NURSING DIAGNOSIS GOAL INTERVENTIONS RATIONALE EVALUATION impaired Gas Exchange R/T STG: 3/17/2014 throughout shift 1. Auscultate breath sounds 1. Abnormal breathing STG: PT O2 saturation on admission abnormal breathing AEB PT will maintain O2 saturation noting areas of decreased sounds are indicative was 87%. Measured at 1602 with a Objective: use of wall oxygen of 95 or higher AEB breathing sounds of numerous problems reading of
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ASSESMENT | GOAL OF CARE | PLAN OF ACTIONS | RATIONALE | IMPLEMENTATION | DOCUMENTATION | Subjective:“Daghan man na siya samad ug hubag sa iyang lawas”(She has many wounds and bruises on her body) as verbalized by the mother.Objective:-Presence of lesions and abrasions on the patient’s body.-greenish violet discolorated patches-soaked dressingNursing Diagnosis:Risk for impaired skin integrity related to superficial factors. | At the end of 8 hours nursing interventions‚ the client will be able
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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 of care.In the plan of care
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Running Head: NURSE CARE PLAN EXERCISE Nurse Care Plan Exercise School of Nursing NURSING DIAGNOSIS (ACTUAL) 75-year old female Assessment: Subj cues: Usual pattern 1 movement/day. States she goes 1-2 days w/out movement as a result used laxative. Has difficulty drinking 6-8 glasses of H2O a day. Green leafy vegetables are a challenge due to poorly-fitted dentures. Has Hyperacidity and bloating. Obj cues: There are no objective cues. NURSING DIAGNOSIS (ACTUAL)
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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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treatment in order to maximize therapeutic effect and facilitate healing. When a patient and their family are educated about illness‚ medications‚ and other treatments‚ they are more likely to be interested in their healthcare and comply with the plan. An infection of the lungs triggers an inflammatory response‚ which results in edema in the alveoli. As a result of pulmonary edema‚ gas exchange becomes impaired leading to decreased activity tolerance. At the end of the shift‚ pt’s pulse oximetry
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for Immigrant Visa and Alien Registration. If your case was initiated after October 4‚ 2010 and your case number begins with AMM‚ ATH‚ BGH‚ LMA‚ MEP‚ or MTL you must submit your visa application form online. Otherwise you must submit the paper version of the form. q q To submit your application form online‚ go to http://ceac.state.gov/iv and follow the instructions displayed. To submit the paper version log in to http://travel.state.gov/visa/immigrants/info/info_3190.html and follow the instructions
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NURSING CARE PLAN CARMENCITA ABAQUIN’S SELF-PREPARATION THEORY ASSESSMENT NURSING DIAGNOSIS INFERENCE PLANNING INTERVENTION RATIONALE EVALUATION Subjective: Connection to self Express desire for enhanced acceptance; coping courage; forgiveness of self; hope;joy;love; meaning/purpose in life; satisfying philosophy of life; surrender Express lack of serenity Meditation Connection with Others Request interactions with significant others/spiritual leaders Requests forgiveness of others
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Nursing Theory Plan of Care Theoretical Foundations of Practice NUR/513 March 05‚ 2012 Nursing Theory Plan of Care Ida Orlando literally wrote the book on the function of nursing. Her theory of the deliberative nursing process outlines a dynamic nurse-patient relationship in which the nurse uses his or her senses of perception together with deliberate actions to create an individualized care plan for each patient. Results of current research on the application of her theory follow
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Cues Nursing diagnosis Nursing objective Planning Nursing intervention Rationale Subjective Cues: “Nahihirapa n akong umihi‚‚ madalas sya pero pakonti konti lang » as verbalized by the client. Objective Cues: Distended abdomen Frequency Hesitancy T-38.3 P-105Bpm R-24 bpm BP-130/90 mmHg Impaired Urinary Elimination r/t Inflammatio n of bladder mucosa As evidence by the objective cues. __________ _ Scientific Explanation : Disturbance in urine elimination. After 8 hrs of
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