Psy 270 Week 5 Nursing Care Plan

Based on the progress report dated 03/28/16 by Dr. Bakhos, the patient presents for follow-up of his right knee

The patient was a female on her 80s who was admitted to the hospital because of the COPD exacerbation. She had a history of stroke with minor residual effects, smoking, hypertension, and schizoaffective disorder - a chronic mental condition that is manifested mainly by the symptoms of schizophrenia, such as hallucinations or delusions, and mood disorder symptoms like manic or depressive episodes (NAMI, 2017). Patient length of stay was more than 300 days. She had two daughters who visited her everyday.

I believe the best way for Ron to effectively respond to what the client’s concerns are but before doing so, Ron will have to plan as well as prepare before meeting with the client (Johnston & Marshall, 2009). Before starting the negotiating process, Ron will need to identify what is important to the client, this includes determining goals, areas for trade as well as alternatives to the stated goals (Kelchner, 2018). Ron will have to be able to listen to what it is that the customer needs and if possible try to meet those same needs. The client knows that you will do whatever it is to keep them satisfied, so they may work with you to see if you are able to provide their needs. The next thing Ron will need to do is to say what he means, and

The client has completed our graduate program and is currently working part time. The client will be moving into an apartment with her two by the end of the week. It must be noted that the client is now optimistic about her future and more cognizant about her strengths. My work with the client was based upon a helping relationship. During the intake session goals were created based upon the client’s needs. My role as a social worker was explained in detail to ensure that the client was aware of the contracting process. I could communicate my expectations within the boundaries of a collaborative relationship by allowing the client to make modifications and changes based upon expert knowledge of her situation (Poulin, 2010). At no point are services with a client terminated. We continue to make follow-up phone calls each month, to make sure that the client is doing okay.

This week, I was given the opportunity to care for two female patients – 205(1) and (2). The first patient, 205-1, was admitted with respiratory distress and had a past medical history of hypertension, schizophrenia and bipolar disorder. She was initially put on 2 L/min of oxygen and placed on oxygen titration protocol with orders to maintain O2 saturations between 88-92%. The patient was oriented to person and place, but had difficulty with time. She was also obese (BMI 30) and deemed a moderate assist with ambulation. Her care plan included total assistance with ADLs, smoking cessation and oxygen protocols, limited salt intake (3mg), and chronic pain management. The second patient, 205-2, was admitted with a right pelvic fracture and had

Health History: A 25-year-old male injured his left knee in a recent skiing accident. The patient stated that he lost his balance because the inner edge of his right ski got caught while skiing. This resulted in the right leg being externally rotated followed by and audible “pop” as he lost footing. By evening, the right knee joint had become swollen, causing intense pain. The primary care physician referred the case to an orthopedist.

Internet or Professional Article Research and how the info in the article applies to your patient.

by a nurse equivalent is equivalent to care provided by a physician.. In addition, the

An example of how I have used evidence-based care for a patient was using the stroke protocol. As soon as the patient arrives to the ED whether it was by EMS or private vehicle and is suspected of having a stroke(CVA), a code white is called. The nurse that will take care of the patient at first will transfer the patient over to get a CT scan, a tech will assist as well to get all the patient information they can to enter them into the computerized system, and a physician will go as well. Once the CT scan is finished the physician will determine if it is a hemorrhagic stroke. If it is they will have an emergency surgery to save the patient’s life. If it is not hemorrhagic they will be transferred back to the ED and the physician will determine if the patient has a thrombus or

This assignment will critically discuss the nurse’s role in assessment and care planning for a patient in a case study. Confidentiality which is required by the NMC (Nursing Midwifery Council, 2008) and the Data protection Act (1998) will not be broken through out the assignment because the case study used is a scenario not a fictional character. The care plan will focus on Jean’s incontinence needs using The Roper, Logan and Tierney model (2000).

The first diagnosis believe the doctor would look at, is Runner’s Knee. It’s the basic inflammation and pain of the knee joint from overuse and/or running on cement. Some genetic problems like flat feet, hip mobility and structure and body weight could also be a reason for the pain, but fall under the same diagnosis as runner’s knee. An inflamed sac of fluid that is used to cushion the knee while it moves could be causing the pain due to inflammation, called bursitis may be another concern. A patellar dislocation could also be the fault from having a knee that keeps slipping off its track causing pain and swelling. A meniscus or ligament tear cause by joint catching of the cartilage or ligament getting stuck may also be an issue, which could

1. Selecting a mate: Although patient is single, she has many friends. Patient was happy to introduce her friends that came to visit. Introductions were all made as friends, no boyfriend or husband mentioned.

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, oxygen saturations of 85-95% 2L NP, immobility 95% of the day, and adventitious sounds throughout lungs (crackles) secondary to CHF, hypertension, pain caused by gout and arthritis, and obesity

Reflecting on experiences and composing nursing care plans are just two of the many fundamental skills involved in nursing (Day, Trotter, Hill, Haines & Thompson, 2014). This essay will include four nursing care plans, two related to actual nursing problems, and two related to potential nursing problems. Additionally, included within this essay, using Gibbs reflective cycle (Gibbs, 1988), will be a reflection recounting a situation the writer experienced while on practical placement in a local rest home.

Based on the information gathered from the initial physical therapy evaluation and examination, the patient’s subjective and objective findings determined the patient’s prominent impairments. The patient’s postural changes, generalized weakness, fatigue, muscle shortening and patellofemoral pain contributed to her abnormal lateral tracking of the patella, inability to walk long distances, stand for prolonged periods of time, and complete ADL with ease. The patient presented with a forward flexed posture of the spine, which can be associated with the weakness of the trunk and core musculature. Tightness of the hamstrings justifies postural changes and lack of full knee extension. Shortening of the ITB contributes to patellofemoral pain secondary