Nee help with filling out my care plan NUR 111 Case Study #4 Dr. P….Nee help with filling out my care plan NUR 111 Case Study #4 Dr. P….

Question Answered step-by-step Nee help with filling out my care plan NUR 111 Case Study #4 Dr. P…. Nee help with filling out my care planNUR 111 Case Study #4 Dr. P. has required multiple knee replacement surgeries and is ready to be discharged after a recent right knee replacement.  He is 72 years old and lives alone.  He is being discharged to home with a cane.  He states, “I have never used a cane before.”  He confides that he is “afraid of taking a tumble” and has “never fallen before.”  He has a history of arthritis and an unsteady gait.   He is taking Oxycontin as needed for pain.  His hemoglobin is 10.1 after surgery.  His vital signs are stable.  Today is blood pressure is 120/76 lying, 102/68 sitting and 94/60 standing.   Use the care plan template from BLACKBOARD. Refer to your NANDA list and the Ackley and Ladwig textbook to identify an appropriate nursing diagnosis Once you have identified the appropriate nursing diagnosis, you will need to reference your Ackley text to develop a plan of care for Dr. P. Cluster the data in the case study into the appropriate objective and subjective categories Select one Short term and one Long term goal for Dr. P.  Make sure your goal is SMART! Select four nursing interventions to assist your client in reaching his goal.  Include the rationale for each intervention.  Remember the rationale for each intervention is written in italics in your Ackley text and can be found right after each specific intervention. The intervention must help Dr. P achieve the goal you have established for him. Write a nursing order for each intervention. Follow the guidelines to assist in writing the responses and evaluations Make revisions or document why no revisions were needed. Make sure you have references noted on the careplan where indicated.   nanda list: Activity IntoleranceActivity intoleranceRisk for Activity intolerance Mobility Impaired bed MobilityImpaired physical MobilityImpaired wheelchair MobilityImpaired WalkingSedentary Lifestyle Airway ProblemsIneffective Airway clearanceImpaired Gas ExchangeRisk for Aspiration Injury / InfectionRisk for FallsRisk for InjuryRisk for InfectionRisk for BleedingDelayed Surgical Recovery Fluid VolumeDeficient Fluid volumeFluid volume excessRisk for deficient Fluid volumeRisk for imbalanced Fluid volume ThermoregulationHyperthermiaHypothermia Hygiene/ Grooming Readiness for enhanced Self-careBathing Self-care deficitDressing Self-care deficitFeeding Self-care deficitToileting Self-care deficit BowelConstipationPerceived ConstipationRisk for ConstipationDiarrheaBowel incontinence UrinaryFunctional urinary incontinenceOverflow urinary incontinenceReflex urinary incontinenceStress urinary incontinenceUrge urinary IncontinenceRisk for urge urinary incontinenceImpaired Urinary eliminationReadiness for enhanced Urinary eliminationUrinary retention Nutrition NauseaNutrition Imbalanced: less than body requirementsOverweightReadiness for enhanced NutritionImpaired SwallowingImpaired Dentition Skin / Tissue Impaired Skin integrityRisk for impaired Skin integrityImpaired Tissue IntegrityRisk for Ineffective cerebral Tissue perfusionDecreased Cardiac Output PainAcute PainChronic Pain Sleep/ Rest FatigueDisturbed Sleep Pattern CommunicationImpaired verbal CommunicationImpaired Memory KnowledgeDeficient Knowledge (specify)Readiness for enhanced KnowledgeNoncomplianceIneffective health Maintenance Emotional AnxietyFearRelocation stress syndromeRisk for Relocation stress syndromeSocial IsolationAcute ConfusionChronic Confusion  Client Care Plan Client Initials __________ Date ____________Student _______________________Instructor______________Complete prior to clinical day: Nursing Diagnosis List (from NUR111 NANDA list): Clinical Practice Guidelines-(E-Health on assigned client)      Choose one Nursing Diagnosis from the list above and complete belowCues (organized as Subjective or Objective):Subjective:                                                                         Objective:Complete Nursing Diagnosis Revisions:Outcome Statements (Short and Long Term)ST:  LT:      Evaluation of Outcome AchievementST:    LT:Revisions:ST: LT: Nursing Interventions (minimum of 4 with rationale, individualized nursing orders, and patient response) 1Assessment Intervention: Source:                                  Pages:Rationale:N.O.:Pt. Response/Evaluation:2Teaching Intervention:Source: Pages: Rationale:N.O.:Pt. Response/Evaluation:3Action Intervention:Source: Pages: Rationale:N.O.:Pt. Response/Evaluation:4Action Intervention:Source: Pages: Rationale:N.O.:Pt. Response/Evaluation:Revisions: 1.2.3.4.    References: W= Wilkinson & Treas: p.__________ A=Ackley & Ladwig: p.__________ I= Ignatavicius & Workman: p.___________ EHR=CPG___________ Health Science Science Nursing NUR 111 Share QuestionEmailCopy link Comments (0)