COMMUNITY COLLEGE DEPARTMENT OF NURSING CLINICAL ASSESSMENT TOOL Subjective Data (Basic Conditioning Factors) Student: Date of Care: 10/03/09 Patient’s Initials: P. V. Age: 37 Room #: 3114 Bed 1 Allergies: Food: NKA Gender: F Medications: NKA Environmental: NKA Admitting Diagnosis: Pancreatitis Developmental Stage (Erickson and Havinghurst): (List Developmental stage and tasks‚ assess each task) 1. Selecting a mate: Although patient
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mobility problems. Acute rehabilitation hospitals and rehabilitation centers are two types of facilities that aid in rehabilitation. The goals of each facility differs in the expectations to be released to another facility or if well enough‚ possibly home. In both facility moral is an important aspect in healing‚ therefore‚ it is pertinent that the nurses assist in this. Acute care hospitals are more temporary than rehabilitation facilities. The primary goal of acute care is to stabilize the
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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
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Data Base and Nursing Care Plan Student Name: Date: Pathophysiology (Include Normal Physiology‚ identify the Physiological Alteration‚ identify sings and symptoms). M.P. is a 56 year old African American male‚ with a history of progressive multiple sclerosis with multiple contractures‚ chronic decubitus ulcers‚ chronic indwelling urinary catheter and known osteomyelitis (infection of the bone). Mr. P. was admitted on October 25th with sepsis‚ a systemic response to infection.
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intensity of care. The difference between acute care and chronic care is the duration of times needed for treatment and the approach taken by the medical professionals. The goals of recovery are typically very similar‚ while the maintenance of the conditions can vary greatly. In both of these scenarios there can be a large impact on the patient’s life or lifestyle that must be compensated for along with the treatment for the illness and education for prevention and maintenance. In acute care‚ an individual’s
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To manage pain effectively‚ a nurse must assess‚ understand‚ and treat the patient’s pain and then reassess the pain on an ongoing basis. The Joint Commission emphasizes that every patient has a right to pain assessment and treatment. It means that a nurse must assess the nature and intensity of the pain and document the findings in a way that facilitates further assessment and follow-up. In that context‚ pain is indeed the fifth vital sign ("Pain Management‚" n.d.). The nurse will assess Lillian
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Pharmacology Teaching Plan The patient is a 70 years old man‚ admitted in Clinton Cardiology Center for repeated chest pain‚ fainting‚ hypotension‚ thoracic discomfort and cough‚ which appeared suddenly the same day. The clinical exam showed: cold‚ pale‚ sweated skin‚ dyspnea‚ tachycardia‚ a diastolic murmur in the third intercostal space near the sternum edge‚ a third degree systolic murmur above the lower sternum‚ and a blood pressure of 80/60
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Acute Care: Care Implementation and Evaluation. This assignment will be based around the care that is implemented and evaluated‚ within a National Health Service (NHS) Foundation Trust (FT). The focus of the assignment will be to discuss two health problems that a selected patient has and has been admitted to the FT with. The selected patient had been admitted into FT with breathing difficulties and also suffering from dehydration. The assignment will focus upon the goals that are set for the
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Nursing Care Plan |Student | |Course |NURS 211L |Date |5/27/2011 | |Instructor | | | | | | |Patient Initial | _____J.G________ ___Age 59 Female_____
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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
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