Use the nursing process to identify the
Use the nursing process to identify the following from the information provided in the case study. Assessment: Assessment Data for the patient Diagnosis & Analysis: What is the priority problem being experienced by the patient? This is your diagnosis. Planning: How and When does this need to be fixed? What are the priorities? Intervention: What nursing interventions both pharmacological and non-pharmacological can you use to support this patient’s care needs that DIRECTLY will impact the priority problem? How do you know this is an important intervention? Provide your rationale with APA reference. Evaluation: This is your outcome! What do you expect will happen after the intervention is implemented? What is the timeline that it should be completed within? Your care plan must include: 1) Diagnosis – choose ONE that pertains to the client 2) 2 goals related to the above diagnosis 3) For EACH goal you are required to have two interventions; one related to social determinants of health the other anatomical/physiological 4) Each intervention needs an outcome statement please ensure you include a TIMELINE CARE PLAN TEMPLATE Nursing Diagnosis/Priority Problem: Pain R/T fall on R leg and knee. Goal 1 Form Assessment Data/ Defining Characteristics (Signs and symptoms supporting the chosen nursing diagnosis) Client Outcomes (SMART: specific, measurable, achievable, realistic and time specific) Nursing Interventions (Nursing initiated actions based on the medical plan of care and client outcomes) Rationale/Evidence Based (Reasons why each intervention is expected to work; connect to nursing theory, pathophysiology, APA cited) Evaluation (Expected Outcomes achieved? Not achieved? What is next? Future plan) Goal 2 Form Assessment Data/ Defining Characteristics (Signs and symptoms supporting the chosen nursing diagnosis) Client Outcomes (SMART: specific, measurable, achievable, realistic and time specific) Nursing Interventions (Nursing initiated actions based on the medical plan of care and client outcomes) Rationale/Evidence Based (Reasons why each intervention is expected to work; connect to nursing theory, pathophysiology, APA cited) Evaluation (Expected Outcomes achieved? Not achieved? What is next? Future plan) References SCIENCE HEALTH SCIENCE NURSING NURSING PNH201
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