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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The difference between alcohol dementia and dementia is that alcohol dementia is a form of dementia caused by a long term use of alcohol and excessively drinking to the point where the individual suffers from memory loss due to neurological damage to the brain. With dementia there is the person does not suffer from alcohol abuse. Alcohol dementia can cause very serious brain complications and ten percent of patients diagnosed with alcohol dementia have a history of extended alcohol abuse. People
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Problem/Priority) PLANNING (Patient-Centered Goals) IMPLEMENTATION (Nursing Interventions) Nurse roles: Assess‚ monitor‚ use of communication techniques‚ patient education EVALUATION (Patient-Centered Goal Met?) Subjective: (what you heard the patient describe) Objective: (what you see‚ hear‚ smell‚ feel) *Use nursing diagnosis language 1 goal per physical What specifically will you do - as a nurse - to assist the patient to meet the goals? Rationale and reference for each intervention
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Karisa M. Young April 28‚ 2005 Nursing 374L Nursing Care Plan Twin ‘B’ was born on Monday February 14‚ 2005 at 35 weeks gestation. The mother was scheduled for a cesarean section at 38 weeks gestation‚ but presented in the hospital early with signs of labor. A cesarean delivery was performed. Twin ‘B’ APGAR scores at 1 minute and 5 minutes were 9 and the newborn weighted 4lbs 3 oz. Upon completion of the assessment‚ the newborn’s temperature decreased to 96.1 degree Celsius (axillary). Diagnosis
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NURSING CARE PLANS Impaired Physical Mobility Assessment | Nursing Diagnosis | Scientific explanation | Objectives | Nursing Interventions | Rationale | Expected Outcome | S > θO > Patient manifest:- weak and pale appearance - difficulty in standing and sitting - slowed movement - limited range of motion | Impaired Physical Mobilityr/t neuromuscular impairment aeb slowed movement | Limitation in independent‚ purposeful physical movement of the body or of one more extremities.Due
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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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Principles of Dementia Care. Unit 1. Q1. Explain what is meant by the term ’dementia’ Dementia is a broad term used to describe the symptoms that occur when the brain is affected by specific diseases and conditions.Dementia is a progressive disease and the symptoms will get gradually worse. | Q2. Describe how dementia can affect a person if the following areas of the brain are damaged by dementia. Area of Brain | How damage to this area might affect a person with dementia | Frontal lobe
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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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GERIATRIC DEMENTIA Dementia has an originally meaning of madness “a serious loss of global cognitive ability in a previously unimpaired person‚ beyond what might be expected from normal aging.” Although dementia has always been somewhat common‚ it has become even more common among the elderly in recent history. Dementia is one of the most serious disorders affecting the elderly. The prevalence of dementia increases rapidly with age. The prevalence of dementia has been difficult to determine
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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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