Identify associated body system affected by kidneys disease

Reference no: EM132240608 , Length: word count:1500

NURSING DIAGNOSIS: PLAN OF CARE

What is your nursing diagnosis? Your entire plan of care is built off of this - Risk for fluid volume deficient & acute pain related to vomiting as evidence by patient vomiting greenish fluid and report abdominal pain.

Identify the main Body System involved: peritoneum (small intestines, large intestines, liver, gallbladder, pancreas and spleen).

Identify associated Body System(s) affected by disease: immune system, kidneys.

Desired Outcomes in measureable terms -

Body System assessment measurements
Body System Labs or Dx. Tests affected
Associated Body System(s) affected measurements
Other Bedside measurements (e.g. V.S., I&O, etc.)

Integrated Pathophysiology and Summary

List patient's age, gender & admitting diagnosis and reason for admission (chief complaint).

Explain your patient's current health status by describing your patient's acute disease process(es) r/t current diagnosis. Connect disease to pt's lab values, diagnostic tests results, and assessment data. Connect other diseases/ chronic diseases, if involved, and how affecting.

In relation to the diseases above, explain how patient's medications, medical treatment, and nursing care are overcoming patient's disease state, to help this patient. Include fluid balance, dietary intake, elimination, activity/ADLs changes and other interventions in discussion.

What has to happen medically for this pt to be allowed to be discharged?

What do you need to see in your patient with the following before you discharge patient?

What is the likelihood (or not) of discharge occurring to home? If not, where else should patient go?

What home health services would you recommend be set up to expedite recovery for this patient after discharge (if applicable).

Discuss economic, social support and environmental barriers that would cause this pt to be readmitted in 30 days.

Note - Need 1500 + words. Define normal for this patient. Are you talking about a regular rate of BMs or formed stool vs liquid? What about bowel sounds? Abdominal tenderness or rigidity? What about albumin levels as an indicator of nutrition levels?

Reference no: EM132240608

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Reviews

len2240608

2/22/2019 11:20:44 PM

Need 1500 + words. What is your nursing diagnosis?? Your entire plan of care is built off of this. Define normal for this patient. Are you talking about a regular rate of BMs or formed stool vs liquid? What about bowel sounds? Abdominal tenderness or rigidity? Your patient was EXTREMELY nauseated. Should you be tracking this? What about albumin levels as an indicator of nutrition levels. These are associated with the main body system. This section is supposed to be for the associated body systems to identified about (immune system, kidneys) What does this have to do with the peritoneum? You missed this step! See my example below and complete this. In hospice patients with metastatic stage 4 cancer who have decided to not receive treatment, does having support from loved ones help them to find peace with their decision better than those without support. If you do not have evidence that these nursing diagnoses are happening then the correct format is “Risk for…r/t…” if you do have Evidence then you need to list it.

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