Question

due Jan 20 This is a graded discussion: 100 points possible M1D1: Using the Nursing Process This discussion question requires you to review NUR3014: Critical Thinking and the Nursing Process Tutorial. This is a free resource available to all enrolled ADN students. Please review the slide presentation in Module 3: The Nursing Process. Please listen to the audio clip about Red Yoder on slide 11, and then answer the discussion question below. You are the RN caring for Red Yoder. Based on the scenario heard in the audio clip, the following diagnoses can be included in the plan of care: Caregiver role strain Impaired tissue integrity Disturbed sleep pattern Initial Discussion Post: Choose one diagnosis to develop Identify what relevant data you will cluster to support one (1) of the identified NANDA-I nursing diagnoses Write a measurable outcome with a time-frame for this client Identify 2 interventions that will move the client towards the outcome you identified Base your initial post on your readings and research of this topic.
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Answer #1

Impaired skin integrity related to complication of diabetes as evidenced by open wound on big toe.

Subjective data

I had worn new shoes after that this wound developed

Objective data

Open wound can be seen on big toe

Outcome

Patients wound will be kept clean and free from further infection

Patient will understand the foot care after nurses demonstration and verbalisation to prevent future complications with diabetes

Interventions

Patients wound will be changed daily and proper hand hygiene will be performed before and after dressing change.

The nurse will verbalize and demonstrate the patient how to prevent future foot injury and how to take foot care to prevent complications of diabetis

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