan Assessment equals Data Collection + Analysis | Nursing Diagnosis – Actual/Potential | Nursing Goal(SMART) | Nursing Interventions/ActionsInclude Rationale/Reference | Evaluation | Female Age : 85Code status: Full Code initially but changed to DNR on 14/Jan-2012Primary diagnosis: PancytopeniaReason for Hospital Admission: Fall at home. Allergy: PenicillinMedical History: Pacemaker‚ Hypertension‚ Fall at home‚ Bradycardia‚ Hyperlipidemia.Neurological: Alert‚ Oriented x 4.Diet
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NURSING CARE PLAN ASSESSMENT SUBJECTIVE: “Bakit kaya madalas ako mahilo?” (Why do I always feel dizzy?) as verbalized by the patient. OBJECTIVE: ♦ Request for information. ♦ Agitated behavior ♦ Inaccurate follow through of instructions. ♦ V/S taken as follows: T: 37.2 P: 84 R: 18 BP: 180/110 DIAGNOSIS ♦ Risk for prone behavior related to lack of knowledge about the disease INFERENCE ♦ High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels
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OPERATIVE REPORT Hospital No.: 11259 Date of Surgery: 09-26-2014 Admitting Physician: Sherman Loyd‚ MD Surgeon: Carol Dodd‚ MD Preoperative Diagnosis: Right intertrochanteric femoral fracture. Postoperative Diagnosis: Right intertrochanteric femoral fracture. Operative Procedure: Open reduction internal fixation of right intertrochanteric femoral fracture with DePuy sliding screw. Anesthesia: General endotracheal. Indications: The patient is a 69-year-old
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Government Intervention in Health Care Increases Cost and Decreases Quality Government intervention is a regulatory action taken by a government in order to affect or interfere with decisions made by individuals‚ groups‚ or organizations regarding social and economic matters. Government intervention sometimes is necessary to correct situations where the market fails to allocate resources efficiently or distribute income fairly. The reason why government usually
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From the ward you are practicing in choose an operation that was done to patient for whom you have given nursing care. From your experience describe the indications and purpose for this operation and the salient post-operative nursing care. Arthritis is one of the leading causes of femoral fractures especially in the elderly. It may also be caused by trauma or injury‚ starting from simple falls to more extensive such as a fall from height. Indeed‚ a femoral fracture affects hip movement as it
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Nursing Process Planner DATA | ANALYSIS | NURSING DIAGNOSIS | PLANNING | Group significant data according to needs‚ patient concerns. | Compare with normal standards‚ knowledge‚ and interpret the meaning of the data and knowledge. | State problem or concern according to needs with reasons and related factors. | Outcomes/ Objectives. A goal with more detailed objectives. | | Reference | | | Ms. C.M62 years oldDiagnosis:RT lung CancerSx:RLL&RML wedge‚ RLLwedge+mediastinal lymphadectomy
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A Reflection of Five Weeks of the Co-operative Nursing Experience Rebecca Tutt‚ RN University of Texas at Arlington In partial fulfillment of the requirements of N3300 Specialized Topics in Nursing (Co-Op) Beth Mancini‚ RN‚ Ph.D. March 7‚ 2013 Online RN to BSN Introduction The co-operative nursing assignment has given me the opportunity to use my critical thinking‚ decision-making‚ leadership‚ and clinical nursing expertise learned throughout the RN-BSN program. “The fostering of critical
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OPERATIVE REPORT Patient Name: Gerald Edwards Hospital No.: 11058 Date of Surgery: 07/17/2010 Admitting Physician: Catherine Baker‚ MD Surgeon: Gary Sheldon‚ DPM Date: 07/17/2010 Preoperative Diagnosis: Diabetic plantar space abscess of the right foot‚ and grade 2 diabetic ulceration of the right foot. Postoperative Diagnosis: Diabetic plantar space abscess of the right foot‚ and grade 2 diabetic ulceration of the right foot. Operative Procedure: Complicated incision and drainage of the
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