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Question
During this phase of the nursing process you will analyze the assessment data obtained on Mr. McClelland upon admission to your long-term care facility to identify his health status, including strengths, problems, and factors contributing to the problems. An abbreviated admission database is provided for you to facilitate your work through the diagnostic process and formation of the pertinent nursing diagnoses for Mr. McClelland.
Mr. Robert McClelland, an 81-year-old, is a new admission from the local hospital to your long- term facility. After Mr. McClelland's last bout with pneumonia and congestive heart failure, his wife of 59 years has decided she is no longer able to care for him at home. Mrs. McClelland states "He has just gotten too weak and can't help me care for him. I am so afraid he will fall and hurt himself. I am so worn out trying to care for him myself. I have to bathe him and remind him to eat; sometimes I've had to feed him myself or he won't eat. He can be so forgetful. I hope I am making the right decision for him, because he never wanted to go into a nursing home.
1. Why is the diagnostic phase of the nursing process critical to the development of the plan of care?
2. How could the use of the medical diagnosis to determine appropriate nursing diagnoses be detrimental to Mr. McClelland?
3. Describe the 4 types of nursing diagnoses that may be identified for a patient?
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