Base on the subjective data and objective data develop a nursing care plan with a nursing...

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Base on the subjective data and objective data develop a nursing care plan with a nursing...

Base on the subjective data and objective data develop a nursing care plan with a nursing diagnosis, 1 short term goal, 4 nursing interventions with rationales and an evaluation.

Subjective Data:Patient stated, “I don’t have any mental illness. I don’t know why I am here. I came because my left leg was leaking.”

Objective Data: Patient believes she is at the hospital solely to treat her ulcers on her left leg.

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Answer 1

Answer #1

1)Disturbed thought process related to disease condition as evidenced by irrational thinking, saying something is leaking from leg

Short term goal:

To relieve the patient from irrational thoughts and think about the reality

Nursing intervention with rationale and evaluation

Assist the patient in undergoing any procedures to rule out the cause
Orient the patient to time place ,surrounding to know about the reality
Reduce for en activities because thus may threaten the patient and make him withdrawn from the treatment
Encourage in group activities to get diverted
Avoid negativism to gain his confidence by preventing fighting thought.

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Answer 2

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