In this Assessment nursing course, one of the major things that is taught is the most important part of giving proper care to a patient. Correct patient assessment is needed before any nursing care plan or treatment can be implemented. This post-review of a person’s assessment will demonstrate the proper way to go about assessing a person’s health.
If M.G. is currently following her fluid and salt restriction strictly but is still exhibiting the symptoms of fluid
Throughout this complete health assessment, I will approach my patient, a 49 years old, female, married patient, and perform a head to toe examination. Starting with the gathering of information, I will start with biographic data, reason for seeking care, present illness, past health history, family history, functional assessment, perception of health, head to toe examination, and baseline measurements. The subjective data will be collected first, where the patient will provide necessary information about every organ system for further examination while the objective data will be amassed in every system based on my findings. This assignment serves as an opportunity to establish a nurse-client interpersonal relationship that
Which of the symptoms Cari’s has described are due to the lack of oxygen and reduced oxygen exchange in her tissues?
This assignment will present a nursing care study of a patient on a cardiac ward. The patient will be referred to as Ann to maintain confidentiality (NMC, 2008). Ann’s consent was gained prior to starting this care study. The care study will be developed using the Nursing process and the Roper, Logan and Tierney model. These will both be outlined. The assignment will focus on the assessment process and one problem identified during the assessment and the nursing care which followed this.
The aim of the essay is to demonstrate the process of a patient assessment and care plan formulation in accordance with the assignment instructions. It is based on a case study, which illustrates a patient who has a diagnosis of paranoid schizophrenia, the patient was admitted to a medium secure hospital unit, please see appendix for more details of the case study. The pseudonym Peter will be used to address the patient to maintain confidentiality as required by the Nursing and Midwifery Council(NMC,2008).Firstly the essay will explore the philosophies of CPA; Care Programme Approach and then demonstrate the assessment of a patient with an assessment tool and including the formulation of a care plan.A KGV assessment tool was utilized(Lancashire,1998).In addition,the essay will examine and analyse the strengths and limitations of principles and philosophies which underpin existing service models for instance biopsychosocial model which is applied in mental health care delivery.Subsuently the essay will demonstrate an in-depth analysis of holistic assessment principles within mental health care.Futhermore the essay will analyse collaborative working in relation to planning and
The aim of this assignment to explore the assessment and care planning phase of nursing process, communication and interpersonal skills related to a chosen case study. Nursing process is the systemic organised approach used by the nurses to improve the quality of nursing care and it consists of mainly five steps, assessment, diagnosis, planning, implementation, evaluation (RCN,2016) this essay also explain the basic pharmacology and nurses responsibility in medicine administration related to the case study. This essay focused on a 70 year old lady, shoo was admitted in the surgical ward during my placement. She was diagnosed with oesophageal cancer recently and now admitted with swallowing difficulty and neck pain. The patient is referred
Consider a fluid restriction to prevent possible fluid overloading due to his decreased renal function (Vera, 2011).
Ineffective breathing pattern related to decreased oxygen saturation, poor tissue perfusion, obesity, decreased air entry to bases of both lungs, gout and arthritic pain, decreased cardiac output, disease process of COPD, and stress as evidenced by shortness of breath, BMI > 30 abnormal breathing patterns (rapid, shallow breathing), abnormal skin colour (slightly purplish), excessive diaphoresis, nasal flaring and use of accessory muscles, statement of joint pain, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity
After reading your post i agree with your response of not choosing Risk for Electrolyte Imbalance. Deficient Fluid Volume was more appropriate since the definition explains that there is decreased intravascular, interstitial, and/or intracellular fluid (Ladwig, Ackley, & Makic Flynn, 2014). This refers to dehydration, water loss alone without change in sodium which is an electrolyte. The symptoms, such as dry mucous membranes, thirst and dizziness that the patient in question presented with in the Emergency Room were more specific to fluid output exceeding the fluid intake.
Your post is very true because we should give special attention to the alcohol withdrawal presented by the patient and we must assess the same and take the necessary measures. “Because all older patients are different and unique in their mental health needs, the nurse should choose the most appropriate nursing outcomes to establish the effectiveness of the nursing care plan” (Tabloski, 2014, p.185). I agree with you that the level of anxiety the patient is presenting will be a precipitating factor for other risks such as suicide, social isolation and major mental complications. The multidisciplinary team is very important to be incorporated into the patient's treatment and together achieve stabilize them for when they are ready and well to
There are five nursing problems that may arise as a result of the patient’s primary diagnosis. First problem is she has poorly managed of hypercholesterolaemia, this is a risk factor of stroke. Second problem is she has erratic blood glucose level (BGL), she has type 2 diabetes, and therefore her BGL needs to be well managed. Third problem is she does not believe she is unwell enough to attend to the local indigenous health care services, she needs to attend to the health care services to maintain her health. Fourth problem is Mary’s blood pressure is remained elevated at 140/97. She has hypertension, so she needs a better management of her blood pressure. Fifth problem is Mary has hearing deficit. She may difficult
The purpose of this assignment is to illustrate the ability in a nursing context, to take information given on an assigned Case study scenario and carry out a complete documentation of a care plan for the patient and her specific problems that are present at the given time.. For the plan of care, I will look more in-depth at the scenario and case study provided for Mrs Greta Balodis, focusing on Day One post op care as requested for the documentation provided by the course co-ordinator. Assessing relevant care of Greta, with a view to the information from the case study. Using a full and complete care plan, the information will present in more detail two long term and two short-term key goals and the rationale of the
Nurses are a vital component in patient care. The importance of conducting efficient nursing assessments is critical in order to provide both patient-centered care and safe, effective patient healing. Nurses are often responsible for taking care of patients with very complex disease processes. They frequently provide care to patients with illnesses such as Chronic Obstructive Pulmonary Disease (COPD). According to the Centers for Disease Control and Prevention, in 2014, approximately 6.8 million adults were diagnosed with COPD within the Unites States. The completion of proper assessments and initiation of interventions for these patients are crucial in order to prevent further complications of the illness.
It was during my first week clinical placement in the ward when I came across with the Waterlow risk assessment tool. My mentor made sure that I got all the risk assessment tools commonly used in the ward as these will play a key part in my duty as a qualified staff nurse. True enough, this risk assessment tool became visible in every patient’s charts and serial risk assessment was done on a weekly basis.