Can you please help me make a nursing care plan? please please. all nurses.please.

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Uhm our teacher ave us this as a kinda exam and can't failed please help me.

this i base on maslows hierarchy of needs and we need to make it as gordonds functional health patterns and the make the nursing care plan with the.SUBJECTIVE AND OBJECTIVE DATA, DIAGNOSIS, OUTCOME IDENTIFICATION, IMPLEMENTATION, EVALUATION, TYPES OF DIAGNOSIS, INTERVENTIONS OF IT. SO PLEASE HELP. I ALREADY MADE IT BUT IM NOT SURE I WANT STILL YOUR HELP I DON'T WANNA FAILED.

so the patient is jeniffer

this is the info:

Physiological Needs:OXYGENATION

nonsmoker all her life,

respirations22, lungs clear, no cough, no complaints of dyspnea on movement: pulse 84, strong and regular: no heart murmurs, denies any chest pain; 2-3 second capillary refill of fingernals beds; no ankle or leg edema; skin pink and slightly dry.

TEMPERATURE MAINTENANCE:

T:98.6; denies any fever in last 2 weeks; states "I'am rarely sick".

NUTRITIONAL - FLUID

weight 156, height 55, reports good appetite; has maintained same weight over last 10 years; no known food allergiesl goes out to lunch two to three time per week with friends.

ELIMINATION

last bowel movement 10/16: normal pattern qod; denies stool is hard or difficult to pass; occasionally takes laxative at bedtime if necessary, no problems with urination, though some stress incontinence with coughing or sneezing.

REST-SLEEP

sleeps 6 to 7 hours per night; may nap in the afternoon; no use of sleeping pills.

PAIN AVOIDANCE:

rates knee pain as a 6 on a scale of 1-10 states, "When it is bad, te Tylenol doesn't touch it anymore. It really interferes with the things I enjoy doing".

SEXUALITY-REPRODUCTIVE:

lives with 80-yr old husband who is frail and weak, " I don't know what he would do without me. He can't cook for himself or really be safe overnight alone. What if he falls?" has never been in the hospital wit the exception of childbirth; two children, ages 42 (son) and 35 (daughter), both living out of state.

STIMULATION-ACTIVITY:

college graduate; speaks fluent Spanish; enjoys friends playing cards, and water aerobics; spends afternoons at senior center with her husband and friends; she drives during the day; her husband no longer drives.

SAFETY-SECURITY NEEDS

She is alert and oriented; mini-mental status score of 30 (no cognitive impairment); good vision with bifocals.

LOVE-BELONGING NEEDS

Has been maried for 48 years; she describes her husband as "all right as long as I am ther to look after him. That is the roblem when I have to be in the hospital: Who will do for him?"

SELF-ESTEEM NEEDS

"I need to be able to get my work done and help my husband. I cannot live like an invalid or frail old lady dependent on others for everything.

SELF-ACTUALIZATION NEEDS

"We have a wonderful life, full of friends and enjoying our children and grandchildren".

Then Turn this one to

GORDON'S FUNCTIONAL HEALTH PATTERNS.

AND NURSING CARE PLAN.

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Specializes in med/surg, telemetry, IV therapy, mgmt.

you're not sure you want help?

what you've posted looks like the data classified into maslow's hierarchy of needs.

gordon's functional health patterns is another assessment style. you need to take all that data you posted above and organize it the way gordon would do it. it is a test of your ability to classify symptoms. if your nursing program did not provide you with information about gordon's functional health patterns here are weblinks to help you, but i am not going to do this part for you:

assessment is step #1 of care planning. complete this part of the care plan first and then we'll talk about the nursing diagnoses.

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