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
Free Blood pressure Hypertension
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
Premium Arterial blood gas Oxygen Sepsis
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
Premium Lung Pneumonia Respiratory system
Your patient’s ECG shows depression S-T in leads V1–V2 and ST elevation in Leads II‚ III‚ and AVF. You realize that this indicates: Acute inferior infarction. Acute Anterior infarction Acute Lateral infarction Acute inferior-Posterior infarction The above ECG changes can be found if there is an occlusion of the: RCA LAD circumflex all of the above. the most complications associated with this problem is ventricular dysrhythmias. AV block. atrial flutter. hemodynamic
Premium Myocardial infarction
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
Premium Childbirth Blood Uterus
of overtime without considering the safety of the staff and patients. I work in a psychiatric hospital where safety is one of the company priorities. The majority of the decision-making in the facility where I work is controlled by the director of nursing who speaks to the manager who communicates the charge nurses; there is little or no input from the nurses on the floor even though they spend the most time with the patients. Incident report One of the most frequent incidents that occur in my work
Premium Hospital Nurse Patient
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
Premium Wound Vaccination Vaccine
UK Health and Social Care System with the effect of policies and legislations in England Health care system Contents Title 1 Introduction 3 Literature review 3 Conclusion 9 References 11 Introduction Health service is defined as a top most service that is related to the diagnosis and treatment of disease‚ or the promotion‚ maintenance and restoration of health (Capezuti‚ Siegler and Mezey‚ 2007). There are personal and non personal health services. In UK‚ National Health Service
Premium Old age Sociology Geriatrics
ASSOCIATE DEGREE NURSING NURSING PROCESS FORM: PART I – ASSESSMENT Student: Date of Care: 3/4/13 Client’s Initial: WB Room # 1011 Occupation: Teacher Age: 59 Sex: F Race: Black Religion: Christian Admission Date: 3/1/13 Primary Language: English Role in family: Widowed from husband Stage in Life Cycle: Generativity vs. Stagnation Surgery date(s) this admission: N/A Chief complaint: Brain Dysfunction/Traumatic‚ closed injury Admission Diagnosis:
Premium Traumatic brain injury
Cues Nursing Problem Scientific Reasoning Planning Implementation Evaluation Subjective: >”Nay‚ kelan po tayo uuwi?” as verbalized by the patient >”Nag-aaya na nga syang umuwi.” as verbalized by the caretaker Objective: >Patient is silent when hospital staff is around >Patient does not have eye contact with the hospital staff Fear related to hospitalization as manifested by alteration in behavior. Hospitalization is usually perceived as a threat that is consciously
Premium Perception Regulatory Focus Theory Time