Developing Implementation Plan According to Hill and Wee‚ 2012. Fall in the hospital among adult patients is a big problem for the health care sector‚ especially the nursing profession. Cognitive impairment‚ medically –induced immobility‚ past medical fall history‚ weak muscle and certain group of medications like psychotropic/benzodiazepines‚ are some factors that have been noted to be responsible for elderly patients vulnerability to falls. Educating the patients at risk for falls‚ lowering/stopping
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NURSING CARE PLAN ASSESSMENT SUBJECTIVE: “Bakit kaya madalas ako mahilo?” (Why do I always feel dizzy?) as verbalized by the patient. OBJECTIVE: ♦ Request for information. ♦ Agitated behavior ♦ Inaccurate follow through of instructions. ♦ V/S taken as follows: T: 37.2 P: 84 R: 18 BP: 180/110 DIAGNOSIS ♦ Risk for prone behavior related to lack of knowledge about the disease INFERENCE ♦ High blood pressure (HBP) or hypertension means high pressure (tension) in the arteries. Arteries are vessels
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Clinical Journal and Care Plan Clinical Preparation & Journal Form Student Name:wolie Date: 10/24/2011 1. Biographical Data: DOB: 09/25/1959‚ Female‚ 61 y.o.a. Initials: M.S. Age & Sex: 61 years and female Ht/wt: Race/Ethnicity: white Culture and Religion: Christian Living Arrangements: nursing home People in Home (number and relationship): 1 roommate Reason for hospitalization: MRSA isolation‚ Post-op or left knee replacement Past Health History
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of a specific electrolyte or fluid • Monitor intake and output of the patient • Teach patient and family about the type‚ cause‚ and treatments for electrolyte imbalance‚ as appropriate. • Provide diet appropriate for patient’s electrolyte imbalance (e.g.‚ potassium-rich‚ low-sodium‚ and low-carbohydrate foods) • Administer IV fluids as indicated 2. a. Data that are most relevant to the case and situation of the patient include weight gain of 12 ibs‚ blood pressure of 150/88 mm Hg and bilateral
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Nursing Care of a Patient Diagnosed with Pneumonia Tiara Graham Linn Benton Community College Nursing Care of a Patient Diagnosed with Pneumonia Patient Description Patient is a Caucasian 83 year old female that came into the emergency department from Wynwood assisted living facility with an increase of fatigue‚ worsening confusion and a 1 day history of a fever. Patient weighs approximately 90 pounds upon admission with a height of 64 inches. Patient has known COPD and is a former heavy
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NURSING CARE PLAN Nursing Assessment: Ms. F.E. is a 20yr. old female who was involved in a motor vehicle accident (M.V.A.)‚ and was admitted on 04.03.12 to the surgical unit with Spinal injuries‚ Polytrauma and fractured right humerus. She started complaining of severe abdominal pains‚ one week after assessment by Doctor‚ she was scheduled for emergency laparotomy with ?diagnosis Perforated Hallow Viscus. Following surgery patient was diagnosed with Fecal Peritonitis and was transferred to the
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infrastructure and processes in primary care‚ specialty clinics and mental health. The focus of The Patient Experience Objectives are to improve the utilization process‚ improve the scheduling process and improve the transfer of care process. Economic‚ Environmental and Healthcare Trends In developing the organizations strategic plan it was important for leadership to focus on the economic‚ environmental and healthcare trends affecting the organization. Economically the VA struggles
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DATE | CUES | NURSING DIAGNOSIS | KNOWLEDGE BACKGROUND | GOAL | NURSING INTERVENTION | RATIONALE | EVALUATION | | Subjective:“Medyo masakit ang dibdib ko pag umuubo ako.”as verbalized by the patientObjective:Productive coughYellow sputum dischargedPain scale of 10/10 | Acute pain R/T coughing | Acute pain is described as an unpleasant sensory or emotional experience associated with actual or potential tissue damage or described in terms of such damage ;sudden or slow onset of any intensity from
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Assessment |Nursing Diagnosis |Analysis |Goals and Objectives |Interventions |Rationale |Evaluation | | Subjective: “kala ko nung una dahil sa kinain kong pinya‚ pero imposible naman iyon. Kasi hindi naman sumakin tiyan ng mga kasama ko” | Knowledge deficient related to unfamiliarity with information resources | A deficit in knowledge is commonly experienced by individuals coping with new medical diagnosis varied pharmacological and treatment regimens‚ unfamiliar and often complex problems
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DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female‚ gravida 3‚ para 1-0-2-1‚ had her last menstrual period in early January. Prior
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