NURS 2900: Nursing Plan of Care

Construct: Evidence-based Care and Quality Improvements, Safety, Holism, Diversity and Culture
Macro Concept: Acute and Complex Care
Micro Concepts: Professional Development & Identity; Physiological Integrity; Psychosocial Integrity; Lifespan Growth and Development
Curricular Concepts: Attributes and Roles of a Nurse; Care Competencies; Health Care Delivery; Homeostasis and Regulation; Protection and
Movement; Family Dynamics; Personal Preferences; Cognitive Function; Maladaptive Behavior; Coping, Stress & Anxiety; Mood & Affect;
Development; Functional Ability; Genetics; Nutrition; Environment; Culture

Student: Joseph Adeboye Date(s) of Care: 9/16/2020-9/17/2020 Room #: 632

Allergies: NKA
Medical Diagnosis: Trauma from motor accident
Surgical Procedures/POD#: POD 21
-Irrigation and debridement of BLE, and abdomen. Wound vac placement on left foot, right thigh: 8/26/2020
-Washout and debridement of BUE. Wound vac exchange of LUE: 8/29/2020
-Washout and debridement of BLE, scrotum, and abdomen. Wound vac placement on left foot, and right thigh: 9/1/2020
-Irrigation and washout, debridement with integral placement to LUE. Wound vac placement, BUE dressing, and abdomen. Wound vac
dressing change to BLE: 9/11/2020
- Washout and debridement of BUE. Wound vac exchange of LUE: 9/17/2020

Pathology Definition of Primary Medical Diagnosis: Trauma happens because of mechanical forces such as accidents in which any portion
of the body suffers from a blow, crush, cut, or penetrating wound (Norris, 2019). This can result to injuries such as split and tear tissue,
fracture bones, injured blood vessels, and disruption of blood flow throughout the body (Norris, 2019). If not treated, can further lead to shock,
body system shut down, or death (Norris, 2019).

Explanation of Disease Process: During a trauma induced accident, the body or the object is in motion or both can be in motion at the time of
impact (Norris, 2019). The bone can break which causes disruption of the periosteum and blood vessels in the cortex, marrow, and

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 NURS 2900: Nursing Plan of Care
surrounding soft tissue (Lippincott Advisor for Education, 2019). A hematoma forms in the bone and later, replaced by granulated tissues
(Lippincott Advisor for Education, 2019). An intense inflammatory response is triggered and cells from the surrounding soft tissue and the
marrow cavity invade the fracture area and blood flow is increased (Lippincott Advisor for Education, 2019). Abrasions can also occur during
an accident. It happens when the skin is scrapped over a surface causing tear, bleeding, swelling, redness, and pain. The patient presented to
the ED with abrasion over fifty percent of his body after been hit by an SUV. He was complaining of back pain, pain in his left foot and right
hand.

Changes in Structure: Extensive abrasion to extremities x4. Wounds to RUE, Scrotum, Left forearm, lateral foot and distal thigh
Changes in Function: Decreased mobility
Explanation of how the above relates to the patient: The pt. has decreased mobility due to the multiple wounds he sustained in his accident.
These wounds put him at risk of infection, immobility, anxiety, post-traumatic disorder, and depression. The changes in normal integumentary
structure put the client at risk for disturbed body image.

Secondary Medical Diagnosis: N/A

How does secondary medical diagnosis affect this patient’s hospital stay?
N/A
Pertinent Health History-
Description of the situation- Patient Story: Patient is a 42years old male with no pertinent medical history who presented to the emergency
department for evaluation after being hit by an SUV while riding his bike and dragged underneath for about half a block. He was found by the
EMS with abrasions over fifty percent of his body. After he was stabilized, he received 50 mg of ketamine. He complained of back pain, pain
in his left foot and right hand. He has undergone several procedures since he got admitted. He currently has two wound vac (One draining the
RUE, the other drains the LUE & LLE) to help close and heal his wounds. He treats his back-muscle spasm with gabapentin, Oxycodone
(PRN) for pain. Enoxaparin and SCDs are also administered to prevent DVT.

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What is the concept from clinical this week? How does this concept apply to your patient?
Provide evidence (data). Social support. My patient’s friends have been highly involved in his care. His friends have been providing him with
emotional support. He appears to get along with his friends because they have all been supporting one another.

Data Assessment – From chart and personal
System Assessment assessment (subjective and objective).
COMPLETE ALL AREAS
Neurological Patient is alert, oriented and conscious x4
Neurological assessment GCS 15. PERRLA.
-LOC/orientation/GCS/Pupils Sensory function is intact.
Sensory-perceptual & cognitive patterns. Came out of general anesthesia with no
Vision, hearing, taste, touch, smell, complications.
cognitive fn such as language, memory & Willing and able to communicate needs. Uses call
decision making. light appropriately and communicates effectively
Anesthesia General/spinal/epidural with family member and staffs.
Fully understands current illness (Trauma injury
Deficits, aides caused by car accident) and treatment. Pt is ready
Ability to communicate needs to learn. Patient prefers visual learning style. He
Understanding of illness and treatment? has back pain related to trauma (Being hit by an
Teaching/Learning include: SUV). He also has abrasions to his body r/t to
 barriers trauma.
 preferred teaching/learning The patient wants to be actively involved in his
methods cares.
 T/L needs There are no applicable diagnostic tests or labs, or
medications.
Dx tests/lab
Medications
Cardiovascular Normal rate, regular rhythm, no murmurs, rubs or
CV assessment gallops. Pulse 102. Lower and upper extremity
-heart sounds pulses are bilaterally equal and regular. Tissue
perfusion adequate, skin was warm, no cyanosis.
-pulses
No edema. Cap refill < 2 seconds on all 4
-tissue perfusion extremities. Sensation intact in all extremities.
-edema Meds: Enoxaparin 40mg/ml SQ every 8hrs
-capillary refill Labs: Platelet 468 (150-400) on 9/15/20 and 458 on
Interpretation/ Explanation/Conclusions
drawn from the Assessment Data.
INTERPRETATION of ALL Systems is
required Suggest Nursing Diagnoses and
Interventions
The patient is willing to address his trauma
injury because he is ready to take charge of his
health by learning how to care for his wound.  
Potential nursing diagnoses would include
Readiness for enhanced teaching.
Interventions will be to actively include the pt.
in his care. Giving room for pt.to ask questions
and express concerns. Evaluate pt. by allowing
him to teach back what he has learned.
The high platelet might be an immune response
to the trauma (Accident), and the surgeries the
pt. underwent.
Potential nursing diagnoses: Risk for DVT.
Nursing intervention: Monitor labs for further
increased platelets. Monitor aPTT. Monitor BP.
Encourage range of motion exercise, SCIDs and
compression socking to prevent pulmonary

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 NURS 2900: Nursing Plan of Care
Interpretation/ Explanation/Conclusions
Data Assessment – From chart and personal drawn from the Assessment Data.
System Assessment assessment (subjective and objective). INTERPRETATION of ALL Systems is
COMPLETE ALL AREAS required Suggest Nursing Diagnoses and
Interventions
VS ranges 9/16/20. aPTT 1.8 (1.5-2.5) on 9/14/20 was and embolism. Administering of Enoxaparin
Dx tests/lab aPTT 1.7 on (9/17/20) 40mg/ml every 8 hours.
Medications

Data Assessment – From chart and personal
System Assessment assessment (subjective and objective).
COMPLETE ALL AREAS
Pulmonary
Pulmonary assessment Pt denies history of pulmonary disease. Lungs
sounds are clear both anterior and posterior. No
-Lung sounds
wheezes or rales. Non labored and regular
-quality of respirations- dyspnea breathing. RR 29 (12-20) on 9/15/20 and RR of 26
-cough (12-20) No crepitance. Pt has non-productive
-sputum cough. Pt is breathing normally on room air.IS at
O2 use Sa02 ranges bed side and he has been using it.
Incentive Spirometry Pt denies a history smoking.
There are no pertinent diagnostic test or labs. He is
Smoking history not on any pulmonary medication.
Dx tests/lab
Medications
Interpretation/ Explanation/Conclusions
drawn from the Assessment Data.
INTERPRETATION of ALL Systems is
required Suggest Nursing Diagnoses and
Interventions
Pt.’s increased RR may be due to the pain from
his back caused by trauma. 
Nursing diagnoses include risk for ineffective
breathing.
Nursing interventions include non-
pharmacologic methods such as guided
imagery. Teach the patient deep breathing
exercises. and administer pain meds
(Acetaminophen).

Gastrointestinal
Gastrointestinal assessment
-bowel sounds
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Bowel sounds present in all 4 quadrants.   Patient having BM may be due to the range of
Patient has all his teeth, oral mucosa is pink and motion exercise. Pt. eats a regular diet with high
intact, gums appear healthy.   protein to help improve the wound healing. He
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System Assessment
-mouth/gums/teeth
-abdominal assessment
-current bowel movement pattern
-Usual bowel pattern
Incontinence/continence
Pattern of food & fluid consumption relative
to metabolic need & pattern; indicators of
nutritional status (condition of skin, teeth,
hair, nails, mucous membranes).
Ht/wt – IBW or BMI/Recent wt loss- amt
Diet type
Enteral feeding- route given
NGT
I&O- 3day history and cumulative
Ability to eat- dentition, etc.
Amount of diet consumed/Calorie
Count/Carb Count
Nausea/Vomiting
Dx tests/Lab
Medications
Genitourinary
Genitourinary assessment
-characteristics of urine
-patterns of excretory fn, incl. patient’s
perception of “normal fn.”
External devices- ostomy stents
Incontinence/continence, voiding pattern
Foley
Nursing 2900 Care Plan
NURS 2900: Nursing Plan of Care
Interpretation/ Explanation/Conclusions
Data Assessment – From chart and personal drawn from the Assessment Data.
assessment (subjective and objective). INTERPRETATION of ALL Systems is
COMPLETE ALL AREAS required Suggest Nursing Diagnoses and
Interventions
Stomach is soft, round, and non-tender.   may be at risk of infection because he hasn’t
Patient is passing gas and been consistent with completely eating his meal.
having BM without stress. Patient reports he is This might slow the wound healing. His weight
typically having a BM daily and they are soft and (Overweight) can also contribute to prolong
formed. Continent of bowels.  wound healing. Pt has been drinking a lot of
Patient consumes sometimes less than his body water. This might help improve healing.
needs evidenced by obesity. He has no obvious
nutritional deficiencies.   Nursing diagnosis: Imbalanced nutrition: More
Patient is overweight, with BMI 28. Ate 75% on than body requirement.
9/15/20, 100% on 9/16/20 and 75% on 9/17/20 of Nursing Intervention: Teach pt. about the reason
his food, swallowing intact, no problems eating.  why he needs to consume 100% of his meal (To
Pt is on a regular diet with high protein. improve healing). Encourage pt. to continue
Denies N/V.  drinking water.
I&O on 9/15/2020 was 740/10, on 9/16/2020 was
1300/1500ml, and on 9/17/2020 was 1700/2000ml
(during my shift). 
There are no pertinent diagnostic test or labs. He is
not on any GI medication.
Urine is amber yellow and clear. Voids with no The clear amber yellow urine shows the client is
difficulty. Abrasion of penis and scrotum. Pt fully hydrated.
complains of pain on the scrotum.  The pain on the penis and scrotum may be from
Patient is continent of bladder. He can void on his the trauma.
own by ambulating to the bathroom. Nursing diagnoses: pain in the penis and
He has no external devices or catheters. scrotum.
0xycodone (5-10mg) for pain. Nursing interventions include non-
No labs. pharmacologic methods such as guided
imagery, teach deep breathing exercises.
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 NURS 2900: Nursing Plan of Care
Data Assessment – From chart and personal
System Assessment assessment (subjective and objective).
COMPLETE ALL AREAS
Dx tests/lab
Medications
Sexuality/Reproductive Patient reports previous satisfaction of sexual
Patterns of satisfaction & dissatisfaction relationship. Since he developed multiple abscesses
with sexuality pattern; reproductive pattern. on BLE and has had multiple I&D procedures he
(# & histories of pregnancy & childbirth has been unable to have sexual intercourse. Denies
breast, fundus and lochia if delivered); history of or current STI/STD’s.  dysfunction.
difficulties with sexual fxn; satisfaction with No pertinent diagnostic workups or medications.  Nursing interventions would be encouraging
sexual relationship. STI/STD’s
Dx tests/lab
Medications
Integumentary The skin on his BUE is warm, dry, and intact. No
Skin assessment- color, temperature, turgor tenting. Pt. has abrasion on his right hand, and the
Hair and Nails left arm. Both were covered with bandages, so
Braden score UTA. Tenting noted at his right collarbone. BLE
Wounds and wound care are warm, dry, and intact.
Dx tests/lab At the left thigh, there is an abrasion, as well as, on
Medications the left foot. They are covered with bandage. UTA
site because there is an order for it to stay
covered. There are two wound vac. One drains the
left thigh and left foot while the other drains the
right hand.
Fingernails are normal.
Braden score of 18.  
WBC 13.6 (4.3-10.8k/ul) on 9/16/20 and WBC
12.0 (4.3-10.8k/ul) on 9/17/20
Pt is using adaptive dressing and ACE wraps.
Musculoskeletal Active range of motion in all extremities. Pt.
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Interpretation/ Explanation/Conclusions
drawn from the Assessment Data.
INTERPRETATION of ALL Systems is
required Suggest Nursing Diagnoses and
Interventions
Administer pain meds (Oxycodone).
Due to the pain and abscesses in penis and
scrotum he might not be able to participate in
sexual intercourse currently.  
Nursing diagnosis would be sexual
 
him to talk to his partner (He presently doesn’t
have any) about how he feels regarding their
sexual relationship.  
The elevated WBC may indicate infection. This
may be due to the trauma (abrasions) and
surgeries he has had.
Nursing diagnosis: Risk for infection and
disturbed body image.
Nursing intervention: Encourage pt. to ambulate
often or to do ankle pumps to prevent skin break
down. Ensuring proper dressing practice
(aseptic technique) is done during wound
dressing. Teach pt. the importance of hand
hygiene. Encouraging fluid intake to maintain
hydration,
The back and the generalized pain complained
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System Assessment
Musculoskeletal assessment-
-ROM
-Activity
-Gait/Balance
Patterns of exercise, activity, leisure,
recreation. Resp. status, mobility, ADLs
Restrictions/physical disabilities
Fall Risk/ Aids for mobility/Hendrich scale
Muscle strength/ROM
Dx tests/lab
Medications
Psychosocial
Health Maintenance
Self-concept pattern & perceptions of self.
Body image, attitudes about self, perception
of abilities, objective data (e.g. posture,
eye contact, voice tone)
Pattern of roles: engagement in roles &
relationships. Perception of current and
previous major roles & responsibilities
(family, work, volunteer roles). Satisfaction
with family, work, social relationships.
Resources (community, family)/ Referrals
Coping/Stress Tolerance
Gen. coping pattern & effectiveness of in
terms of stress tolerance. Available support
Nursing 2900 Care Plan
NURS 2900: Nursing Plan of Care
Interpretation/ Explanation/Conclusions
Data Assessment – From chart and personal drawn from the Assessment Data.
assessment (subjective and objective). INTERPRETATION of ALL Systems is
COMPLETE ALL AREAS required Suggest Nursing Diagnoses and
Interventions
ambulates on his own most of the times. Needs of the pt. may be due to the impact of the
assistance few times to get up when in pain. Pt trauma. He needs little assistance with his ADL
reports pain with ambulation. Pt moderately due to the pain he experiences.
tolerates activities. Pt complained of back pain and Nursing diagnosis: Acute pain, and activity
sometimes generalized pain. intolerance
Patient reports enjoying soccer with his kids. Chart Nursing Intervention: ROM exercise,
Reported no disability prior to admission. Currently administering of pain medications, teaching
needs little assistance with ADLs non-pharmacological techniques such as deep
Could walk without any assist prior to the trauma.   breathing, guided imagery etc.
Hendrich score 20.  
There are no diagnostic tests or labs for this
system. 
He is on a PRN for his pain med (Oxycodone 5-
10mg). He also takes gabapentin (30mg) for
muscle spasm.
The patient may appear to have understanding
Pt understands altered body image caused by about his altered body image caused by trauma
trauma and he has been optimistic about it. because he is optimistic, actively involved in his
He appears to have a healthy relationship with his care
friends. They are involved in his care. He stated Nursing diagnoses include ineffective coping
they do come to visit him to provide emotional and low self-esteem. 
support. He currently works as an electrical Nursing interventions include encouraging him
engineer. He helps to repair home appliances.  to be honest with himself about his feelings
about obesity, involving his family in cares and
teaching, educating him on steps he can take to
The patient states “I don’t let stress get to me”. He regain control of his health, and encouraging his
reports going to the gym, church and hanging out family to be involved in the process. Advocate
with friends to relieve stress. He is not married. He for him to get some sleep aid such as melatonin
reported his mum lives in Florida and his dad is
late.
Denies illicit drug and alcohol use. 
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System Assessment
systems, perceived ability to control or
manage situations, usual manner of handling
stress.
Marital status/S.O., coping methods
Drug abuse- prescription and street/ETOH
use
Recent life changes
NURS 2900: Nursing Plan of Care
Interpretation/ Explanation/Conclusions
Data Assessment – From chart and personal drawn from the Assessment Data.
assessment (subjective and objective). INTERPRETATION of ALL Systems is
COMPLETE ALL AREAS required Suggest Nursing Diagnoses and
Interventions
Patient stated he is very spiritual and religious. He
stated he is catholic. God guides his decisions. Pt.
believes without God he is nothing. He stated that
he misses church and cannot wait to be there. He
stated God gave him a second chance and he is
positive he will recover totally. He is Mexican. He
stated having no cultural consideration.

Value- Belief
Patterns of values, beliefs (include spiritual)
& goals that guide patient’s choices or
decisions
Religion, special religious practices.
Perception of what is important in life,
value-belief
Patient reports difficulty sleeping sometimes when
conflicts r/t health,
he has pains (5 hours a night). He reported taking
Satisfaction with life naps during the day. He feels energetic when he
Race and Cultural considerations wakes. A times, he reports asking for pain meds to
sleep.

Sleep Patterns He is not currently on any sleep medications.

Patterns of sleep, rest & relaxation. Patient’s
perception of quality & quantity of sleep &
energy, medications (sleep aids), routines
patient uses.
Usual # hours of sleep.
Dx tests/lab
Medications
Lines IV line was put on his right hand. No redness or IV is infusing and has been flushed with NS.
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Interpretation/ Explanation/Conclusions
Data Assessment – From chart and personal drawn from the Assessment Data.
System Assessment assessment (subjective and objective). INTERPRETATION of ALL Systems is
COMPLETE ALL AREAS required Suggest Nursing Diagnoses and
Interventions
Assessment of IV lines swelling or infiltration. (which means it is patent0.
Pain Assessment Generalized body pain of 6/10.   Pain is related to the trauma.  
Presence of pain Oxycodone makes it better, nothing makes it Nursing diagnoses include acute pain. 
PQRST worse, it is constant and aching, it radiates Nursing interventions include administering
Comfort goal everywhere, it is severe.  oxycodone 5-10mg q4hr as ordered, encourage
Dx tests/lab Pain goal is <3.   ambulation. Educating on non-pharmacologic
Medication On oxycodone 5-10mg q4h.  pain relief techniques and assessing pain at least
every 4 hours and ~30 minutes after oxycodone
is administered.  

Special Precautions/Isolation
Safety assessment
Isolation
Pt. is not on isolation. Pt. is on fall risk. Pt. is not on isolation risk because he does not
have an airborne or bacteria resistant infection.
Pt. is a fall risk because he might not be stable
on his BLE due to his wounds and pain.

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Look back through all of the data you have collected. List the top four priority nursing diagnoses.

1. Acute pain R/T trauma (Pt. hit by an SUV while riding a bicycle) AEB pt. complaining of back pain, pt. reporting pain when medications wear off,
decreased sleep, respiration of 22, and pulse 102.

2. Readiness for enhanced spiritual wellbeing R/T patient’s spirituality AEB pt. stating “I believe God will heal me”, reporting his optimism in
improved health status, chart stating pt. has friends that come to check on him.

3. Impaired skin integrity R/T trauma AEB multiple abrasions, reduced ambulation, and BMI of 28.

4. Decreased mobility R/t trauma AEB pt. verbal report of pain, grimacing with movement, and muscles weakness.

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Choose two PRIORITY nursing diagnoses (one physiological and one psychosocial) to expand on below.

Nursing diagnosis: Acute pain R/T trauma (Pt. hit by an SUV while riding a bicycle) AEB pt. complaining of back pain, pt. reporting pain when
medications wear off, decreased sleep, respiration of 22, and pulse 102.

Mutually defined goal: Pain control

Individualized interventions that Outcome evaluations

Patient Outcomes
1. Pt. will verbalize relief
of pain from 5 to his
comfort level of 3 by the
end of the shift.
are beyond the standards of care
At least two must be independent
nursing interventions
1a. Encourage pt. to do deep
breathing exercises.
Scientific rationale for each
intervention.
Utilize correct format.
1a. Deep breathing makes the body and
mind to enter a relaxed state thereby
relieving pain (Hinkle & Cheever, 2017).
Inadequately managing pain using meds
can lead to adverse physical and
psychological patient outcomes for
individual patients (Hinkle et al., 2017)
Encouraging the pt. to do deep breathing,
can help the pt. to function well.
State met or not met.
Include revision/progression of
outcomes
Outcome fully met. The pt.
verbalized decrease in his pain. He
also expressed his feelings about
deep breathing. He said both (Med
and deep breathing) decreased his
pain to his comfortable level. I will
encourage to continue to use deep
breathing when in pain and ask for
pain meds.

1b. Providing pain meds to pts. helps

1b. Manage pt.’s pain with with better control of pain, which may
doctor’s order (Acetaminophen/ improve how pts. feel and function
oxycodone) physically (Hinkle et al., 2017).

By managing the pt.’s pain, it will

provide him with comfort to ambulate
without pain.

2. Pt. will report ability to 2a. Teach pt. active ROM 2a. Regular exercise (ROM) can impact

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 NURS 2900: Nursing Plan of Care
get enough sleep and rest exercises of the lower and upper sleep quality in raising the body’s
by the end of the shift. extremities. temperature by a few degrees (Sleep
Foundation, 2020). Later in the day,
when the internal thermostat drops back
to its normal range, it triggers feelings of
drowsiness and help with falling asleep
(Sleep Foundation, 2020).
Outcome was met. Patient was
able to express his understanding
about range of motion. He also
verbalized getting enough sleep
when he turned his gadgets off.
Will continue to encourage pt. to
keep up the positive habits.

Because he is complaining of lack of

sleep, this will help him in regaining his
sleep cycle.

2b. Encourage pt. to turn off TV or 2b. The continuous use of screens
silent phone before sleeping to
enhance good sleep.
including computers, tablets televisions,
and smartphones is especially
problematic for sleep (Brady, 2018). That
is because electronics emit a blue light
that triggers the brain to stop making
melatonin (Brady, 2018).
Encouraging the pt. can provide a reason
for the pt. to persevere and take the
positive habit (Turning off TV or phone
at night) which can then improve his
sleep.

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Nursing diagnosis:

Mutually defined goal:

Individualized interventions that Outcome evaluations

Patient Outcomes
1. Pt. will express feeling of
satisfaction with spirituality
by the end of the shift.
are beyond the standards of care
At least two must be independent
nursing interventions
1a. Provide privacy to the patient 1a. Religious practices, including
during prayer time.
Scientific rationale for each
intervention.
Utilize correct format.
prayer, provide positive results in
patients’ lives through various
measurable factors, such as knowledge
about their disease, adherence to
treatment, coping with disease, quality
of life, and health outcomes (Isaac, Hay,
& Lubetkin, 2016).
In doing so, the patient will be more
optimistic towards his health.
State met or not met.
Include revision/progression of
outcomes
Outcome was met. Patient
expressed satisfaction about his
spirituality by stating “I believe
what has happened to me ha made
me to love God the more. I now
have more time to think about
him”.
I would continue the current
nursing intervention because it has
helped to increase pt.’s satisfaction
about spirituality.

1b. The patient who feels and

1b. Be physically present and
available to help answer patient’s
spiritual needs.
understands that the nurse is concerned
and committed to helping him with his
spiritual health is better able to
participate in the care plan (Taylor et al.,
2020).

This will encourage the patient to fulfill

his goals of the day knowing that
someone has his interests at heart.

2a. Provide patient with

2. Pt. will verbalize increase appropriate spiritual materials of Outcome was met. Pt. was

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in power, hope, and positive
thinking by the end of the
shift.
NURS 2900: Nursing Plan of Care
his choice. 2a. Spiritual materials can increase
patient’s sense of belonging and self-
esteem towards his religious affiliation
(Taylor et al., 2020).
This will increase the patient’s hope
about his outcomes.
optimistic about his recovery. He
stated, “I am hopefully that
everything will be fine’’.
I would continue the nursing
intervention because my patient’s
hope was raised more.

2b. Encourage the patient to

request the presence of a chaplain
2b. Chaplains are trained to listen with
sensitivity to the stories of patients and
bring clarity to their spiritual needs
(Providence Health and Services
Washington, n.d.). Whether it is in
response to an expression of hope or
fear, a chaplain can provide skilled and
compassionate guidance and support to
the patient (Providence Health and
Services Washington, n.d.).
The presence of the chaplain will
encourage the patient to look towards
his future and increase his adherence to
treatment towards discharge.

*Submit to D2L with file name: LAST NAME, FIRST INITIAL- POC -Instructor e.g. JonesP POC SaylerM

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References

Brady, K. (2018). Is Falling Asleep with the TV On Really That Bad? Retrieved from, https://www.health.com/condition/sleep/falling-asleep-tv-on

Hinkle, J. L., & Cheever, K. H. (2017). Brunner & Suddarth’s textbook of medical-surgical nursing. (14th ed.). Philadelphia, PA: Wolters

Kluwer/Lippincott. [CoursePoint]. Retrieved from https://coursepoint.vitalsource.com/#/books/9781496379054/

Isaac, K., Hay, J., & Lubetkin, E. (2016). Incorporating spirituality in primary care. Journal of Religion and Health, 55(3), 1065-1077.

doi: 10.1007/s10943-016-0190-2

Lippincott Advisor for Education. (2019). Fracture (arm or leg). Retrieved from, https://advisor-edu.lww.com/lna/document.do?

bid=4&did=815187&searchTerm=closed%20fracture&hits=fracture,closed,fractured,fractures,closely,close

Norris, T. (2019). Porth's essentials of pathophysiology. (5th ed.). Philadelphia, PA: Wolters Kluwer/Lippincott. [CoursePoint]. Retrieved

from https://coursepoint.vitalsource.com/#/books/9781975151812/

Providence Health and Services Washington. (n.d.). Spiritual care. Retrieved from,

https://washington.providence.org/services-directory/services/s/spiritual-care

Sleep Foundation. (2020). How exercise impact sleep quality. Retrieved from, https://www.sleepfoundation.org/articles/how-exercise-impacts-sleep-

quality

Taylor, C., Lynn, P., & Bartlett, J. L. (2020). Fundamentals of nursing: The art and science of person-centered care. (9th ed.). Philadelphia, PA:

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Nursing 2900 Care Plan Page 1 Revised 8/29/18