Patients’ information:
Pt 1: Primary Diagnosis (PD): Non–Non-ST-Elevation Myocardial Infarction (NSTEMI)
Comorbidities: AKI, Asthma, COPD, seizure, Depression, Anxiety, CAD, Caffeine abuse, and hypercholesterolemia
Pt 2: Primary Diagnosis (PD): Suspected conversion disorder
Comorbidities: Bilateral lower extremity weakness, PTSD, and ADH
Please, for the Gordon assessment, use patient 1, who is a male in a mental health unit. “Please use U.S.A. base sources, and make it detail.
You can also use these books.
Huether, S. E., McCance, K. L., & Brashers, V. L. (2020a). Understanding pathophysiology (7th ed.). Elsevier.
(Huether et al., 2020)
Ignatavicius, D. D., Rebar, C. R., & Heimgartner, N. M. (2024). Medical-Surgical Nursing: Concepts for Clinical Judgment and Collaborative Care (11th ed.). Elsevier.
(Ignatavicius et al., 2024)
Treas, L. S., Barnett, K. L., Smith, M. H., & Wilkinson, J. M. (2024a). Davis Advantage for Wilkinson’s fundamentals of nursing: Theory, concepts, and applications (5th ed., Vol. 1). F.A. Davis Company.
(Treas et al., 2024)
Varcarolis, E. M., & Halter, M. J. (2022). Varcarolis’ foundations of Psychiatric Mental Health Nursing: A clinical approach. Elsevier.
(Varcarolis & Halter, 2022)
Please, from here below is the assignment
Required to meet SLO
Clinical Packet must be completed for all patients cared for during the clinical day.
- Describe how you prioritized care for the patient with consideration to patient/family requests.
- Explain how you valued the ideas of the patient/family in the development of your plan of care.
- Give one example of how you empowered the health care team through recognition of contributions to safe quality care.
- Diversity: Create a care plan on ONE of your patients, that meets the needs of your patient using data from the Gordons assessment and your patient assessment.
| GORDON’S FUNCTIONAL ASSESSMENT
Document all data gathered from the patient Use the document below as a resource
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NURSING CARE YOU PROVIDED
Document all the interventions you performed |
| Health Perception/Health Management: | |
| Nutritional-Metabolic: | |
| Elimination: | |
| Activity-Exercise: | |
| Cognitive-Perceptual: | |
| Sleep-Rest: | |
| Self-Perception/Self-Concept: | |
| Role-Relationship: | |
| Sexuality-Reproductive: | |
| Coping/Stress Tolerance: | |
| Value-Belief: |
Nursing Plan of Care
| Recognize Cues:
Client problems (list both subjective and objective cues) |
Analyze Data & Prioritize Hypotheses:
Write a complete nursing diagnosis statement including R/T factor, secondary to and AEB (as appropriate) |
Generate Solutions:
Write a client-centered SMART goal |
Take Actions:
List at least 5 nursing interventions that you completed this Clinical day. Then list what team member could perform each task (RN, LPN, CNA, etc.) |
Evaluate Outcomes:
Write an evaluation statement (example: the RN will evaluate….), then include real client data to determine if the goal was met or not met. |
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