Reference no: EM133356955

Case Study: Mary Smith is a 29 year old divorced mother of 2 young children aged 4 and 6. She has no family living in Ontario. She was diagnosed with Multiple Sclerosis about 5 years ago and the disease has progressed quite rapidly. She now depends on a walker for ambulation and has experienced episodes of dysphagia recently. She had colon surgery 1 year ago due to bowel adhesions from her 2 C-Sections. She now has an ileostomy that has been producing large amounts of foul smelling, watery effluent. She tells you that she's embarrassed to go out due to leakage around her appliance and the odour. When you ask her about her diet she tells you that she's on a fixed income and basically eats whatever she can afford. Most of her money goes towards food and clothing for her children. She has been off work since her surgery and relies on Welfare and child support to get by. Mary tells you that she has lost about 10 kg. since her surgery and she appears weak and cachectic. She has a productive cough and tells you that it hurts to take a deep breath. Her children are currently being cared for by a close friend.

Questions:

· Identify 2 nursing diagnosis - 1 actual and 1 potential
· List all of the assessment data; both objective and subjective that supports each of your diagnosis.
· Identify 1 goal/plan statement for EACH nursing diagnosis.
· Identify 4 nursing interventions for EACH goal/plan statement with an 'in text' reference to support the intervention as being evidence based.