Nursing Care Plan Essay

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

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

Nursing Critique Since the early 1900’s nurses have been trying to improve and 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

Introduction: A nursing diagnosis 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

been referred to the nursing home by his son and daughter-in-law because he had been diagnosed with dementia which made his family members unable to provide him 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

Nursing Case and Care Plan William Smith is a 68-year old man who was transferred to the Palliative Care ward from a surgical ward three days ago. The patient was admitted on January 26, 2013 for removal of a sacral abscess that had been a source of a lot of pain to him. Following his surgery, his future management was evaluated and it was decided that he would be transferred to the Palliative Care ward since he could not be discharged home. The palliative assessment of Smith would require the

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

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 & treatment data 5 5 Psychosocial/cultural 5 5 Priority nursing diagnoses 10 10 Nurses’ Notes 15 points 12 Your notes are slightly “choppy”

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

Psychiatric Clinical Nursing Assessment Jennifer Stokes Daytona State College Directions: Please assess your client and place an X in the appropriate box to represent level of severity of each symptom. Patient Initials | EM | Physician | Dr. Singh | Date | 08/07/2013 | | Not Present | Very Mild | Mild | Moderate | Moderately Severe | Severe | Extremely Severe | SOMATIC CONCERNS – preoccupation with physical health, fear of physical illness, hypochondriasis | ☐ | ☐ | ☒ | ☐ | ☐ | ☐ | ☐