Clinical Journal and Care Plan Clinical Preparation & Journal Form Student Name:wolie Date: 10/24/2011 1. Biographical Data: DOB: 09/25/1959‚ Female‚ 61 y.o.a. Initials: M.S. Age & Sex: 61 years and female Ht/wt: Race/Ethnicity: white Culture and Religion: Christian Living Arrangements: nursing home People in Home (number and relationship): 1 roommate Reason for hospitalization: MRSA isolation‚ Post-op or left knee replacement Past Health History
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2 III. Anatomy and Physiology 3-4 IV. Definition of Terms 5 V. Baseline Data 6 VI. Nursing History (Gordon’s Functional Health) 7-9 VII. Health History 10-11 VIII. Assessment (Cephalo- Caudal) 12-14 IX. Laboratory and Radiology 15-16 X. Pathophysiology 17 XI. Nursing Care Plan * Acute Pain 18-19 * Fluid Volume Deficit 20-21 * Risk for Ineffective Coping
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References: 1. Heidgerken. L.‚ E.‚(2008). Teaching and learning methods; Lecture‚ demonstration and laboratory teaching and learning in Schools of nursing‚ principles and methods (3rd ed.‚pp-427-447).Konark: Delhi. 2. Neeraja. K.‚ P.(2008).Teaching method; Text book of Nursing education(1st ed.‚pp-252-261). Jaypee: Noida. 3. Malarvizhi‚ S.‚ Santhi‚ S.‚A.(2012).Methods of teaching; Text book of communication and education technology(1st ed.‚pp186-245). Emmees:
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Family Health Assessment for the Nursing Process Michelle Garcia Grand Canyon University: NRS-429V Family-Centered Health Promotion Terese Verklan September 28‚ 2014 Family Health Assessment for the Nursing Process Family health as a whole is an integral part of the development of healthy individuals. In order for the family to produce healthy individuals they need to function well holistically in all aspects of family life including health and wellness. If even one individual in the family
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The Author will describe the nurses role and discuss individualised patient care based around legal and ethical frameworks that guide and govern nurses in their roles as healthcare professionals. A five stage process to nursing care is one framework use to deliver this care and consists of assessment‚ diagnosis‚ care planning‚ implementation and evaluation and is an on-going‚ continuous cycle that only ends when goals are achieved and homeostasis is restored‚ or reasonable expectations of health
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Assessment and Care Planning of the Adult in Hospital Hospitalisation has a big impact on a person’s life. When dealing with people in hospital health care professions use care planning to make sure that an individual’s needs are met and that there is an on-going personalised plan for the duration of the stay‚ however long or short this may be (National institute of clinical excellence[NICE]‚ 2010). During this essay I will be following a patient that has been on my clinical placement. I will be
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Chapter 64: Nursing Management: Musculoskeletal Problems Test Bank MULTIPLE CHOICE 1. A patient with acute osteomyelitis of the left femur is hospitalized for regional antibiotic irrigation. Which intervention will be included in the initial plan of care? a. Immobilization of the left leg b. Positioning the left leg in flexion c. Assisted weight-bearing ambulation d. Quadriceps-setting exercise repetitions ANS: A Immobilization of the affected leg helps decrease pain and reduce the risk for pathologic
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referred to as RAM‚ was developed in 1960‚ but she continued to expand her conceptual model through the years. In the following slides‚ we will visit some of the main components of Sister Roy’s Adaptation Model of Nursing Concept. We have discussed the many different conceptual nursing models that affect the way we approach how we treat our patients. As a group‚ we selected Roy’s Adaptation Model (RAM) because it is the model we all most identify with. When assessing the various conceptual models
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NURSING PROCESS TEACHING CARE PLAN SUPPORTIVE DATA ---------------------------- Subjective: Pt states “my pain is still at 8/10‚ is my medication working?” Objective: 1. DX-UTI & possible urosepsis‚ Hip Fracture and fall during not a candidate for surgery‚ CHF 2.Buck’s traction applied 3. Assessment: Limited mobility‚ SOB
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are assessed as are the care providers to ensure that placements can meet and preferences of the individuals. The organisation conducts independent assessments by a qualified key member of the team to assess the needs and preferences of the individual to ensure that the organisation have the facilities and resources to cater for them. The key areas for assessments for needs and preferences would be: Emotional Physical Social Leisure Key professionals then hold a Care Planning Assessment (CPA)
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