Case Study Grid
University of Phoenix Material Case Study Grid List five factors of the patterns history that demonstrates nursing needs. 1. Limited social support In and out of the hospital 2. Weight loss 3. Lack of knowledge about the importance of self-breast examination 4.
Smokes approximately two packs of cigarettes a day. 5.
No emotional support from her spouse, and abusive spouse Complete the table below with the following information: Formulate three nursing diagnoses using the Problem, Etiology, and Signs and Symptoms (PEES) format and the taxonomy of AND. The diagnoses must be based on the case study, be appropriate, be propelled, and be formatted correctly. For each nursing diagnosis, state two desired outcomes using NCO criteria.
Desired outcomes must be patient-centered and measurable within an identified timeshare. For each outcome, state two nursing interventions using NICE criteria as well as one evaluation method. Interventions and the evaluation method must be appropriate to the desired outcomes. Provide rationale for each nursing diagnosis, and explain how PEES, AND, NCO, and NICE apply to each diagnosis. SE a Mullen of three peer-reviewed resources, and create an PAP formatted reference page.
Acute pain related to radical hysterectomy as evidenced by report of 8/10 pain and grimacing Desired Outcome 1 Patient will report minimal pain with minimal interference of Addles by hospital day 2 Desired Outcome 2 Patient will demonstrate use of relaxation skills and divisional activities by the end of hospital day 3 Nursing Intervention 1 Determine the location, frequency and duration of pain In a scale of 0-10 Provide non hierological activity measures like repositioning and offering comfort measures Nursing Intervention 2 Administer analgesics as indicated and also Inform patient of the expected therapeutic effects and discuss management of side effects Encourage use of stress management like music therapy, therapeutic touch Evaluation method Asking the patient to rate the pain in a scale of (MO Patient is able to demonstrate Rationale Provides baseline data to evaluate need for intervention and also provides realistic expectations.
Promotes relaxation and refocus attention and also enables patient to participate in the care Nursing Diagnosis 2: Imbalanced nutrition related to inadequate food intake as evidenced by loss of weight Patient will demonstrate selection of foods that will help achieve cessation of weight loss by the end of day 2 Desired Outcome 2 Patient will gain lbs. Per week for the next 2 weeks Nursing Intervention 1 Monitor laboratory values that indicate well-being e. G. , total lymphocyte count, serum transferring, and albumin/ Precambrian.
Weigh patient weekly Maintain strict input, output and caloric count Explain importance of adequate nutrition Evaluation method Have the patient keep a daily diary Patient is able to explain the importance of adequate nutrition Rationale Provides objective data regarding nutrition Necessary to make accurate nutritional assessment Nursing Diagnosis Risk for infection related to invasive procedure and malnutrition Patient wall remain tattered Ana concave timely annealing tonguing ten noses tall stay Patient will be able to identify and participate in interventions to prevent/reduce risk of infection Nursing Intervention 1 Monitor the patient temperature Promote good hand washing procedures by staff and visitors. Screen/limit visitors who may have infections.
Nursing Intervention 2 Administer antibiotics as indicated Emphasize personal hygiene. Check the temperature every hours . Early identification of infectious process enables appropriate therapy to be started promptly. Limits potential sources of infection and/or secondary overgrowth.