Create comprehensive nursing care plan

Assignment Help Science

Reference no: EM133851405

Case Study

Meet the Client: Mr. Wilson

Mr. Wilson is a 78-year-old widower, seen today by an Advanced Practice Registered Nurse (APRN), the healthcare provider (HCP) at the community ambulatory care clinic. He is accompanied by his daughter, who is concerned about his increasing forgetfulness, anxiety, and wandering in the house at night. He has a history of coronary artery disease, hypertension, and NIDDM. He was diagnosed with Mild Neurocognitive Disorder due to Alzheimer's disease one year ago.

Mr. Wilson's daughter moved into his home 6 months ago to help care for him. She works full-time as an engineer for the city. Mr. Wilson has managed his ADLs and medication administration until this past month. His daughter purchased a pill organizer to help him remember to take his medication, and she leaves him prepared lunches when she goes to work, which he forgets to eat.

The nurse administers the Mini-Cog assessment tool. Mr. Wilson has poor short-term memory, is easily distracted, and is orientated to person and place only. Mr. Wilson's vital signs are:

· BP 90/60 mmHg

· T 100° F (38° C)

· HR 92 beats/min

· R 28 breaths/min

· blood glucose 30

Onset and Diagnosis:

Mr. Wilson is upset about visiting the NP and he tells the office RN that there is nothing wrong with him. The RN notes that Mr. Wilson's face is flushed, and he is wringing his hands. He states that he does not know why he is at the clinic. He stands by the door, shuffling his feet.

Nursing Care Plan

Five Nursing interventions (including rationales)

Identify four nursing diagnosis (actual) based on the case study scenario and create a comprehensive Nursing Care Plan only using 1 nursing diagnosis.

Include 1 short-term goal and 2 long-term goals in your planning/goals section. Make sure your goals are SMART!

Ensure to include evaluation criteria (how will you evaluate if the goals were met).

What are the subjective and objective data of this case scenario?

Reference no: EM133851405

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