Hey guys! So I'm a 1st year nursing student & my class just recently started to do Care Plans. Unfortunately, I'm just not understanding how to do it. My professor just basically touched base on it & by the end of class, EVERYONE in class was equally confused. I understand the Nursing Assessment but I can't seem to apply this knowledge to make an accurate care plan. Please help! I have to at least make 4 Nursing Diagnoses as well as complete the care plan but I'm not sure if I'm doing this right. So far I have "Constipation R/T poor eating habits a.e.b. anorexia." Am on the right track?
I.J. is a 78-year-old woman admitted to the hospital with a Dx of heart failure. I.J. lives by herself in her own home. Her Sx are severe fatigue, poor memory, & concentration. Her hair looks dull; she is pale & has anorexia & constipation. She is also very sensitive to the cold. She has 2+ edema in her feet & legs. Her heart sounds are distant. Her lung sounds are diminished but clear. Her BP is 110/60, heart rate 56, respiratory rate of 20. She is 5'3" & weighs 142 lbs. Her daughter states that Mrs. I.J. weighed 157 lbs at the physician's office 6 months ago & that she has eaten very little for several weeks. Mrs. I.J. smoked 20 years ago. Past Hx included CVS 10 years ago with no deficits noted.
In the hospital:
Code status - limited
Diet - Cardiac
Activity - OOB to chair 3x / day, BRP
Medications:
Lasix 40mg PO daily
K-Dur 20 mEq PO daily
Aricept 5 mg PO HS
Lopressor/HTC 50/25 mg PO daily
Hydromorphone hydrochloride 1 mg IV q 4 hours PRN
Coumadin 2 mg PO daily
Megace 4 mg PO daily
Lab results:
WBC - 9.8
RBC - 3.57
Hgb - 10.0
Hct - 29
Platelets - 127
Potassium - 3.5
Sodium - 135
INR - 2.5
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Hey guys! So I'm a 1st year nursing student & my class just recently started to do Care Plans. Unfortunately, I'm just not understanding how to do it. My professor just basically touched base on it & by the end of class, EVERYONE in class was equally confused. I understand the Nursing Assessment but I can't seem to apply this knowledge to make an accurate care plan. Please help! I have to at least make 4 Nursing Diagnoses as well as complete the care plan but I'm not sure if I'm doing this right. So far I have "Constipation R/T poor eating habits a.e.b. anorexia." Am on the right track?
I.J. is a 78-year-old woman admitted to the hospital with a Dx of heart failure. I.J. lives by herself in her own home. Her Sx are severe fatigue, poor memory, & concentration. Her hair looks dull; she is pale & has anorexia & constipation. She is also very sensitive to the cold. She has 2+ edema in her feet & legs. Her heart sounds are distant. Her lung sounds are diminished but clear. Her BP is 110/60, heart rate 56, respiratory rate of 20. She is 5'3" & weighs 142 lbs. Her daughter states that Mrs. I.J. weighed 157 lbs at the physician's office 6 months ago & that she has eaten very little for several weeks. Mrs. I.J. smoked 20 years ago. Past Hx included CVS 10 years ago with no deficits noted.
In the hospital:
Code status - limited
Diet - Cardiac
Activity - OOB to chair 3x / day, BRP
Medications:
Lasix 40mg PO daily
K-Dur 20 mEq PO daily
Aricept 5 mg PO HS
Lopressor/HTC 50/25 mg PO daily
Hydromorphone hydrochloride 1 mg IV q 4 hours PRN
Coumadin 2 mg PO daily
Megace 4 mg PO daily
Lab results:
WBC - 9.8
RBC - 3.57
Hgb - 10.0
Hct - 29
Platelets - 127
Potassium - 3.5
Sodium - 135
INR - 2.5