Running Head: Assignment 1 – Essay Assignment 1 – Essay – Care Plan A University Name Subject Name Instructor Name Assignment 1 – Essay – Care Plan A Introduction In order to decide each diagnosis, the NANDA – 1 list (Crisp and Taylor, 2009) and Handbook of Nursing Diagnosis (Carpenito-Moyet, 2006) have been used…
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The method of prioritization has also been clarified in the beginning of the discussion part. The paper stresses the importance of sincere nursing practices and steady and prompt intervention coupled with preventive measures and advanced examinations. Discussion Method of Prioritization The diagnoses have been prioritized as per the emergency assessment of each. The fear of risk along with lack of mobility is most serious since there can be sudden accident due to the patient’s low confidence and body balance problems. The diagnosis of bruising and skin tear can be indicative for more serious conditions like pressure ulcer. Polypharmacy is a relatively less severe condition since it can be gradually addressed. Bowel irregularities are the most chronic and common condition, so this problem is at the end of the priority list. Diagnosis 1 Mrs. Blackwell, aged in her 80, fell at home and subsequently underwent a right total hip anthroplasty. Now she has restricted mobility due to previous falls and recent surgery. She expresses fear of falling again and she finds it hard to use the walking frame. All these facts prove that she has fear of fall along with restricted mobility. Goal: To help Mrs. Blackwell improve her Get Up and Go Test rating by 75% in the next 5 weeks. Also, Falls Risk for Older People in the Community rating for her should be bettered by 80% in this timeframe. Rationale: I will plan low intensity and low impact exercise schedule for Mrs. Blackwell to initiate effective nursing intervention in this case. Exercises like Tai Chi (Harling and Simpson, 2008) can help her regain her body balance and confidence. This exercise also helps in minimizing depression. This sort of intervention has been widely supported by modern research. Instead of medication and psychiatric treatment it is wise to emphasize the importance of light physical exercise. Physical therapy approach can help in reducing fracture and fall risk among the older adults to a considerable extent (Karinkanta et al, 2010). Physical exercise and therapy should be such that they help in restoring body balance. Restoration of body balance can be effectively achieved by the means of individual adaptive and specialized programmes. Group training is a significant initiative in this direction (Halvarsson et al, 2011). Therefore I will try to better Mrs. Blackwell’s social network and involve her in the community efforts for the elderly. Last but not least, I will examine her improvement and response to the intervention techniques by using Get Up and Go Test (Brown and Edwards, 2008) to assess the body balance and confidence levels. The Falls Risk for Older People in the Community rating (Russell et al, 2009) is also important in this context. Diagnosis 2 Mrs. Blackwell has the problem of bruising and a skin tear on her left knee. This can be an indication for a serious underlying problem like pressure ulcer. At this stage, skin integrity risk is already evident. Goal: To help the patient to decrease her skin integrity risk. The aim is to reduce the risk by at least 60% as per the Skin Integrity Risk Assessment Tool in the next 5 weeks. Rationale: I will categorize Mrs. Blackwell as a “frail elder” (White, Karam and Cowell, 1994, p. 95) as she is showing signs of skin integrity complications. Skin integrity can be adversely affected due to epithelial tissue breakage. In the case of an
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(Care Plan A Nursing Assignment Example | Topics and Well Written Essays - 1000 Words)
“Care Plan A Nursing Assignment Example | Topics and Well Written Essays - 1000 Words”, n.d. https://studentshare.org/nursing/1431002-assessment.
It is also related to a loss of muscle tone, which is the result of periods of extremity flaccidity, as well as hypertonia of affected extremities. A fear of further injury also results in the patient being reluctant to move, and this also affects the patient's ability to be mobile after a stroke (Ulrich & Canale 2005, p.
The nursing system ensues at that point of time when the nurse intervenes with the patient either to prescribe medication or to provide care that is intended to take care of self-care deficit and regulate his or her own capabilities of self-care (Orem, 1985; cited in Comley, 1994).
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This study was conducted to identify the challenges faced by managers in fulfilling their duties, role and responsibilities; and to find out whether or not there is a difference in challenges faced by inexperienced managers and those faced by experienced managers.
She was admitted to the hospital for assessment and evaluation of her progressive neurological disorder that led to her declining cognition and gradually deteriorating mobility and overall frailty. Moreover, as indicated in the history, her husband, Mr. Change being an 86-year-old man she has considerable lack of support at home.
Advanced age slows the healing process.
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"Nursing Informatics is a specialty that integrates nursing science, computer science and information science to manage data, information, knowledge, and wisdom in nursing practice" (Giannini, 2010, p. 1).
Obviously, only having to click a mouse to retrieve or input information would be made much simpler.
Overt cues may be client statements as “I am going to kill myself.” Covert cues may be client statements as “Nothing seems helpful, I want to have a good rest” (Videbect, p.121).
Encourage the client to have an “emotion notebook”
She was shifted to a stronger antibiotic which managed to reduce her coughing but did not completely stop it. She did not seek medical care despite her persistent cough and only when she was having difficulty
The rationale for using this theory is that it has been fully detailed and explained to fit into the Mr. Tan situation. In addition to that, the pain assessment tool shall be used to justify the assessment. As such, Mr. Tan’s nursing needs which
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