Nursing Care Plan For Nursing - 3666 Words

Nursing Care Plan Student: Caitlin Dade Course: NURS 101L Date: 8/01/14 Instructor: Mr. Hocevar Patient Initial: O.D. Age: 43 Height/Weight: 188lbs/5’5† Unit: Medical Surgery Room# 4210 Code Status: Full Code Allergies: NKDA Temp (C/F Site) Pulse (Site) Respiration Pulse Ox (O2 Sat) Blood Pressure Pain Scale 1-10 Temp (C/F Site) Pulse (Site) Respiration Pulse Ox (O2 Sat) Blood Pressure Pain Scale 1-10 97.2 F orally 110 BPM radial 21 RR 97% RA 109/60 mmHg 0/10 History of Present Illness including Admission Diagnosis Relevant Physical Assessment Findings(normal abnormal) Relevant Diagnostic Procedures/Results Surgeries (include dates, if not found state so) O.D. is a 43 year old Hispanic female who was brought into the emergency room (ER) by an ambulance because she was having another episode of gynecologic hemorrhage. She has uterine fibroids, which are benign tumors so these cause her to bleed excessively. She could not get her self to stop bleeding so her son called the paramedics (911) and they came and picked her up. She lost so much blood during this hemorrhage incident. O.D. is awake, alert, oriented to person, place, event, and time. The female patient speaks Spanish but she can speak basic English and I am able to communicate with her without an interpreter. The patient experienced chronic blood loss, andShow MoreRelatedNursing Care Plan3233 Words   |  13 PagesNursing 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, oxygenRead MoreNursing Case And Care Plan Essay1447 Words   |  6 Pages 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 theRead MoreEvaluation Of The Nursing Care Plan1229 Words   |  5 PagesIndirect care is delegated by the nurse to a different provider or accomplished on behalf of the patient such as an interdisciplinary partnership. Other interventions available to the nurse include independent, dependent, and collaborative. Implementing the â€Å"doing† step includes monitor versus q4h which means â€Å"every 4 hours†; teaching the potential complications of hypertension to instill the importance of maintaining Na re strictions, teaching the patient about the amount of sodium restriction,Read MoreEssay on Nursing Care Plan2695 Words   |  11 PagesIntroduction: 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 hospitalRead MoreEssay Nursing Care Plan1805 Words   |  8 PagesNursing 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 understoodRead MoreThe Care Plan For The Nursing Home1296 Words   |  6 Pagesbeen 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 C hurch during weekends. The care plan manager set targets whileRead MoreNursing Care Plan and Specimens Essay891 Words   |  4 PagesAnalysis 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 (MontolvoRead MoreNursing Care Plan: Impaired Parenting1414 Words   |  6 PagesImpaired Parenting is a nursing diagnosis that should be considered for all parents who are having a child. There are many classes available to new parents that can be taken before childbirth takes place. These classes will inform parents how to take care of their newborn child, as well as, mentally prepare each family member what their role will be with the birth of their new child. The National Center on Shaken Baby Syndrome says that in 2003, 1,300 infants in the United States died from beingRead MoreNursing Theory Plan of Care Essay2122 Words   |  9 PagesNursing Theory Plan of C are 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 followRead MoreEssay on nursing care plans example2103 Words   |  9 Pagesand compliant with treatment Place of birth: USA. Cultural background: American. Social activities: cooks when she is bored, raking in the garden. Community Resources utilized: no need. Other pertinent data: no. Priority Nursing Diagnosis List at least five (5) Nursing Diagnoses for the client you cared for during this week’s clinical experience in order beginning with highest priority. Answers must reflect patient’s needs at time of assessment and be in appropriate order of priority. 1. Ineffective