Reference no: EM133503998

Assignment:

What is the primary problem that brought your patient to this care setting? Briefly summarize pathophysiology of this problem in your OWN WORDS?

1. What vital signs/nursing assessments/lab-diagnostic test results are RELEVANT and need to be monitored and trended? Why are they relevant?
2. What body system(s) need to be assessed most thoroughly because of the primary problem? What specific nursing assessments are most important? Why?
3. What is the current nursing priority?
4. What independent nursing interventions (interventions that do not require an order/based on nursing judgement of patient needs) will you initiate based on this priority and what are the desired outcomes?
5. What is the worst possible/most likely complication(s) to anticipate based on the primary problem?
6. What will you do to PREVENT this complication from developing?
7. What nursing assessments will identify this complication EARLY if it develops?
8. What nursing interventions will you implement if this condition develops?

While Providing Care

1. What current clinical assessment data is relevant and needs to be TRENDED? Based on your interpretation of current clinical data, what is your judgement regarding this patient's current status?
2. Does your nursing PRIORITY or plan of care need to be modified after assessing your patient?
3. What educational, emotional, psychosocial, spiritual, or cultural care PRIORITIES have you identified and how will you address them?

After Patient Care...reflect on thinking

1. What nursing interventions did or could you have delegated today?
2. What specific decisions or judgements did you make based on recognition and interpretation of relevant clinical data?
3. What would you do differently (if applicable)?
4. What did you learn as a result of making these judgements?
5. How will you apply what you learned making these judgements to patients you care for in the future?