Diagnosis Evaluation (Provide summary.

Include answers to the following

questions: was this care plan effective in resolving, monitoring,
management your patients diagnosis? If so, provide evidence. Is more
time needed in order to evaluate effectiveness):

This care plan was effective in monitoring and management of patients diagnosis
because the patient experienced decreased signs of dyspnea, reported feeling less
breathless than when he did on admission, and his edema and weight has not
increased since his arrival. His medical conditions are far from resolved but are
being managed effectively. The patient has been experiencing large fluid volume
excess as of late and has been undergoing dialysis regularly. His recent
hospitalization was due to the extreme fluid volume lost and his inability to catch
his breath afterward. More time is needed to truly evaluate this plan of care and
determine if all goals can be declared as met or unmet, especially goals relating to
patient remaining free of infection, and fluid and electrolyte balance being stabilized
because the patient is not yet at his discharge date. The patient still needs to be
closely monitored because he is unable to move freely and had decreased
sensitivity in his lower extremities. The interventions were effective in monitoring
his complications and were able to be accomplished. Overall though, in terms of
how he was feeling, he did state several times the day I worked with him that he felt
fine, and felt as he remembers he normally feels. He was looking forward to going
home to Clark Nursing and Rehabilitation Center.

Data: Patient unable to bear weight or walk

Patient had to be moved to chair
with 3 ppl
Patient unable to turn to side in bed on own
Patient barely able to
move lower extremities
Patient short of breath when turned in bed, O2 sat
dropped to 60 range when being moved in bed
Patient unable to perform self care activities
Data: Patient diagnosed with end stage renal failure, CHF