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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MABEL CASE STUDY 1. Six Nursing strategies to assist diabetes patient for each identified problem Risk for Impaired Swallowing • Maintain upright position for 45–60 min after eating. • Stimulate lips to close or manually open mouth by light pressure on lips/under chin‚ if needed; • Place food of appropriate consistency in unaffected side of mouth; • Have suction equipment available at bedside‚ especially during early feeding efforts. • Promote effective swallowing‚ e.g.:Schedule activities/medications
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Geriatric Teaching Plan Bryant and Stratton College Nursing 222 Geriatrics Geriatric Teaching Plan Mr. R.D. is an eighty-year-old male. He currently resides at the Manor Care Rehabilitation/Nursing Center. Mr. D was admitted on January 5‚ 2010 for pneumonia. Mr. D has other medical history problems‚ which include leukocytosis‚ headache‚ hypertension‚ depressions‚ postural insufficiencies‚ arteriosclerotic heart disease and dementia Parkinson’s. Mr. D does not currently have any food or drug
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Assessment Data J.D. is a 67 year old‚ African American male. He is currently single‚ living alone‚ and has one son that lives in New York. He is a family oriented man that has many family members that live locally. J.D.is religious and is currently a deacon in his local church. He is dating‚ but has decided to abstain from sexual activity unless he remarries. J.D. has experimented with drugs‚ alcohol‚ and cigarettes‚ but reports he has not used any of these substances in the past 7 years.
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Family Care Plan Thomas Chamness University of Phoenix Nursing 467 Karen Jones November 20‚ 2010 Family Care Plan My family consists of a single mother‚ age 27. Her child is a 3-year-old male. The characteristics of the mother are unique; she had to deal with losing both of her parents at a young age. Her father committed suicide when she was nine and her mother was murdered in the line of duty while working as a state trooper. The mother also has no siblings. At the present time
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ASSESSMENT & CARE PLAN CLIENT CASE STUDY #2 Student: Fall 2010 Client Initials: VC Age: 82 Gender: Female Date Admitted to Nursing Home: 12/14/07 Assessment Date: 12/3/10 1. HEALTH HISTORY Brief description of health history and reason in nursing home: VC has a history of malignant neoplasm of her large intestine which lead to her colostomy status. She also has a history of fracture and fall. She was admitted to the nursing facility secondary to her alzheimer’s diagnosis
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School of Nursing Care Plan Student’s Name: Joie Ferreiro________________________________ Date: 9/5/14 Client’s Initials: R.S. Admission Date: 7/30/14 Age: 96 Sex: f___ Race: __w____ Religion: Jewish Allergies: Phenobarbital Diet: NPO Activity: Bed rest Admitting Medical Diagnosis (es): Sacral decubitus ulcer‚ polymicrobic sacral osteomyelitis Past Medical History (including past surgical history): Illnesses include: 1) Renal insufficiency 2) Anemia 3) hyperthyroidism
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Vol. 92/No.1 Risk Factors: People with a weak immune system‚ recent exposure with TB bacteria‚ immigration from area with high TB rates‚ IV drug users and people working in facilities at high risk for TB including hospitals‚ shelters‚ jails and nursing homes (Basic TB Facts‚ 2010). Questions to ask Patient: Are you having any difficulty with breathing now? Are you having any shortness of breath? How long have you had a cough? Describe your cough. Are you bringing up any phlegm? If yes
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elimination related to urinary tract infection Goals: After 30 minutes of nursing intervention‚ the patient will be able to gain knowledge on ways of managing Urinary Tract Infection. Objectives: Within 15 minutes of nursing intervention‚ the patient will be able to gain knowledge by : Enumerating 2/3 specific causative factors of UTI. Demonstrate behaviors and techniques to prevent urinary tract infection and manage care of urinary catheter. Shows positive attitude by verbalizing understanding
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Teaching Plan Cognitive behavioral Distortions Guided Imagery Learner Outcomes Content Outline Methodology Time Frame Evaluation 1. Learner will recite their understanding of the connection between our thoughts‚ feelings‚ and behaviors. 2. Learner will be able to recite one way in which positive thinking can improve one’s outlook on life and ones decisions Examples of current application of guided imagery—sports psychology‚ cancer‚ HIV. Definition of cognitive errors
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