Nursing Care Plan Clinical 1 week 11 PDF

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Nursing Care Plan Student(s) Name: Jennah Farnell Patient’s Initials: D.L Assessment Data

Date: November 15, 2019 Medical Diagnosis: Nursing Diagnosis and Related Goals Resident has impaired spontaneous ventilation due to possible asthma. Resident experiences anxiety. The resident has impaired memory loss.

S: Resident is not verbal.

O: Resident has audible sounds of chest wheezing. She appears to have anxiety over small occurrences. she has short term memory loss. Resident appears to be repetitive, flushed, and confused at times.

STG: Resident will be able to calm herself when feeling anxious by November 22, 2019. LTG: Resident will begin using inhaler to improve chest wheezing by November 29, 2019. LTG: Resident will have pictures posted around room to provide cognitive memory by December 29, 2019.

Nursing Interventions and Rationale -Nurse will spend more time with resident to provide reassurance when anxious. Astle, B. J., Duggleby, W., & Potter, P. A. (2019). Canadian fundamentals of nursing. Milton, Ontario, Canada: Elsevier Canada, a division of Reed Elsevier Canada, Ltd. (pg. 516) -Nurse will calm resident with breathing exercises. This will prevent the shortness of breath from progressing. RNpedia. (2019, June 6). Asthma Nursing Care Plan & Management. Retrieved from https://www.rnpedia.com/nursingnotes/medical-surgical-nursingnotes/asthma/. -Nurse will present resident with instructional pictures. This will give the resident a better understanding of their environment. Astle, B. J., Duggleby, W., & Potter, P. A. (2019). Canadian fundamentals of nursing. Milton, Ontario, Canada: Elsevier Canada, a division of Reed Elsevier Canada, Ltd. (pg. 415)

Evaluation Met:

Partially Met: resident has partially met goals as she needs more time and instruction of what to do.

Not Met:...