access. Procedure is usually performed three times per week for 4 hrs. Hemodialysis may be done in the hospital‚ outpatient dialysis center‚ or at home. Nursing Care Plans Learn more about hemodialysis with these 3 Hemodialysis Nursing Care Plan (NCP). Risk for Injury NURSING DIAGNOSIS: Injury‚ risk for [loss of vascular access] Risk factors may include * Clotting; hemorrhage related to accidental disconnection; infection Possibly evidenced by * [Not applicable; presence of signs and
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tAssessment Diagnosis Scientific Rationale Planning Intervention Rationale Evaluation Subjective: “ I noticed a significant delay in my bowel and I don’t know why?” According to her this is not her usual characteristic of bowel Objective: Defecates 2 times a week Brownish color of feces‚ scanty amount and hard Seldom drinks water Client has poor eating habits Change in usual foods or eating patterns. Urine has scanty amounts and yellowish in color Constipation related to little amount
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ASSESSMENT DIAGNOSIS SCIENTIFI BASIS PLANNING INTERVENTION EVALUATION Objective cues: • Breast tenderness • Temperature is elevated (38.3 degree celcius) • Body malaise • Scant amount of breast milk • Headache Subjective cues: “Sakit kaayo akong totoy day. Lain jud kaayo siya” Altered comfort: Acute pain related to mastitis Mastitis refers to the parenchymatous inflammation of the mammary glands. Causative organism is usually staphylococcus aureus from the neonate’s throat
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ASSIGNMENT A new International cricket stadium to be constructed outside a mega city over a piece of land in 16 months. We have to provide following facilities- 1. Capacity of spectators- 800000 2. Day/ Night play facility 3. TV camera platforms in six directions 4. Safety of players from spectators 5. Pavilion for VIPs to sit 300 6. Parking (adequate space for all above) The time available is 16 months including monsoon. Cost of construction to be recovered in 5
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ASSESSMENT | NURSING DIAGNOSIS | NURSING INTERFERENCE | NURSING GOAL | NURSING INTERVENTION | NURSING EVALUATION | SUBJECTIVE:The mother of the patient verbalized “nabara toy anak ko ken sangit nga sangit”OBJECTIVE: v/s taken as follows:RR: 42 BPMPR: 144 BPMTemp: 38.6°CWBC: 8.81^10>skin warm to touch>loud cry | Hyperthermia related to inflammatory process or hypermetabolic state as evidenced by increase in body temperature of 38.6 °C‚ elevated WBC of 8.81^ 10 ‚mild jaundice ‚crying
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NURSING CARE PLAN- COUGH ASSESSMENT | DIAGNOSIS | PLANNING | INTERVENTION | RATIONALE | EVALUATION | Subjective Data:“Ubo siya ng ubo pero nahihirapan siyang ilabas yung kanyang plema” asverbalized bythe father.Objective Data: * Dyspnea * Wheezes upon auscultation * Facial grimace noted * Productive cough (yellow to green sputum) * V/S takenas follows:T: 37.7P: 90R: 27BP: 110/80 | Ineffective airway clearance related to retained bronchial secretions as manifested by dyspnea‚ wheezes
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Benign Prostatic Hyperplasia – NCP for Urinary Retention Assessment | Nursing Diagnosis | Inference | Planning | Intervention | Rationale | Evaluation | Subjective:“Nahihirapan akong umihi”Objective:•Bladder Distention•Small‚ frequent voiding or absence of urine output | Urinary Retention related to mechanical obstruction; enlarged prostate | BPH is the enlargement of the prostate gland thus causing mechanical obstruction in the passageway of urine. | * * •After 8 hours of NI client be
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NURSING PROBLEM | GOAL AND OBJECTIVES | NURSING INTERVENTIONS | RATIONALE | EVALUATION | Pain related to scoliosis as evidenced by a pain scale of 8/10.CUESSubjective: * “ masakit yung likod ko‚ iba sya sa pangangalay‚ basta sobrang masakit lalo na nung before ako iadmit dito sa hospital.” * “madalas kase sumasakit ang likod ko”.• patient was taking a bath when she noted a “pressure” pain at the lumbar area.Objective: * Client rates her health as 6 out of 10 because she feels weak caused
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CHINESE GENERAL HOSPITAL COLLEGE OF NURSING NURSING CARE PLAN Student: Munoz‚ Helen Rose Yr/Sec: III-B Area: 5A Patient’s name: M.C. Diagnosis: STEMI ASSESSMENT | DIAGNOSIS | INFERENCE | PLANNING | INTERVENTION | EVALUATION | | Objective: -Easily Fatigue-Walks slowly-Use of wheelchair-Limited Range of Motion | Activity Intolerance r/t decreased muscle strength secondary to old age | MusculoskeletalMuscle mass is a primary
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Diagnosis Need Desired Outcome Interventions Rationale Evaluation Activity Intolerance Related to Surgical incision as manifested by Chest Tube Thoracostomy inserted at left lung. • Subjective Data: “Di ako makaligo ng mabuti kasi ang daming nakakabit sa katawan ko” • Objective data: - limit movements and requires to have assistance in some activities to be performed - Strenuous activity was restricted by the AP - (+) dry skin - Afebrile - Dry scalp noted - On 3rd day without bath
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