Scenario
Michelle Mason is a 62-year-old African American female who lives at home alone. She has been under the care of her PCP for hypertension and diabetes. Recently she has not been feeling well, she complains of dizziness and fatigue. The dizziness has caused her to be afraid to leave the house. The fatigue has caused her to lose interest in her ADLs. She has been sleeping throughout the night and most of the day, in addition she has not been in contact with her friends or her family.
Instructions:
Develop a Care Pan for Michelle Mason with:
1. Three priority nursing diagnoses
2. One goal for each nursing diagnosis
3. Three interventions for each goal
4. A rationale for each intervention
5. One evaluation for each goal
CLINICAL APPLICATION OF THE NURSING PROCESS TOOL
Name _________________________
Course _________________________
Instructor _________________________
Client’s initials:__________
Actual Developmental Stage: _________________________
Gender: _____ Age: _____ Perceived Developmental Stage: _______________________
Reason for admission (if applicable) _____________________________________________
|
Analysis (nsg.dx) |
Expected Outcomes (client goals) |
Implementation (nursing interventions) |
Rationales (Why? w/ references) |
Evaluation (of goals) |
Scoring Code Key Student Name: _____________________
S – Satisfactory
NI – Needs Improvement
U – Unsatisfactory
Please submit this scoring criterion with the Care Plan.
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Area to be scored |
Scoring code |
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1. Analysis |
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0. Determined basic needs of the client which are threatened |
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0. Nursing Diagnosis are in priority order based on Maslow’s Hierarchy of Needs, and ABC’s (airway, breathing, circulation) |
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All parts of the nursing diagnoses present and appropriate (Diagnosis statement, Related to (R/T) factors, patient specific – as evidenced by (AEB) subjective and objective (S / O) data) |
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1. Plan |
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1. Goals are appropriate (time specific, measurable, focused, realistic) and related to the Nursing Diagnosis |
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1. Measures to accomplish goal are appropriate |
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1. Rationale |
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2. Uses scientific principles |
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2. Reference sources are noted |
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1. Implementation |
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3. Nursing actions carried out are specific and appropriate for goal attainment |
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1. Evaluation |
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4. Describes clients responses to nursing interventions |
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1. Determines the extent to which goals have been met (States goal attained, not attained or partially attained) |
COMMENTS:
Prince George’s Community College
Department of Nursing
NUR 1020: Library Assignment
Lesson Objectives:
1. Choose a topic from the list below
2. Print a copy of an article chosen from a nursing journal* related to your topic
3. Create a reference page in APA format for the chosen article
4. Provide a 1page summary of the article
5. Upload a copy of the article and summary to blackboard by week 6 . This is due on your clinical day during week
Please note
*The journal must be peer-reviewed, written by a nurse within the last 5 years *
Topics:
1. Hypertension
2. Diabetes
3. Congested Heart Failure
4. Client Education
5. Safe medication administration, Choose two from below
1. Oral Medication
2. Intramuscular
3. Subcutaneous
4. Intravenous
6. Restraints
7. Mobility or immobility and nursing care
1. What is recommended in the literature for post- surgical clients
8. Pressure sores and/or wound care
1. Prevention
2. Management
9. Fluid and Electrolytes
