State the client problem as a three-part nursing diagnosis

Assignment Help Other Subject

Reference no: EM133570870

Problem

A. Use the Braden Scale for Predicting Pressure Sore Risk Download Braden Scale for Predicting Pressure Sore Risk(also available on p. 1065 in your (eBook) textbook)

a. Review each area of assessment based on the case scenario
b. Score each area of assessment based on the case scenario
c. Compile the score from each of the 6 areas assessed

B. Identify a client care problem (actual or potential) based on the compiled Braden score.

C. State the client problem as a three-part nursing diagnosis.

D. Use the Nursing Care Plan Template Download Nursing Care Plan Template to develop a plan of care based on the Braden Scale results. The plan must include one actual or potential problem

Case Scenario:

A 24-year-old male admitted from the Spinal Center (rehabilitation center) has just returned from surgery after removal of his gallbladder (cholecystectomy). He is alert and oriented. He was hospitalized and NPO for 3 days prior to the surgery. His initial complaint was nausea and vomiting and "not able to eat for a while." The medical records from the rehabilitation center reveal he became paraplegic following a diving accident 6 months ago and was progressing well until about a month ago when he started refusing meals and complained of nausea. Review of the medical record reveals the following lab results-

1) WBC- 12, 000
2) RBC- 3.90
3) Hgb- 11.6
4) HCT- 45.0
5) Platelets- 160,000
6) albumin- 3.2

He is occasionally diaphoretic and needs assistance transferring from the bed to his wheelchair. He can reposition himself in the bed to some extent but generally needs assistance with this, especially since his recent surgery.

Reference no: EM133570870

Questions Cloud

Describe the demographics of your community : Identify your geographical area/community you reside in (needs to be clearly identified). Make sure to describe the demographics of your community.

Assess community needs : Use the demographic data and specifics related to the disaster to identify the needs of the community.

Evaluating the effectiveness of community-based intervention : The topic is evaluating the effectiveness of community-based intervention in reducing adult obesity in West Virginia communities.

How should the court decide on the issue of negligence : Did not having full autopsy impact the outcome of the case either for or against the NP and the clinic? How should the court decide on the issue of negligence?

State the client problem as a three-part nursing diagnosis : Identify a client care problem (actual or potential) based on the compiled Braden score. State the client problem as a three-part nursing diagnosis.

Examine the literature related to case management for client : Examine the literature related to case management for clients with HIV/AIDS. How might these factors be modified to promote more effective case management?

Discuss model of behavioral change social cognitive theory : Health Belief Model Trans theoretical Model of Behavioral Change Social Cognitive Theory Family Systems Theory Family Assessment and Intervention Model.

What you would say regarding chemical leak of ethylene oxide : What you would say regarding a chemical leak of ethylene Oxide and Fomaldyhe from their corporation?

How can childrens learning and development be impacted : How can children's learning and development be impacted based on their stage and development and individual circumstances when going through transitions events?

User Account

All Pages