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Prority # 3 Imbalance nutrition less than body requirements discuss with the client basic food grouos that are required for improvement rationale- It will determine the clients basic knowlege and undersatnding dicusss foods like/dislike #4 Insomina determine the clients sleep and activity pattern rationale the amt of sleep the client need will result or varies with their age #5 ineffctive coping encourage the pt to identify their strenght and weakness rationale- pt will develop strategies for their coping mechanism

for the tissue perfusion i would elevate the affected foot with a pillow this would promote good circulation.

for each priority I came up with a diagnosis and also a rationale. For ineffective airway clearance r\t asthma aeb sob wheezing etc for my rationale I would encourage the client to take deep breath as it would promote oxygenation

The change of shift report tells you that Ms. Brenda Paisley, a 35years old homeless woman was admitted with acute asthma and cellulitis of her right foot. She had a very restless night. She is still dyspneic at 28 breaths/min and still demonstrating inspiratory and expiratory wheezes and complains of shortness of breath. She is maintaining an oxygen saturation of 90 to 92 % on oxygen at 2L/min via nasal cannula. On examination, she is restless but oriented to person, place and time. Her skin is cool and moist. She states, I don't feel so good and my foot is really hurting me. I don't feel like much breakfast because of the pain and the difficulty breathing”. She further states, I don't know what is happening to me. I can't make it to the bathroom and so I just wet myself and the bed. I feel so embarrassed”. V/S BP: 149/88, P:98, R:28, O2 Sat: 90%, T: 99.1 need rationale and assessment so far my diagnoses are ineffective breathing pattern, tissue perfusion, sleep disturbance, imbalance nutrition and ineffective coping.

The change of shift report tells you that Ms. Brenda Paisley, a 35years old homeless woman was admitted with acute asthma and cellulitis of her right foot. She had a very restless night. She is still dyspneic at 28 breaths/min and still demonstrating inspiratory and expiratory wheezes and complains of shortness of breath. She is maintaining an oxygen saturation of 90 to 92 % on oxygen at 2L/min via nasal cannula. On examination, she is restless but oriented to person, place and time. Her skin is cool and moist. She states, I don't feel so good and my foot is really hurting me. I don't feel like much breakfast because of the pain and the difficulty breathing”. She further states, I don't know what is happening to me. I can't make it to the bathroom and so I just wet myself and the bed. I feel so embarrassed”. V/S BP: 149/88, P:98, R:28, O2 Sat: 90%, T: 99.1

can anyone help The change of shift report tells you that Ms. Brenda Paisley, a 35years old homeless woman was admitted with acute asthma and cellulitis of her right foot. She had a very restless night. She is still dyspneic at 28 breaths/min and still demonstrating inspiratory and expiratory wheezes and complains of shortness of breath. She is maintaining an oxygen saturation of 90 to 92 % on oxygen at 2L/min via nasal cannula. On examination, she is restless but oriented to person, place and time. Her skin is cool and moist. She states, I don't feel so good and my foot is really hurting me. I don't feel like much breakfast because of the pain and the difficulty breathing”. She further states, I don't know what is happening to me. I can't make it to the bathroom and so I just wet myself and the bed. I feel so embarrassed”. V/S BP: 149/88, P:98, R:28, O2 Sat: 90%, T: 99.1 need to identify the five priority needs for the patient in order to do my assessement, so far I have breathing, that would be dyspneic, restless nights - disturbed sleep pattern, ineffective tissue perfusion. can someone help please

The change of shift report tells you that Ms. Brenda Paisley, a 35years old homeless woman was admitted with acute asthma and cellulitis of her right foot . She had a very restless night. She is still dyspneic at 28 breaths/min and still demonstrating inspiratory and expiratory wheezes and complains of shortness of breath. She is maintaining an oxygen saturation of 90 to 92 % on oxygen at 2L/min via nasal cannula. On examination, she is restless but oriented to person, place and time. Her skin is cool and moist. She states, I don't feel so good and my foot is really hurting me. I don't feel like much breakfast because of the pain and the difficulty breathing”. She further states, I don't know what is happening to me. I can't make it to the bathroom and so I just wet myself and the bed. I feel so embarrassed” .V/S BP: 149/88, P:98, R:28, O2 Sat: 90%, T: 99.1 INSTRUCTIONS: 1. From the above case, identify the five priority needs for the patient giving rationale for each need indicated. (5 marks) 2. Write 5 appropriate assessment from the case based on the need selected (one per need). (5 marks) 3. Select an appropriate NANDA label for each assessment you have written from the 2015-2017 copy (find this document uploaded in the learning resources). (5 marks) 4. Write a client related goal (short/ long term) for each Nanda label. ( 5 marks) 5. In your own words state five (5) interventions for each goal. ( 12.5 marks) 6. APA referencing, Times New Roman, size 12, double spacing. (2.5 marks)