Essay on Nursing Care Plan

This is the first 1,000 characters of 11304 words (45.22 pages) in the essay titled Nursing Care Plan

Nursing Care Plan

Course: NUR 1210L
Instructor:
Dates of Care: 12, 13, 19 & 20 Sept 96
Date Submitted: 11/15/96
Student Names: Anthony Bernardi, SN/SPJC
HOLISTIC NURSING CARE PLAN
STUDENT Anthony Bernardi
GRADE
DATE November 15, 1996
Client’s Clinical Picture (5)
(Initial Cephacaudal assessment)
Textbook Description of Diagnosis (5)
Summary of Client’s Progress (5)
Completion of Holistic NCP Tool (30)
NURSING DIAGNOSIS (15)
GOALS (10)
INTERVENTIONS (10)
RATIONALES (5)
EVALUATIONS (10)
REFERENCES (5)
TABLE OF CONTENTS
SUBJECT PAGE #
· Cover Page 1
· Grading Point Scale 2
· Table of Contents 3
· Summary Page 4
· Client’s Clinical Picture (Cephacaudal Assessment) 5
· Medical Diagnosis 6
· Textbook Description of Disease 6-12
· Treatments and Procedures 13
· Summary of Caregiver Progress Notes 14
· Diagnostic Values Out Of Normal Range Clinical Implications 16
· Radiology 17
· Medications 18-52
· Holistic Nursing Care Plan Form 53-62
· List of Nursing Diagnosis 65
· Five Nursing Diagnoses 66-70
· References 71
CLIENT CLINICAL PICTURE:
Please see attached Cephacaudal Assessment (Pages 5)
MEDICAL DIAGNOSIS: Current diagnosis:Necrotizing pneumonia,
cachexia secondary to malnutrition / infection, hypothroidism, NIDDM, empyema RUI,
Aspergilloma, RUI, and depression. HX: HTN, atrial fibrillation, COPD, asthma
TEXTBOOK DESCRIPTION OF DIAGNOSIS:
See attached Disease Process Description (pages 6-12-)
SUMMARY OF CAREGIVER PROGRESS NOTES:
See attached Caregiver Progr

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