Patients’ information:

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.

  1. Describe how you prioritized care for the patient with consideration to patient/family requests.

 

  1. Explain how you valued the ideas of the patient/family in the development of your plan of care.

 

  1. Give one example of how you empowered the health care team through recognition of contributions to safe quality care.
  2. 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

 

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.