) 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
Premium Medicine Health Medical terms
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
Premium Medicine English-language films Health
C: CIRCULATION PLAN * Prevention of fluid and electrolyte imbalance‚ dehydration and sepsis (IV fluids) *Jean is vomiting* (check vomitus for blood) * Fluid balance chart * The insertion of IV cannula * Remains Nil by Mouth-insertion of NG tube * Central Pulse - rate‚ volume & regularity * Pulse rate on admission – 98 beats/min * Peripheral pulses * Blood pressure * *Respiratory rate* * Capillary refill (teach importance of removal of nail polish/make up –
Premium Blood Patient Heart
Course Project Milestone 1: Health History Form Your Name: Paola Sanchez Date: 11/22/2013 Your Instructor’s Name: Directions: Refer to the Milestone 1: Health History guidelines and grading rubric found in Doc Sharing to complete the information below. This assignment is worth 175 points‚ with 5 points awarded for clarity of writing‚ which means the use of proper grammar‚ spelling and medical language. Type your answers on this form. Click “Save as” and save the file with the assignment name and
Premium Hypertension Varicose veins Family
Nursing diagnosis for patient with AIDS (in the movie Philadelphia) Imbalanced Nutrition: Less than body requirements R/T inability to ingest nutrients (Gulanick & Myers‚ 2007) AEB vomiting three times per day after each meal‚ 35lb weight loss in past 60 days‚ height of patient is 5’8” weight of 110lbs (Demme‚ 1993). Impaired Skin Integrity – AIDS‚ R/T immune deficiency; AIDS related dermatitis (Gulanick & Myers‚ 2007) AEB Approximately 10‚ 3 x 2 cm reddened lesions to face and torso‚ lesions
Premium Nursing care plan Philadelphia Nursing
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
Free Obesity Blood pressure Nutrition
NURSING CARE PLAN Nurs 326 SFSU Student Name: Alena Makarava Instructor/Clinical Site Gerardo Caritan‚ RN‚ MSN Date: 2/26/2015 Ms. X is a 34 year old female. The patient is a G3 P2‚ with both children delivered by C-section‚ with the only complication in both being low birth weights. Ms. X has a longstanding history of hypertension‚ anxiety and depression. Additional health history includes a vitamin D deficiency‚ back surgery in 05/06 due to a herniated disc‚ and two previous cesarean
Premium Childbirth Pregnancy Infant
organs. However‚ the right lower quadrant is the location of the Cecum‚ Appendix‚ Ascending Colon‚ Right ovary‚ Fallopian tube‚ and the Right ureter. This paper will address the affliction(s) that may occur in the right lower quadrant‚ possible diagnosis a patient could be given due to the pain‚ and how they are treated. As you may know‚ pain can vary from acute‚ subacute‚ to chronic given the frequency of the pain. Affliction may also be categorized as dull or sharp given its’ severity. “The
Premium Pain Suffering Chronic pain
Nursing Diagnosis 1. Acute pain R/T: inflammation and obstruction of the gallbladder AEB: patient verbalizes abdominal pain of 7/10‚ grimaces‚ rubs his stomach‚ BP 158/79‚ T990F 2. Deficient knowledge R/T: lack of knowledge about the importance of incentive spirometer AEB: patient says that he does not know how to use and needs to know more about its importance. 3. Risk for deficient fluid volume R/T: restricted intake 4. Risk for imbalanced nutrition less than body requirement R/T: impaired
Premium Pain
3N Clinical Nursing Care Plan NURS 2230 Lakehead University October 2‚ 2014 I declare that this paper is my original work. Excepting where I have cited my own previous work‚ this paper in its entirety‚ or any portion thereof‚ has not been submitted to meet the requirements of any other credit course. Student Signature: ____________________________________ Date: ____________________ Patient History In the context of this paper‚ the patient will be referred to as
Premium Nursing Patient Medicine