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.........NCP Case

.........NCP Case

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Published by vipnikally802

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Published by: vipnikally802 on Sep 26, 2008
Copyright:Attribution Non-commercial

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01/07/2013

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Name
: Mrs. MM
Age
: 77 years old
Nursing Diagnosis
: Anxiety related to chronic illness w/ changes in roles/ body image.
Medical Diagnosis
: ESRD secondary to DM Nephropathy
Short-term Goal
: At the end of my shift, patient will verbalize acceptance of self in situation.
Long-term Goal
: At the end of hospitalization, patient will demonstrate adaptation to changes or events that haveoccurred.
 
Cues:ProblemScientific RationaleNursingInterventionsRationale Evaluation
Bodymalaise
Blurred invision
RestlessnessANXIETYAnxiety is a normal experience.Moderate or high level of anxietycan increase alertness andperformance in particular situations. However, people whoexperience continues or recurringfears or episodes of intense fear can feel powerless to manage their symptoms and their lives canbecome severely restricted.http:/www.panicanxietydisorder.org au /index.htm
Assessedlevel of fear of client.
Explainedprocedures/ care asdelivered.Repeatedexplanation’sfrequentlyasneeded.
Providedopportunities for client toaskquestions&verbalization of concern.
Helpsdetermine thekind of interventionsrequired.
Fear of unknown islessened byinformation &mayenhanceacceptance of permanence of ESRDandnecessity for dialysis.
Createsfeelingof openness &cooperation &providesinformation thatwillassist inproblemidentific
Goal met
.Patientverbalizedacceptanceof self insituation.
 
Name
: Mrs. MM
Age
: 77 years old
Medical Diagnosis
: ESRD secondary to DM Nephropathy
Nursing Diagnosis
: Altered Fluids & electrolytes r/t Urinary retention as evidence increase K & decrease Na.
Short term Goal
: At the end of my shift, patient will be able to increase urine output at least 1500cc in 24 hrs.
Long term Goal
: At the end of hospitalization, the patient will be able to have a normal urine output & voiding pattern.

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