NURSING CARE PLAN Assessment: A case of
NURSING CARE PLAN Assessment: A case of a 34 years old, female. Patient came in for her routine prenatal check up when non stress test showed irregular uterine contractions every 6-9 minutes, moderate beat to beat variability, MVU 0f 80. Internal Examination showed 3 cm, 50% effaced, intact bag of water, footling breech, thus advised for admission for stat repeat CS. Medical diagnosis of the patient is G2P2 (2002) pregnancy uterine delivered term, breech extracted, live birth, appropriate for gestational age by first repeat low segment transverse cesarean section under spinal anesthesia, gestational diabetes mellitus-medical nutrition therapy continued, gestational hypertension, s/p CS for CPD (2019,CVGH). Nursing Diagnosis: Goal and Desired Outcome/s: Nursing Interventions Rationale Independent: Dependent: Collaborative: DISCHARGE PLAN Objectives: – – I. Medication Instructions: -Take home medication of the patient II: Exercise/Activity Instructions – Type of Activity allowed/ to be continued – Procedure or Steps – Use of Equipment (if any) -Restrictions III. Treatment Instructions (If Applicable) IV. Home Remedies -OBSERVED signs and symptoms -INTERVENTIONS that may be done immediately prior to seeking V. Out-Patient Referral VI. Diet Instructions -Prescribed diet -Restrictions VII. Spiritual and Psychological Instructions (If Applicable) HEALTH TEACHING PLAN Assessment: (Same case) Nursing Diagnosis: Goal: Topic: LEARNING OUTCOMES CONTENT TEACHING STRATEGY RESOURCES/RESPONSIBLE PERSONS
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