1.Subjective data(verbalized by patient)
2.Objective data (observed and all simple procedures to diagnostic tests)
3.Assessment
4.Nursing Diagnosis intervention and outcomes
Questions for Case Study 1. List the subjective data? 2. List the objective data? 3. What...
Recognizing Subjective and Objective Data and Nursing Diagnoses A. The risk for Aspiration (Inhaling fluids) B. Activity Intolerance F. Ineffective Breathing Pattern C. Anxiety G. Ineffective Airway Clearance D. The risk for Impaired Skin Integrity E Fears H. Impaired Skin Integrity 1.) Mrs. Ballard is admitted to your unit. She says she “just feels tired all the time”. You perform your assessment and find that her lungs are clear, she is short of breath after walking only 20 feet, her...
Based on the subjective and objective data gathered what will be the diagnosis, short term goal and nursing interventions. Nursing Interventions Data 1. Subjective Data: Patient stated, "they do witchcraft here" alongside incoherent speech. 2. Objective Data: Patient is alert x3; however, patient seemed out of touch with reality. Patient exhibit flight of ideas as he engaged in dialogue. 3. 4. Nursing Diagnosis/Problems Priority #1 5. 6. Short Term Goal Evaluation
List subjective observations and objective findings after reading each of the case studies Case Study 1 Mrs. Smith is 25 years old and was brought into the emergency Department of College Hospital with complaints of difficulty breathing and chest pain. Her vital temperature of 101 ° F and pulse rate of 90. Respirations are labored 30/min. Blood pressure is 140/80. Her skin is warm and signs show an elevated at diaphoretic. She states, "This condition the past 3 days." has...
List and describe the steps of the nursing process: subjective data collection; objective data collection; validation of data, documentation of data, and analysis of data. . Describe the steps of the analysis phase of the nursing process. Compare and contrast the four basic types of nursing assessment: (a) initial comprehensive (b) ongoing or partial (c) focused/problem-oriented (d) emergency Explain how the nurse’s role in assessment has changed over the past century. Discuss what the nurse’s role might be 25 years...
List and describe the steps of the nursing process: subjective data collection; objective data collection; validation of data, documentation of data, and analysis of data. . Describe the steps of the analysis phase of the nursing process. Compare and contrast the four basic types of nursing assessment: (a) initial comprehensive (b) ongoing or partial (c) focused/problem-oriented (d) emergency Explain how the nurse’s role in assessment has changed over the past century. Discuss what the nurse’s role might be 25 years...
Case Study #2 Angela, a 40 y/o female client, was admitted to the hospital for significant weakness which has gotten worse over the last year. She attributed the symptoms to working long hours required as part of her job as a chief executive officer (CEO) of a large corporation. When the symptoms first started they would resolve with rest so she thought they were due to fatigue. Recently Angela has had vision changes and difficulty urinating. The nurse has performed...
Nursing Concept Map on Amyotrophic lateral sclerosis 1. nursing Diagnosis 2. pathophysuology 3. Subjective data 4. Objective data invluding diagnostic test, and labs 5. Smart Goal within 8 hours of nursing interventions 6. Brief History of the patient, what brought them to the hospital 7. 3 Interventions with Rational 8. 2 Drugs used for ALS with rationals
Write one Nursing Care Plan from each of the case studies: either case study 1 or case study 2 your choice. Total 9 NCPs Submit each NCP in an individual email. Use essay format to write your NCP using this grading rubric. Objective: the student will demonstrate gained knowledge of the disease process and apply it using critical thinking skills to the specific data in the case study The rubric you will be grade by is: PNUEMONLA Medical Diagnosis 1)...
Case Study #3 Read the instructions and questions in the case study below. All answers should be complete, include rationale, and have a citation. This assignment is graded by rubric in the Syllabus and Important Documents. Scenario The couple have expressed a desire for non-pharmacological pain control during the labor. Describe the Gate-Control Theory of pain and discuss three methods of assisting the couple to achieve their goal of non-pharmacological pain control during the labor. 2. The client calls the...