Care Plan Essay

previous ones. The main reason for this was the fact that I was the required to actively take part in the assessment, planning, implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements. My preceptor had explained to me the process involved in care planning for a patient on the unit, the doctor will do the majority of the assessment, the nurse carries out the risk assessment and completes Roper Logan and Tierney

When Jim first attends hospital a care plan will be put into place to ensure quality patient care. When structuring the care plan Jim 's history, medication and allergies will be recorded followed by his daily routines and his personal needs. In order to produce the care plan a risk assessment will need to be carried out. A plan of the action will then be enforced, this plan will then be implemented and evaluated at the end to see whether Jim has taken to the treatment or whether he has deteriorated

he may currently be on, whether he has dentures as well as his weight and BMI. During this phase, communication with the patient and family is essential to ensure that correct information is obtained so that a proper informed decision concerning his care can be made. In this case there may be some barriers that may effect the assessment process and that is the speech of Mr. smith is sometimes slurred, therefore he may need his wife to answer some of the more complex questions that require more than

Nursing Diagnosis # 1 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

individualise patient care. In the 1970s this became more structured when the nursing process was introduced by the general nursing council (GNC), (Lloyd, Hancock & Campbell, 2007) .By doing this their intentions were to try and understand the patient in order to give them the best care possible (Cronin & Anderson, 2003). Through the nursing process philosophy care plans were written for patients. It was understood that this relationship would ensure the patient received the best care possible to suit

clear and appropriate boundaries established at the beginning, that are based on the needs of the patient solely. With this in mind, the nurse creates a nursing care plan that is unique and individualized for the patient allowing for interventions that are tailor to fit his or her needs. I had the opportunity to create a nursing care plan for a patient that I recently cared for. My patient was diagnosed with bipolar type I and major depressive disorder and had been admitted for worsening of depression

identifies an actual or potential response of a patient to a health problem (Jones 2009). Nursing diagnoses are important because they provide the foundation for the selection of nursing interventions (Walton 2008). This care plan is the concluding half to the initial care plan that identified nursing diagnoses and goals with the aim of promoting the holistic wellbeing, mental health, and independence of a 68 year old Mr. Bertoli who has returned home from hospital after experiencing a stroke. Particular

to the care that is delivered to a patient and examine the significance of the use of models and frameworks in the nursing process. It is intended to identify a patient with biopsychosocial needs that requires nursing intervention. Their holistic plan of care will then be critiqued in relation to the nursing model and framework utilised by the nursing staff. Knowledge will be demonstrated of the importance of utilizing evidence-based practice when creating an individualized plan of care. “The

Analysis and Action Plan: Adams 5, Inpatient Rehab Unit Savetria Nicole Palmer Walden University NURS 2006 Section 13, Topics in Clinical Nursing September 21, 2014 Quality is a broad term that encompasses various aspects of nursing care (Montolvo, 2007). The National Database of Nursing Quality Indicators [NDNQI] is the only national nursing database that provides quarterly and annual reporting of structure, process, and outcome indicators to evaluate nursing care at the unit level (Montolvo

Nursing Theory Plan of Care Theoretical Foundations of Practice NUR/513 March 05, 2012 Nursing Theory Plan of Care Ida Orlando literally wrote the book on the function of nursing. Her theory of the deliberative nursing process outlines a dynamic nurse-patient relationship in which the nurse uses his or her senses of perception together with deliberate actions to create an individualized care plan for each patient. Results of current research on the application of her theory follow

NURSING CARE PLAN Student Justin De Vera Date 3-12-16 Instructor Professor Vaughn Course 316L Patient Initial X.L Unit/ Room# 310 DOB 12-21-1989 Code Status Full Code Height/Weight 5’6’’ and 150 lbs. Allergies NKDA Temp (C/F Site) Pulse (Site) Respiration Pulse Ox (O2 Sat) Blood Pressure Pain Scale 1-10 97.8 F 74 18 99% Room Air 125/78 7/10 History of Present Illness including Admission Diagnosis & Chief Complaint (normal & abnormal) supported with Evidence Based Citations Physical Assessment

References Gulanick, M., Myers, J.L. (2013). Nursing care plans. Diagnose, interventions, outcomes. USA: Mosby. Grading Criteria for Weekly Assignments Assignment Points Possible Points Earned Instructor Comments Health Assessment 50 points Physical assessment 30 30 Admission

The plan of care I would use for Susan is strength based strategies. I believe that this technique would embrace her strengths in respect to the reoccurring traumatic events in her life and it would be a starting point for positive change. I would not want to draw attention to her “problems” or “what is wrong” because she may get defensive or may not be ready to face her problems. I do not want to come off as an expert ready to fix or address the issues and not allow the client to participate in

Part A This portfolio entry requires an assessment and care plan to be presented incorporating the nursing process based on a client that I assisted in the care of during my clinical placement. The patient on which the care plan will be assessed will be a 72 year old female, May Watters who I assisted in the care of during clinical placement in the Emergency Department (ED). May Watters is a pseudo name to ensure confidentiality to An Bord Analtrais standards (ABA 2000). May was brought in by

| CONTENT OF THOUGHTNormal for Age/Culture ☐Suicidal Thoughts ☐Suicidal Plans ☐Assaultive Ideas ☐Homicidal Plans ☐Antisocial Attitudes ☐Suspiciousness ☒Poverty of Content ☐Phobias ☐Obsessions/Compulsions ☐Feelings of Unreality ☐Feels Persecuted ☐Thoughts of Running Away ☐Somatic Complaints ☐Ideas of Guilt ☐Ideas of Hopelessness

Nursing Care Plan Assessment equals Data Collection + Analysis | Nursing Diagnosis – Actual/Potential | Nursing Goal(SMART) | Nursing Interventions/ActionsInclude Rationale/Reference | Evaluation | Female Age : 85Code status: Full Code initially but changed to DNR on 14/Jan-2012Primary diagnosis: PancytopeniaReason for Hospital Admission: Fall at home. Allergy: PenicillinMedical History: Pacemaker, Hypertension, Fall at home, Bradycardia, Hyperlipidemia.Neurological: Alert, Oriented x 4.Diet

24/7 care that David would need. After his admission in the nursing home, his care plan manager holistically assessed all the needs and preferences by asking him and his son and daughter-in-law. The resources were identified such as his preference to eat vegetarian food and visit Church during weekends. The care plan manager set targets while making a care plan which involved David and other professionals such as speech and language therapist, health care assistants and a nurse. Then, the care plan

Introduction Care planning is very important part of nursing. According to the Department of Health (2007) it is a holistic approach that recognises that medical needs are not the only issue with a person that is in hospital. It helps people to achieve the outcomes they want for themselves through truly personalised services and promoting health and well being. According to Leach (2007) care planning generates great benefits to client and staff by organising care by establishing common treatment

Implement and monitor nursing care for clients with acute health problems. Contribute to complex nursing care of clients. Administer and monitor medications. Administer and monitor IV meds. Assessment 2 Post-op Case Study Assessment 2 Question 1. Identify a minimum of 5 nursing actions, in order of priority you would perform related to above information. Mrs Abu has had a considerable change in her vital signs (blood pressure lowered, her pulse is rapid, her respirations increased

Obama care is a plan introduced in the US with the aim of reforming the existing health sector. The introduction of the plan was in the form of a bill that was later signed into law in 2010 by President Obama (Manchikanti & Hirsch, 2009). Also, Obama care is referred to as Affordable Care Act (Manchikanti & Hirsch, 2009). The act aims at introducing reforms in the American Health care system offered to the citizens. The Act provides Affordable Quality Insurance to the American citizens so as to help