Question

Please help

Patient is 72 year old. patient has a problem are CHF, COPD, Sob, and history with PTSD, MDD, Anxiety, HTN, CA kidney

Base on patient problem, Please help me question below

1. Nursing Diagnosis #1)

a. State rationale for choosing this diagnosis:

b. Nursing Process: Planning and Intervention: Goals and Interventions: Develop one goal and four interventions for each diagnosis. One intervention should include patient education.

Goal (S.M.A.R.T.):

c. Nursing Interventions to achieve goal:

1.

2.

3.

4.

d. Evaluation: Please describe how your patient met/did not meet goal:

2. Nursing Diagnosis #2)

a. State rationale for choosing this diagnosis:

b. Nursing Process: Planning and Intervention: Goals and Interventions: Develop one goal and four interventions for each diagnosis. One intervention should include patient education.

Goal (S.M.A.R.T.):

c. Nursing Interventions to achieve goal:

1.

2.

3.

4.

d. Evaluation: Please describe how your patient met/did not meet goal:

Answer 1

Physiological nursing diagnosis are for this patient are :-

Nursing diagnosis - Shortness of breath related to disease condition COPD and CHF evidenced by usage of strenuous muscles.

Nursing interventions :-

- Assess the vitals of the patient

- Provide the patient semi Fowler's position

- Administer oxygen by mask or nasal cannula as per doctors prescription .

- Teach patient deep breathing exercise , coughing exercises

- provide a calm environment for the patient

- provide patient psychological support and relieve anxiety related to shortness of breath

Nursing diagnosis - Chronic back pain related to disease condition cancer of kid ey evidenced by facial expression

Nursing interventions :-

- assess the vitals of the patient

- assess the pain using pain scale

- administer analgesics as per physicians instructions

- use non pharmacological methods like distraction , music all therapy etc

Nursing diagnosis - Edema related to hypertension and congestive heart failure.

Nursing interventions :-

- assess the vitals of the patient

- assess the grade of edema

- administer antidiuretics , antihypertensives and medications for congestive heart failure as per the doctors instructions

- monitor weight of the patient daily as it is the best method to evaluate the edema .

- administer IV fluids and oral fluids with appropriate measure as excess might adverse the edema