NURSING DIAGNOSIS (in priority order) PATIENT-CENTERED GOALS NURSING INTERVENTION RATIONALE EVALUATION Risk for hypovolemia related to excessive fluid loss secondary to caesarean section as evidenced by: Subjective Data: Patient states: “I feel lightheaded and weak.” Objective Data: Elevated pulse (97)‚ blood loss from C-section of 704 mL‚ low hemoglobin (8.1) and hematocrit levels (24.7). (Before C-section‚ her hemoglobin levels were 13.1‚ her hematocrit levels 36). Short Term Goal
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The purpose of this paper is to analyze my own experience and the research I found regarding discharge planning. Discharge planning consists of an array of assessments and teachings as the patient moves from one facility (hospital) to another (home‚ nursing home‚ etc.). Essentially‚ this is significant in preventing a patient from re-hospitalization. In regards to my patient‚ she received an assessment and teachings concerning her mental status‚ mobility‚ previous surgery‚ current medications‚ and
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The aim of this assignment is to demonstrate my ability to select an aspect of nursing of care management‚ identify relevant organisational factors. Critically analyse relevant literature‚ research and practice experience. Appraise organisational and managerial factors influencing the safe and effective delivery of quality care and evaluate the organisation and management of an aspect of nursing care. Discharge planning can be defined as the assessment of inpatients medical conditions for the
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lan NURSING CARE PLAN | ASSESSTMENT | BACKGROUND KNOWLEDGE | PLANNING | INTERVENTION | RATIONALE | EVALUATION | Subjective:n/aObjective: * Preterm birth (36 weeks) * Weight: 1.75kgs. * Cool and dry skin. * Temperature: 33.6 degrees Celsius. * Poor muscle tone. * Placed under two droplights.Nursing Diagnosis: Ineffective thermoregulation related to immaturity. | Vaginal birthPretermPoor muscle developmenthypothermia | After 1 hour of nursing intervention‚ patient will maintain
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Medical Diagnosis #1: Multiple coronary artery disease Chief Complaint #1 Use Quotes: ”Shortness of breath and chest pain for over a month now” on 2/6/13 on day of Admission Chief Complaint #1 Use Quotes: “Pain 8/10” on day of your nursing care Prior Illnesses Hypertension‚ coronary artery disease‚ obesity‚ angina Family History Father passed away from a heart attack; Mother had a stroke General Survey Sex M Race Caucasian Age 74 Height 175cm Weight 90.7
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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
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RUP1 Project Nursing is a profession in which professionalism and high moral character go hand in hand. Nurses have access to very important information and care for patients during critical times in their lives. Because of the nature of work that a nurse does‚ they must always maintain professionalism to ensure that their patients have the upmost trust in them. A. Functional Differences In order to become a registered nurse‚ one must pass nursing school and then go on to pass a test given
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Teaching Plan: Tracheostomy Care for Patients and Family upon Home Discharge Patients who undergo a tracheostomy and their family must demonstrate understanding and performance of the following objectives: 1. The anatomical changes related to the procedure. 2. Management of a tracheostomy. 3. The importance of humidification and suctioning in maintaining airway patency. 4. Awareness of possible problems/complications in tracheostomy management. A normal breathing pattern draws air
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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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Student Name: Date: February 25‚ 2006 Nursing Diagnosis Outcome Criteria (Goal) Evaluation of Outcome Criteria (Goal) PC: Postpartum Hemorrhage Patient will develop no complications related to excessive bleeding‚ will maintain normal vital signs of express understanding of her condition‚ its management‚ and discharge instructions‚ identify and use available support systems. R/T‚ RTRF and secondary to: Pathophysiology Supporting Nursing Diagnosis Statement (cite source) Uterine atony
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