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Delaware Technical Community College

NUR 320 Health Assessment


RN to BSN program: Plan of Care Chart

STUDENT NAME: ___________Emily Williams_________ DATE: __April 16, 2024__

Nursing plan of care


Identified problem/need: Identified goal or Plan/ Interventions: Projected Evaluation/ Community Resources/
(include supporting outcome: (Provide rationale/ and Outcomes: (How will you Referrals: (Must be actual
subjective and objective cited evidence to justify measure that it worked?) resources from the client’s
data) the rationale) community. Include
Name, address, web
address, and phone
number)

Patient who uses chewing Patient first decreases Chewing tobacco can Patient ceases the use of Nicotine support group:
tobacco since he was chewing 1 can per day in cause high risk of chewing tobacco:
fifteen years old is at risk 30 days and then ceases addiction as well as measured by not chewing Healthydelaware.org
for oral cancer. Patient chewing tobacco over the cancer. Nicotine tabaco. Also measured by Phone: 1-866-409-1858
states that he chews 2 cans next 6 months. This will replacement therapy and the 30-day mark and using In person call: 1-866-
per day. decrease the risk of oral medication and screenings one can a day by then 409-1858 to schedule an
cancer overall. can decrease risk factors. appointment.
Here is an article on both. Patient gets evaluated for Online: consuming
https:// oral cancer every year and available also.
www.mayoclinic.org/ goes to dentist regularly.
healthy-lifestyle/quit- Making appointments for LRK Dental:
smoking/in-depth/ future visits. 543 N Shipley St, Seaford,
chewing-tobacco/art- De 19973
20047428#:~:text=Long 302-629-7115: Call to
%2Dterm%20use%20of make an appointment for
%20smokeless,around dental visit to screen for
%20roots%20and oral cancer.
%20tooth%20loss.

Patient does not exercise Increase exercise to 30 Benefits of exercising Patient will mark on Planet Fitness:
for more than 30 minutes minutes per day, starting everyday decrease the risk calendar everyday when 620 W stein Hwy,
per day and is at increase with 10-minute exercises a of obesity and put less he works out. Every other Seaford, De 19973
for obesity and eats an week increasing 5 minutes strain on the Sunday patient will weigh Call: 302-262-0262 to
increase intake of red meat every week. Patient can cardiovascular system. himself to see weight loss. make an appointment to
is at risk for eat 2 meals with red meet Red meat in portion can Patient will also plan set up with personal
cardiovascular damage. a week and will lose 45 provide protein to the weekly meals and plan trainer or sign up for a
pounds within a year. body and help build when he will consume red gym membership.
muscle. Too much can meat.
cause harm to the Cardiology:
cardiovascular system. 200 federal street, Seaford,
De 19973
Call: 302-629-9099 to
https:// make an appointment with
www.betterhealth.vic.gov. a cardiologist.
au/health/healthyliving/
walking-for-good-health#

https://www.scripps.org/
news_items/4258-is-red-
meat-bad-for-
you#:~:text=for%20your
%20health-,Eating%20too
%20much%20red
%20meat%20could%20be
%20bad%20for
%20your,certain
%20cancers%2C
%20especially
%20colorectal%20cancer.

Patient suffers from Patient will be educated on Effects on high levels of Patient will receive a list Dietician: Tidal Health
outbreaks of gout 5-8 gout and foods that uric acid. Medication used of foods that contain low Weight loss
times a year, patient contain high uric acid that to help maintain gout. uric acid levels. Patient 210 health Services Dr,
decreases understanding of will then decrease gout Interventions such as will set up ASAP Seaford, De 19972
gout and needs to be outbreaks. Patient will blood test can show uric appointment will PCP to 302- 297-2412
educated. also, start maintenance acid levels. get evaluated and put on Primary Care:
medication to also help https://www.scripps.org/ne maintenance medication. 100 Rawlins Drive,
gout outbreaks. ws_items/4258-is-red- Seaford, De 19973
meat-bad-for- 302-990-3300: call to set
you#:~:text=for%20your up appointment.
%20health-,Eating%20too
%20much%20red
%20meat%20could%20be
%20bad%20for
%20your,certain
%20cancers%2C
%20especially
%20colorectal%20cancer.

https://www.scripps.org/ne
ws_items/4258-is-red-
meat-bad-for-
you#:~:text=for%20your
%20health-,Eating%20too
%20much%20red
%20meat%20could%20be
%20bad%20for
%20your,certain
%20cancers%2C
%20especially
%20colorectal%20cancer.

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