Wednesday, February 27, 2019
Nursing Theorist Essay
Formulate 3 nursing diagnoses victimization the Problem, Etiology, and Signs and Symptoms (PES) coiffe and the taxonomy of NANDA. The diagnoses must be based on the case study, be provide, be prioritized, and be formatted correctly.For severally nursing diagnosis, state 2 desired outcomes using NOC criteria. Desired outcomes must be affected role of-centered and measurable within an identified timeframe.For each outcome, state 2 nursing interventions using NIC criteria as well as 1 evaluation method. Interventions and the evaluation method must be appropriate to the desired outcomes.Provide rationale for each nursing diagnosis, and explain how PES, NANDA, NOC, and NIC defy to each diagnosis.Use a minimum of 3 peer-reviewed resources, and create an APA formatted point of reference page. treat Diagnosis 1 Urinary Retention R/T AnesthesiaNursing InterventionsDesired outlet 1Desired Outcome 2Nursing Intervention Visually inspect and palpate decline abdomen for distention (Mosby 2012).Patients abdominal girth impart not increase and distention leave decrease. Patient pass on confront free of abdominal pain r/t urinary retention. Nursing Intervention 2 Urinary Catheterization (Mosby 2012) Patient will empty bladder 30ml an hourPatient will demonstrate exculpated technique if playing self-catheterization. Evaluation methodMeasure input and output hourly to aim accurate measurements. Make sure catheter is free of kinks to allow for decent waste pipe RationaleKeeping accurate records of I/O will vouch that the patient is evacuating properly. Ensuring patient is free of pain will promote less(prenominal) anxiety and musical accompaniment snappy signs within range. Educating patient on clean technique will promote an environment with less bacteria and save risk of infection lower.Nursing Diagnosis 2 Risk for contagion/RT Urinary CatheterDesired Outcome 1Desired Outcome 2Nursing Intervention 1 Infection ControlPatient the Great Compromiser free of in fection, as evidenced by normal vital signs, and absence seizure of purulent drainage from wounds, incisions, and tubes (Mosby 2012). Infection is recognized early to allow for speedy treatment (Mosby 2012). Nursing Intervention 2 Infection Protection discover patient to wash hands often, especially after toileting, before meals, and before and after administering self-care (Mosby 2012). Teach patient importance of eating well equilibrize meals to promote healthy regimenal status. Evaluation methodEvaluate patient perform self-care as to promote further education. Allow patient to show and demonstrate understanding of proper nutrition andsigns of infection. RationalePatients with indwelling catheters deficiency to be shown clean techniques when being discharged home. Educating patient on proper hand washing will promote clean environment and keep patients risk of infection lower. Educating patient on the early signs of infection will promote prompt medical intervention. Educat ing patient on proper nutrition and importance of well balanced meals will promote faster mend of incision and lower patients risk of infection.Nursing Diagnosis 3 ail R/T Postoperative painDesired Outcome 1Desired Outcome 2Nursing Intervention 1 judge need for pain relief (Mosby 2012)Anticipating pain may result in medicating at a lower dose to keep patient gentle. Maintaining a take of comfort where the patient is not begging for relief. Keeping vital signs stable while maintaining the patient comfortable. Nursing Intervention 2 reply immediately to complaint of pain (Mosby 2011)Creates a trusting relationship with patient to ensure open lines of communication. Allows the patient to know that you are empathetic to their pique and that they are not alone. Evaluation methodEvaluate scheduled propagation of medication administration. Round hourly on the patient as to check the patient that their needs will be met. Educate patient on medication administration time so they are no t hold until their pain is at a level 8 before they pick up for relief. Evaluate the responses from the patient as to ensure that they are odouring comfortable with the care. RationaleAnticipating pain will allow the nurse to be on time for the patient in pain. Creating that trusting relationship with the patient will allow open lines of communication with the patient which will in plow allow for better care and outcome. Educating a patient on when to use up for medication will ensure that the patient never reaches a level of extreme pain. Treating your patient with compassion and empathy will allow for the patient to feel satisfied with the care they are receiving and create a trusting relationship. lengthinessSwearingen, P. L. (2012). All-in-one care planning resource medical-surgical, pediatric,maternity, psychiatric nursing care plans (3rd ed.). Philadelphia, PAElsevier/Mosby.Gulanick, M. (2011). Nursing care plans diagnoses, interventions, and outcomes (7thed.). St. Louis, Mo. Elsevier Mosby.Doenges, M. E., & Moorhouse, M. F. (2002). Nursing care plans guidelines forindividualizing patient care (6th ed.). Philadelphia F.A. Davis.
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