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Course Project Milestone - Research Paper Example

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COURSE PROJECT MILESTONE #2 Institute Date Course Project Milestone #2 Analyze Assessment Data: Based on the health history information, identify the following: A. Areas for focused assessment The patient’s areas of strength are her mental, emotional, and psychiatric state…
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Course Project Milestone

Download file to see previous pages... Most of her body systems are well and functioning as they should (Kotecki, 2011, p. 170). The areas of weakness are her related traits and habits, and experiences of mild headaches. There are times when the patient feels so stressed by her past experiences. B. Client’s strengths The patient is active and exercises on a daily basis. She jogs and is involved in some activities in the community. This helps her kip fit and good shape, something that has helped her keep off most diseases (Kotecki, 2011, p. 170). Another area of strength for the patient is her health patterns. The patient ensures that she eats a healthy diet, and does not oversleep (Kotecki, 2011, p. 174). More to that, the patient’s excretory system is normal. To deal with her stresses, the patient attends stress management classes where she learns how to avoid the stress from affecting her health. Another area of strength is that she is a spiritual woman and has a positive attitude towards life and all around her. All these have helped the woman to remain and stable, keeping off diseases that are likely to attack her and especially at her age. C. Areas of concern The woman complained of a persistent pain under her breast bone that lasted for quite some time. She also complained of some difficulties in breathing which prompted her to visit the health facility. One area that may place the woman’s health at risk is her habit of smoking and taking of alcohol(Golden, Fred, Heath, & William, 2009, 34). The woman tends to smoke heavily especially when under a lot of stress. This could place her at risk of acquiring problems especially with her respiratory system. Another area of weakness is that the lady was diagnosed with hypertension. This makes even her habit of smoking more risky. The patient is also allergic to Penicillin, because years back, she had developed a rash after an injection had been administered to her years back. The patient has a history of depression and anxiety which resulted after she lost her husband 10 years ago. Her anxiety is due to the fact that she has not seen her grandkids yet and this increases her chances of getting a heart attack. The patient suffers from mild headaches that could be a result of anxiety and depression. D. Health teaching topics The patient needs to be given more classes on how to deal and manage her levels of stress, so as to reduce the chances of having a heart attack or suffering from high hypertension levels. The patient will also need to be taught about the dangers associated with smoking and especially for a person with hypertension and at her age. 2: Nursing Care Plan Next, plan your care based on your analysis of your assessment data: A. Diagnosis The patient’s priorities are having the best health care services at an affordable price. She does all she can to ensure that she remains healthy and free from chronic diseases which she says are not worth wasting resources over. With this in mind, the best nursing diagnosis is the wellness nursing diagnosis. B. Plan One goal that the wellness nursing diagnosis is expected to meet is that the patient’s health gets improved and the hypertension levels kept low. The expected outcome is that the patient will be in a more stable state of health. It is also expected that the headaches will reduce and hypertension levels will remain low. C. Intervention Intervention 1: to define and state a desired BP by explaining hypertension and the effects it has on body. Rationale: To increase the ...Download file to see next pagesRead More
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