ASSESSMENT & CARE PLAN CLIENT CASE STUDY #2 Student: Fall 2010 Client Initials: VC Age: 82 Gender: Female Date Admitted to Nursing Home: 12/14/07 Assessment Date: 12/3/10 1. HEALTH HISTORY Brief description of health history and reason in nursing home: VC has a history of malignant neoplasm of her large intestine which lead to her colostomy status. She also has a history of fracture and fall. She was admitted to the nursing facility secondary to her alzheimer’s diagnosis
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respiratory and physical exercises 7) Patient will be able to state the importance of weight management and demonstrate exercises to increase success in lowering BMI in 6 weeks 8) Patient will incorporate his family and/or support systems into his care to obtain and meet health goals Nursing interventions 1) Teach the patient how to breathe effectively with slow‚ deep‚ abdominal breathing and incorporate pursed lip breathing to ensure there is sufficient oxygen being perfused to the body. Rationale:
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Contents Action Plan Time Table Page 2 Weekly Action Plan Page 3 – 7 Plan Structure Page 8 Provisional List of Resources Page 9 Dissertation Page 10 – 27 References Page 28 – 30 Presentation
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The nurse will educate the pt and the pt’s family about the seriousness of pneumonia and how to comply with treatment in order to maximize therapeutic effect and facilitate healing. When a patient and their family are educated about illness‚ medications‚ and other treatments‚ they are more likely to be interested in their healthcare and comply with the plan. An infection of the lungs triggers an inflammatory response‚ which results in edema in the alveoli. As a result of pulmonary edema‚ gas exchange
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Unit 4222-237 Dementia Awareness (DEM 201) Assessment Criteria Outcome 1 Understand what dementia is Explain what is meant by the term “dementia” The literal interpretation of the word ’dementia’ means deprived of mind. Is usually taken to mean mental deterioration or group of conditions/disorders of brain. Specific diseases eg Alzheimer’s Disease‚ Parkinson’s Disease‚ Cerebral Vascular e.g. stroke. Describe the key functions of the brain that are affected
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Nursing Assessment of the Postpartum Patient Date of data collection:___13 November 2014___ Patient initials _K.M.___ Age__28_ PP day _1__ (# days since delivery- 0‚ 1‚2 3‚ etc) Grav _4__ Para _3__ Term _3__ Preterm _0___ Ab_0__ LC___ Weeks gestation @ delivery (via EDC) _39.2____ Weeks gestation at delivery (from neonatal maturity rating/Ballard exam):_ 40_____ Date/time of delivery _12 Nov. / 1640_________ Labor onset - induced or spontaneous (circle one) If induced: indication (why)
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This therapeutic care plan will utilized the “I can treat and prescribe framework” to ensure that appropriate patient treatments are selected using a step by step approach‚ including assessment integration‚ drug and/or disease related problems‚ therapeutic goals‚ therapeutic alternatives and indications‚ plan of care and evaluation (OPHCNPP‚ 2012). By going through each step of this framework‚ and including or excluding treatment options based on individual patient factors and strong clinical evidence
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CASE STUDY IN NCM-103 (CARE OF CLIENTS WITH PROBLEMS IN OXYGENATION‚ FLUID AND ELECTROLYTE BALANCE‚ NUTRITION AND METABOLISM AND ENDOCRINE) Submitted to : Mr. Darren N. Constantino Submitted by : Olive Keithy Ascaño CASE STUDY 1 1. a. The possible fluid and electrolyte imbalances that the 78-year-old woman may experience are hyponatremia‚ hypokalemia and hyperkalemia because of nausea and vomiting that are common in these imbalances. b. The following interventions are
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DEVELOPMENT Page 58 Dementia multiple choice questionnaire Page 59 Read Catherine Gibbs’s practice profile on diabetic ketoacidosis Page 60 Guidelines on how to write a practice profile Promoting positive approaches to dementia care in nursing NS562 Hoe J‚ Thompson R (2010) Promoting positive approaches to dementia care in nursing. Nursing Standard. 25‚ 4‚ 47-56. Date of acceptance: July 27 2010. Summary This article provides an overview of factors relevant to dementia care today. The number
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Richard J. Daley College Nursing 101 Data Collection for Care Plan Section I – Demographic Data: Patient Initials: K. J. Sex: Female MSWD: Married Age: 44 No. of children: 1 Occupation: Disabled Section II- Admission Data 1. Date admitted: 10/19/2007 2. Admitting diagnosis: Hematomesis‚ melanotic stools‚ cirrhosis‚ hepatorenal syndrome. 3. Allegries: Codiene 4. Signs and symptoms on admission: jaundice appearance‚ lethargic‚ oriented x 1‚ vomiting bright red blood‚ has had
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