solved

Analyze your database, and then state a priority nursing diagnosis on which you focused your nursing care of this mother-baby dyad, along with interventions used to achieve the expected outcome. Utilize Evidence Based Practice to support interventions and state level of evidence
Example:
X r/t Y aeb Z
‘Infection r/t umbilical cord portal of entry and immature host defenses aeb redness at base of cord’ or
Risk for X r/t Y (no Zbecause X has not yet occurred. The focus of care is on reduction of risk and prevention of infection or injury or other potential complication.)
‘Risk for infection r/t umbilical cord portal of entry and immature host defenses.’
Expected outcome would be: ‘Umbilical cord dries and separates within 2 weeks, without signs of local infection (redness, purulent drainage) or sepsis (temperature instability,pallor, cyanosis, poor feeding, respiratory distress, lethargy).
Nursing Diagnosis
Neonatal hyperbilirubinemia related to premature birth as evidence by total serum bilirubin level of 8.3mg/dL for blood drawn at 23 hours of life.
yellow mucous membranes; and yellow skin.
Expected Outcome
Newborn will receive appropriate therapies to enhance bilirubin excretion
Newborn will remain free of undetected signs of acute bilirubin neurotoxicity
Intervention #1
Evidence based source link +
Level of Evidence
Intervention #2
Evidence based source link +
Level of Evidence
Intervention #3
Evidence based source link +
Level of Evidence
Intervention #4
Evidence based source link +
Level of Evidence
Intervention #5
Evidence based source link +
Level of Evidence
Intervention #6
Evidence based source link +
Level of Evidence
45 points
Reflections:
Why did you work on this diagnosis (nurse or faculty suggestion or your determination)? Why is this
Diagnosis important? Do you feel this is the top priority, why or why not? 5 points
Using your own words, explain the rationale for each intervention and discuss why/what is suggested in your evidence source. 10 points
What was the effectiveness of the selected interventions in achieving the expected outcome: Effective, ineffective or partially effective? How did you determine this? Were there any unanticipated problems and / or benefits derived from your interventions? (5 points)
Discuss one of the values of professional nursing practice (altruism, autonomy, human dignity, integrity, and social justice) as it relates to your care of this family. What have you learned that you can carry forward to better help other families? How has this experience helped you to grow professionally? (5 points)
List those professionals that you worked with and reflect on how you coordinated communication, demonstrated active listening and / or sought out clarification with: 0 points

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