{"id":5328,"date":"2024-08-25T17:52:02","date_gmt":"2024-08-25T17:52:02","guid":{"rendered":"https:\/\/nurs.essaybishops.com\/?p=5328"},"modified":"2024-08-25T17:52:05","modified_gmt":"2024-08-25T17:52:05","slug":"nsg528-medical-surgical-nursing-ii-care-plan-client-concept-map-packet","status":"publish","type":"post","link":"https:\/\/www.studyproessays.com\/nursing\/nsg528-medical-surgical-nursing-ii-care-plan-client-concept-map-packet\/","title":{"rendered":"NSG528 Medical Surgical Nursing II Care Plan & Client Concept Map Packet"},"content":{"rendered":"

Nursing Care Plan Part I: Basic Conditioning Factors Date: 08\/25\/2024<\/strong><\/h3>\n

A. Patient identifiers:<\/p>\n

Physician(s): Dr. Emily Carter (Primary Care), Dr. Michael Rodriguez (Endocrinologist)<\/p>\n

Age: 42 Gender: Female Ht: 5’6″ (168 cm) Wt: 190 lbs (86 kg) Code Status: Full Code<\/p>\n

Isolation: None<\/p>\n

Development Stage (Erikson): Generativity vs. Stagnation<\/p>\n

Rationale: At 42, Sarah is in the middle adulthood stage. She’s balancing work and family responsibilities, which aligns with Erikson’s concept of generativity. Her struggle with health management and desire to learn more about her conditions suggest she’s working through this stage, trying to contribute positively to her family and society while managing personal challenges.<\/p>\n

Health States<\/p>\n

Date of admission: 08\/24\/2024<\/p>\n

Activity level: Sedentary<\/p>\n

Diet: Regular, low sodium, diabetic<\/p>\n

Fall risk: Low<\/p>\n

Client’s description of health status (define chronic state):<\/p>\n

Sarah reports feeling overwhelmed managing her multiple chronic conditions. She experiences increased fatigue, difficulty controlling blood sugar, and occasional shortness of breath. She describes her health as “declining” and expresses frustration with her inability to maintain a consistent healthy lifestyle.<\/p>\n

Admitting Diagnosis:<\/p>\n

Type 2 Diabetes Mellitus with poor glycemic control<\/p>\n

Hypertension<\/p>\n

Obesity<\/p>\n

Fatigue<\/p>\n

Allergies: Penicillin (rash)<\/p>\n

Client’s past medical surgical history (include dates):<\/p>\n

Type 2 Diabetes Mellitus (diagnosed 2019)<\/p>\n

Hypertension (diagnosed 2021)<\/p>\n

Obesity (ongoing)<\/p>\n

Appendectomy (2005)<\/p>\n

Cesarean section (2010)<\/p>\n

Completed therapies:<\/p>\n

Diabetes education course (2019)<\/p>\n

Weight management program (2022)<\/p>\n

Current therapies:<\/p>\n

Medication management for diabetes and hypertension<\/p>\n

Annual diabetic eye exam<\/p>\n

Regular blood glucose monitoring<\/p>\n

Quarterly HbA1c testing<\/p>\n

Socio-cultural Orientation<\/p>\n

Cultural and Ethnic Background: Caucasian, American<\/p>\n

Socialization: Sarah is married with two teenage children. She reports having a small circle of friends but limited time for social activities due to work and family responsibilities.<\/p>\n

Family system Elements (Support system): Husband (John, 44), supportive but also works full-time. Two children (Emma, 16 and Alex, 14) who are in high school. Sarah’s parents live nearby and offer occasional support.<\/p>\n

Spiritual: Identifies as Christian, attends church occasionally<\/p>\n

Occupation (across the lifespan):<\/p>\n

Current: Accountant (10 years)<\/p>\n

Previous: Bookkeeper (5 years), Office Assistant (3 years)<\/p>\n

Patterns of living: (define past and current)<\/p>\n

Past: More active lifestyle, participated in recreational sports, cooked meals at home regularly<\/p>\n

Current: Sedentary lifestyle due to desk job, relies more on convenience foods, struggles to find time for exercise<\/p>\n

Barriers to independent living: None at present, but current health trajectory could lead to complications that may impact independence in the future if not addressed.<\/p>\n

Part II: Medications<\/p>\n

ALLERGIES: Penicillin (rash)<\/p>\n

Medication & Classification Dosage Purpose\/Mechanism of Action Contraindications, Adverse Reactions\/Side Effects; Risk Factors, Nursing Implications; & Patient Education **Relevant Research Findings\/Evidence to support treatment for this client.<\/p>\n

Metformin<\/p>\n

(Biguanide) 1000mg twice daily Purpose: To lower blood glucose levels in type 2 diabetes.<\/p>\n

Mechanism: Decreases hepatic glucose production, decreases intestinal absorption of glucose, and improves insulin sensitivity. Contraindications: Severe renal impairment, metabolic acidosis.<\/p>\n

Adverse reactions: GI disturbances, lactic acidosis (rare).<\/p>\n

Risk factors: Renal impairment, elderly.<\/p>\n

Nursing implications: Monitor renal function, educate about hypoglycemia symptoms.<\/p>\n

Patient education: Take with meals, report severe GI symptoms, importance of regular blood glucose monitoring. A 2019 systematic review in Diabetes Care found that metformin remains the most effective first-line treatment for type 2 diabetes, with benefits in glycemic control, weight management, and cardiovascular risk reduction.<\/p>\n

(American Diabetes Association. “9. Pharmacologic Approaches to Glycemic Treatment: Standards of Medical Care in Diabetes-2021.” Diabetes Care, 2021)<\/p>\n

Lisinopril<\/p>\n

(ACE Inhibitor) 10mg once daily Purpose: To lower blood pressure and protect kidney function in diabetic patients.<\/p>\n

Mechanism: Inhibits the conversion of angiotensin I to angiotensin II, leading to vasodilation and decreased blood pressure. Contraindications: Pregnancy, history of angioedema.<\/p>\n

Adverse reactions: Dry cough, hyperkalemia, dizziness.<\/p>\n

Risk factors: Renal artery stenosis, volume depletion.<\/p>\n

Nursing implications: Monitor blood pressure and renal function, assess for cough.<\/p>\n

Patient education: Take consistently, report persistent cough or dizziness, avoid pregnancy. The HOPE study demonstrated that ACE inhibitors like lisinopril reduce cardiovascular events in high-risk patients, including those with diabetes.<\/p>\n

(Heart Outcomes Prevention Evaluation Study Investigators. “Effects of an angiotensin-converting-enzyme inhibitor, ramipril, on cardiovascular events in high-risk patients.” New England Journal of Medicine, 2000)<\/p>\n

Atorvastatin<\/p>\n

(HMG-CoA Reductase Inhibitor) 20mg once daily Purpose: To lower cholesterol levels and reduce cardiovascular risk.<\/p>\n

Mechanism: Inhibits HMG-CoA reductase, reducing cholesterol synthesis in the liver. Contraindications: Active liver disease, pregnancy.<\/p>\n

Adverse reactions: Muscle pain, liver enzyme elevations.<\/p>\n

Risk factors: Elderly, concomitant use of certain medications.<\/p>\n

Nursing implications: Monitor liver function tests, assess for muscle pain.<\/p>\n

Patient education: Take in the evening, report muscle pain or weakness, avoid grapefruit juice. The CARDS study showed that atorvastatin significantly reduces the risk of cardiovascular events in patients with type 2 diabetes, even those with relatively low LDL cholesterol levels.<\/p>\n

(Colhoun HM, et al. “Primary prevention of cardiovascular disease with atorvastatin in type 2 diabetes in the Collaborative Atorvastatin Diabetes Study (CARDS).” Lancet, 2004)<\/p>\n

Part III: LABS<\/p>\n

Lab Initial Results<\/p>\n

Date & Time Current Results Date\/Time Normal Range How does this lab relate to your patient’s care?<\/p>\n

Why was it drawn? Was the result expected? If abnormal- why?<\/p>\n

Blood Pressure 140\/90 mmHg<\/p>\n

08\/24\/2024 09:00 142\/88 mmHg<\/p>\n

08\/25\/2024 07:30 <130\/80 mmHg Drawn to monitor hypertension. Slightly elevated, indicating suboptimal control. Expected due to ongoing management challenges. HbA1c 7.8% 08\/24\/2024 10:30 Not repeated <7.0% Indicates suboptimal diabetes control over past 3 months. Drawn to assess long-term glucose management. Higher than target, reflecting reported difficulty in glycemic control. Fasting Blood Glucose 145 mg\/dL 08\/24\/2024 07:00 138 mg\/dL 08\/25\/2024 07:00 70-100 mg\/dL Monitors daily glucose control. Elevated, confirming poor glycemic control. Slight improvement, but still above target range. Total Cholesterol 210 mg\/dL 08\/24\/2024 10:30 Not repeated <200 mg\/dL Slightly elevated, indicating increased cardiovascular risk. Drawn as part of lipid panel for cardiovascular risk assessment in diabetic patient. LDL Cholesterol 130 mg\/dL 08\/24\/2024 10:30 Not repeated <100 mg\/dL Above target for diabetic patients. Indicates need for more aggressive lipid management to reduce cardiovascular risk. HDL Cholesterol 45 mg\/dL 08\/24\/2024 10:30 Not repeated >50 mg\/dL (women) Slightly low, indicating reduced cardioprotective effect. Common in diabetic patients with metabolic syndrome.<\/p>\n

Triglycerides 180 mg\/dL<\/p>\n

08\/24\/2024 10:30 Not repeated <150 mg\/dL Elevated, common in diabetic patients. Indicates need for improved glycemic control and lifestyle modifications. Serum Creatinine 0.9 mg\/dL 08\/24\/2024 10:30 Not repeated 0.6-1.1 mg\/dL (women) Within normal range. Drawn to assess kidney function, important for diabetic patients and those on ACE inhibitors. eGFR >90 mL\/min\/1.73m\u00b2<\/p>\n

08\/24\/2024 10:30 Not repeated >90 mL\/min\/1.73m\u00b2 Normal kidney function. Important to monitor in diabetic patients due to risk of diabetic nephropathy.<\/p>\n

ALT 28 U\/L<\/p>\n

08\/24\/2024 10:30 Not repeated 7-56 U\/L Within normal range. Drawn to assess liver function, important for patients on statins.<\/p>\n

AST 25 U\/L<\/p>\n

08\/24\/2024 10:30 Not repeated 10-40 U\/L Within normal range. Part of liver function panel, relevant for statin therapy.<\/p>\n

Diagnostic Test (i.e. CXR, CT, MRI, Doppler, ECHO, ECG, etc.)<\/p>\n

Date Test Type Results Significance (why was it ordered, for what problem)<\/p>\n

08\/24\/2024 ECG Normal sinus rhythm, no acute changes Ordered due to patient’s risk factors (diabetes, hypertension, obesity) and complaint of occasional shortness of breath. Results show no acute cardiac issues.<\/p>\n

08\/24\/2024 Chest X-ray Clear lung fields, no acute cardiopulmonary process Ordered to evaluate reported shortness of breath. Results show no acute pulmonary issues, suggesting breathlessness may be related to deconditioning or obesity.<\/p>\n

IV solution or PB meds Location Reason for IV and\/or Fluids. List any interventions needed or completed<\/p>\n

N\/A N\/A Sarah does not currently require IV fluids or medications.<\/p>\n

Nutrition (diet orders, supplements, tube feeding, restrictions, etc.) and why are they ordered.<\/p>\n

Sarah is on a regular, low sodium, diabetic diet. This diet is ordered to help manage her diabetes and hypertension. It aims to control carbohydrate intake, reduce sodium to help lower blood pressure, and promote overall health. The dietitian has recommended smaller, more frequent meals to help with blood sugar control.<\/p>\n

Is this patient on telemetry? Explain why they are on telemetry and the rhythm they are in?<\/p>\n

Sarah is not currently on telemetry. While she has risk factors for cardiovascular disease (diabetes, hypertension, obesity), her ECG was normal and she has not shown any acute cardiac symptoms that would necessitate continuous monitoring at this time.<\/p>\n

Head to Toe Physical Assessment<\/p>\n

POLST\/Code Status: Full Code<\/p>\n

VS 7:30: Temperature 98.6\u00b0F Pulse 78 Respirations 18 BP 142\/88 Pain 0\/10<\/p>\n

VS 11:30: Temperature 98.4\u00b0F Pulse 82 Respirations 20 BP 138\/86 Pain 0\/10<\/p>\n

GENERAL SURVEY<\/p>\n

How does the client look? Age 42 Female Body Build: Obese<\/p>\n

Height 5’6″ Weight 190 lbs Well groomed<\/p>\n

Facial Expression: Anxious<\/p>\n

NEUROLOGICAL<\/p>\n

(LOC) Level of<\/p>\n

Consciousness Alert Awake<\/p>\n

Oriented x 4: Person Place Time Event Response to touch\/voice<\/p>\n

Eyes Unaided sight Glasses Snellen 20\/30<\/p>\n

Pupils Equal Round Reactive to light Accommodates Brisk<\/p>\n

Pupil size before light 4mm Pupil size after light 2mm<\/p>\n

Ears Unaided hearing<\/p>\n

Extremities Hand grips +5 equal Foot pushes +5 equal<\/p>\n

Cranial Nerves – intact All cranial nerves intact<\/p>\n

Pain No pain reported<\/p>\n

CARDIOVASCULAR<\/p>\n

Skin \/ Mucous Membranes Pink<\/p>\n

Radial and Pedal Pulses Radial: Palpable (L\/R) Pedal: (DP PT) Palpable (L\/R)<\/p>\n

Apical Radial Pulses No pulse deficit noted<\/p>\n

Carotid Pulses Right +2 Left +2 No Thrill No Bruit<\/p>\n

Capillary Refill Normal (<3 Sec) 2 sec Jugular Neck Veins Not visible Edema Absent Calf Tenderness Denies Negative Homan’s sign Heart Rhythm\/ Sounds \u2013 S1S2 Regular S1S2 normal No Murmur No Extra sounds Telemetry: N\/A IV N\/A RESPIRATORY Respirations Regular Even Unlabored Symmetrical Lung Sounds Clear LUL RUL LLL RLL RML Anterior Posterior Cough None Oxygen Room air Pulse ox 98% Respiratory Treatments Incentive Spirometer (IS): 1500ml frequency 10x\/hr hold for 3 seconds # of times 10 ALLERGIES Penicillin (rash) BLOOD GLUCOSE 138 mg\/dL (fasting) GASTROINTESTINAL Oral Teeth intact Mucous Membranes: intact moist Abdomen: Inspect Auscultate Percuss Palpate Soft Round Obese Nondistended Non Tender Bowel Sounds RLQ RUQ LUQ LLQ Normoactive NG\/ GT\/ JT None Bowel Movement Continent last BM 08\/24\/2024 Nutrition Diet: Regular, low sodium, diabetic % eaten Breakfast 75% Self feed GENITOURINARY Urine Continent Color pale yellow Clear Intake and Output PO intake 1200mL Urine output 1000mL Fluid restriction None Genitalia Female LMP 2 weeks ago MUSCULOSKELETAL Mobility ADLs independent Muscle treatment None CMST Circulation, Motion, Sensation, Temperature normal in all extremities Contractures Not present Amputation No ROM Full ROM in all extremities Mobility Turns self Sits independently Stands independently Walks independently Risk for Falls Low risk, no interventions needed INTEGUMENTARY Appearance Intact Color: normal for ethnicity Skin Warm Dry Wound Dressing Pressure Ulcers None ISOLATION None PSYCHOSOCIAL Behavior Cooperative Pleasant Restraints None Language spoken English = speaks and understands Ambulation status for your patient. What interventions would ensure patient safety with mobility? Sarah is independently ambulatory. To ensure her safety: Encourage her to wear non-slip footwear. Ensure pathways in her room and to the bathroom are clear of obstacles. Instruct her to use handrails in the hallways and bathroom when available. Encourage her to call for assistance if feeling dizzy or unsteady. What education have you seen your nurse preceptor discuss with the patient? Why was this material discussed? (new med, discharge, etc) The nurse preceptor discussed: Diabetes management: Importance of regular blood glucose monitoring, proper timing of medications, and recognizing signs of hypo\/hyperglycemia. This was discussed due to Sarah’s suboptimal glycemic control. Dietary recommendations: Explained the benefits of the prescribed diet for managing both diabetes and hypertension. This was crucial given Sarah’s multiple chronic conditions and reported struggle with diet adherence. Client Concept Map Part I: Assessment\/Recognize Key Assessment Findings: 42-year-old female with Type 2 Diabetes, Hypertension, and Obesity Suboptimal glycemic control (HbA1c 7.8%, FBG 138 mg\/dL) Elevated blood pressure (142\/88 mmHg) BMI 32 (Obese) Fatigue and occasional shortness of breath Sedentary lifestyle due to desk job Difficulty maintaining consistent diet and exercise routine High stress levels from work and family responsibilities Dyslipidemia (elevated total cholesterol, LDL, and triglycerides; low HDL) Client Concept Map Part II: Concept Map Central Issue: Chronic Disease Management Connected Issues: Diabetes Management Suboptimal glycemic control Medication adherence Blood glucose monitoring Dietary challenges Cardiovascular Health Hypertension Dyslipidemia Obesity Sedentary lifestyle Lifestyle Factors Work-related stress Family responsibilities Time management Nutrition choices Psychosocial Aspects Feeling overwhelmed Knowledge deficit about condition management Motivation for lifestyle changes Physical Symptoms Fatigue Occasional shortness of breath Client Concept Map Part III: Nursing Diagnoses & Plan Priority Nursing Diagnoses: Ineffective Health Maintenance related to knowledge deficit and complex treatment regimen as evidenced by suboptimal glycemic control and difficulty adhering to lifestyle modifications. Imbalanced Nutrition: More than body requirements related to sedentary lifestyle and poor dietary choices as evidenced by BMI of 32 and dyslipidemia. Activity Intolerance related to sedentary lifestyle and obesity as evidenced by fatigue and occasional shortness of breath. Ineffective Coping related to multiple chronic health conditions and life stressors as evidenced by reported feelings of being overwhelmed. Plan for Top Priority Diagnosis: Ineffective Health Maintenance Outcomes: Client will demonstrate improved glycemic control as evidenced by fasting blood glucose levels between 80-130 mg\/dL within 1 week. Client will verbalize understanding of diabetes management strategies, including medication adherence, dietary guidelines, and importance of physical activity by discharge. Interventions: Provide comprehensive diabetes education, including: Proper use of glucose meter and interpretation of results Timing and administration of medications Signs and symptoms of hypo\/hyperglycemia and appropriate actions Importance of consistent carbohydrate intake and meal timing Collaborate with dietitian to develop a personalized meal plan that addresses both diabetes and cardiovascular health. Assist client in creating a realistic exercise plan, starting with short, achievable goals (e.g., 10-minute walks twice daily). Teach stress-management techniques such as deep breathing exercises and progressive muscle relaxation. Provide resources for ongoing diabetes support, such as support groups or diabetes management apps. Evaluation: Monitor daily fasting blood glucose levels and trend over time Assess client’s verbal understanding of diabetes management strategies through teach-back method Review client’s food and activity log to ensure adherence to recommendations Schedule follow-up appointments with primary care provider and endocrinologist Student Evaluation of Clinical Performance After reflecting on the clinical performance today, the critical thinking utilized included: Comprehensive assessment: Gathering and analyzing data from multiple sources (patient interview, physical assessment, lab results) to form a holistic view of the patient’s condition. Prioritization: Identifying the most pressing health issues among multiple chronic conditions and psychosocial factors. Integration of knowledge: Applying understanding of pathophysiology, pharmacology, and evidence-based practice to develop appropriate interventions. Patient-centered care: Considering Sarah’s lifestyle, preferences, and challenges when developing the care plan. Interdisciplinary collaboration: Recognizing the need for input from various healthcare professionals (e.g., dietitian, endocrinologist) for optimal patient care. Areas for improvement in the next clinical day: Enhance motivational interviewing skills to better engage patients in their care plan and lifestyle modifications. Develop more in-depth knowledge of current diabetes management guidelines and emerging treatments. Practice creating more detailed, individualized patient education materials that address specific patient needs and learning styles. Improve time management skills to balance comprehensive care with efficiency in a clinical setting. Seek opportunities to observe and participate in interdisciplinary team meetings to better understand collaborative care approaches for complex chronic conditions.<\/p>\n

==================================<\/p>\n

NSG528 Medical Surgical Nursing II Care Plan & Client Concept Map Packet<\/p>\n

Case Study.
\nPatient: Sarah Johnson<\/p>\n

Age: 42<\/p>\n

Gender: Female<\/p>\n

Medical History:<\/p>\n

Type 2 Diabetes (diagnosed 5 years ago)<\/p>\n

Hypertension (diagnosed 3 years ago)<\/p>\n

Obesity (BMI 32)<\/p>\n

Family history of heart disease (father had a heart attack at 55)<\/p>\n

Current Condition:<\/p>\n

Sarah has been experiencing increased fatigue, difficulty managing her blood sugar levels, and occasional shortness of breath over the past month. She reports feeling overwhelmed with her health management and has been struggling to maintain a consistent exercise routine and healthy diet.<\/p>\n

Medications:<\/p>\n

Metformin 1000mg twice daily (for diabetes)<\/p>\n

Lisinopril 10mg once daily (for hypertension)<\/p>\n

Atorvastatin 20mg once daily (for cholesterol management)<\/p>\n

Recent Diagnostic Results:<\/p>\n

Blood Pressure: 142\/88 mmHg (slightly elevated)<\/p>\n

HbA1c: 7.8% (indicating suboptimal diabetes control)<\/p>\n

Fasting Blood Glucose: 145 mg\/dL<\/p>\n

Total Cholesterol: 210 mg\/dL<\/p>\n

LDL Cholesterol: 130 mg\/dL<\/p>\n

HDL Cholesterol: 45 mg\/dL<\/p>\n

Triglycerides: 180 mg\/dL<\/p>\n

Additional Information:<\/p>\n

Sarah works as an accountant, which involves long hours sitting at a desk.<\/p>\n

She is married with two teenage children.<\/p>\n

She reports high stress levels due to work and family responsibilities.<\/p>\n

Sarah has attempted to lose weight in the past but has struggled to maintain a consistent diet and exercise plan.<\/p>\n

She has expressed interest in learning more about managing her conditions but feels overwhelmed by the amount of information available.
\n—–<\/p>\n

Assignment: NSG528 Medical Surgical Nursing II Care Plan & Client Concept Map \u00a0<\/p>\n

Instructions:\u00a0\u00a0<\/p>\n

Complete<\/p>\n

a comprehensive care plan according to your scheduled due dates. Be thorough.<\/p>\n

Read the prompts and directions. Be detail-oriented.\u00a0\u00a0<\/p>\n

\u00a0<\/p>\n

Care<\/p>\n

Plan\/Client Concept Map Components:\u00a0<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Care Plan Part I:<\/p>\n

Basic Conditioning Factors\u00a0\u00a0<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Care Plan Part II:<\/p>\n

Medications \u2013 must include evidence to support use of 3 most relevant<\/p>\n

medications in client case\u00a0<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Care Plan Part III:<\/p>\n

Diagnostic Studies & Interpretation\u00a0<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Care Plan Part IV:<\/p>\n

Physical Assessment \u00a0<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Client Concept Map<\/p>\n

Part I: Assessment\/Recognize\u00a0\u00a0<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Client Concept Map<\/p>\n

Part II: Concept Map<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Client Concept Map<\/p>\n

Part III: Nursing Diagnoses & Plan\u00a0\u00a0<\/p>\n

Nursing<\/p>\n

Care Plan Part I: Basic Conditioning Factors<\/p>\n

\u00a0Date:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n

A.<\/p>\n

Patient identifiers:<\/p>\n

Physician<\/p>\n

(s): <\/p>\n

Age:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Gender:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ht:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Wt.\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Code Status:<\/p>\n

Isolation:<\/p>\n

Development<\/p>\n

Stage (Erikson): Give the rational for your evaluation<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Health<\/p>\n

States<\/p>\n

\u00a0<\/p>\n

Date of<\/p>\n

admission: <\/p>\n

Activity<\/p>\n

level:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Diet:<\/p>\n

Fall<\/p>\n

risk <\/p>\n

\u00a0<\/p>\n

Client\u2019s<\/p>\n

description of health status (define chronic state)<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Admitting<\/p>\n

Diagnosis<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Allergies:<\/p>\n

(include type of reaction) <\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Client\u2019s<\/p>\n

past medical surgical history (include dates)<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Completed<\/p>\n

therapies:<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Current<\/p>\n

therapies:<\/p>\n

Socio-cultural<\/p>\n

Orientation<\/p>\n

\u00a0<\/p>\n

Cultural<\/p>\n

and Ethnic Background<\/p>\n

\u00a0<\/p>\n

Socialization:<\/p>\n

\u00a0<\/p>\n

Family<\/p>\n

system Elements (Support system)<\/p>\n

\u00a0<\/p>\n

Spiritual:<\/p>\n

\u00a0<\/p>\n

Occupation<\/p>\n

(across the lifespan)<\/p>\n

\u00a0<\/p>\n

Patterns<\/p>\n

of living: (define past and current<\/p>\n

\u00a0<\/p>\n

Barriers<\/p>\n

to independent living<\/p>\n

\u00a0<\/p>\n

Part II: Medications<\/p>\n

List all<\/p>\n

medications, dosages, classifications and the rational for the medications<\/p>\n

prescribed for this patient include major considerations for administration<\/p>\n

and the possible negative outcomes associated with this medication. (May<\/p>\n

include additional copies of this form as needed)<\/p>\n

** Must include evidence to<\/p>\n

support use of 3 most relevant medications in client case.<\/p>\n

ALLERGIES:<\/p>\n

Medication & Classification<\/p>\n

Dosage<\/p>\n

Purpose\/Mechanism of Action<\/p>\n

Contraindications, Adverse Reactions\/Side Effects; Risk Factors,<\/p>\n

Nursing Implications; & Patient Education<\/p>\n

**Relevant Research Findings\/Evidence to support treatment for this<\/p>\n

client. <\/p>\n

Link to Article\/Evidence Below<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Part III:<\/p>\n

LABS<\/p>\n

Include all labs resulted in the past 24<\/p>\n

hours.\u00a0Compare admission<\/p>\n

labs with most recent labs.\u00a0Report on any single resulted lab (ex: one D-dimer done on day 3 of<\/p>\n

admission)\u00a0<\/p>\n

\u00a0<\/p>\n

Lab<\/p>\n

Initial Results<\/p>\n

Date & Time<\/p>\n

Current Results Date\/Time<\/p>\n

Normal Range<\/p>\n

How does this lab relate to your patient\u2019s<\/p>\n

care?<\/p>\n

Why was it drawn? Was the result<\/p>\n

expected? If abnormal- why?<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Diagnostic Test (i.e. CXR, CT, MRI,<\/p>\n

Doppler, ECHO, ECG, etc.)<\/p>\n

Date <\/p>\n

Test Type<\/p>\n

Results <\/p>\n

Significance (why was it ordered, for<\/p>\n

what problem)<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

IV<\/p>\n

solution or PB meds<\/p>\n

Location<\/p>\n

Reason<\/p>\n

for IV and\/or Fluids. List any interventions needed or completed<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Nutrition (diet orders, supplements, tube feeding, restrictions, etc.)<\/p>\n

and why are they ordered.\u00a0 \u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Is this patient on telemetry? Explain why they are on telemetry and the<\/p>\n

rhythm they are in? <\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0\u00a0<\/p>\n

\u00a0<\/p>\n

\u00a0<\/p>\n

Head<\/p>\n

to Toe Physical Assessment\u00a0 <\/p>\n

POLST\/Code Status\u00a0\u00a0 VS 7:30:<\/p>\n

Temperature\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pulse \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Respirations\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 BP\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \/ \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pain\u00a0\u00a0\u00a0 \/10 <\/p>\n

\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0VS 11:30:Temperature\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pulse \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Respirations\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 BP\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \/ \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pain\u00a0\u00a0\u00a0 \/10<\/p>\n

GENERAL SURVEY<\/p>\n

\u00a0<\/p>\n

How does<\/p>\n

the client look?<\/p>\n

Age___________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Male\/Female\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Body Build:\u00a0\u00a0 Thin\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n

Cachectic\u00a0\u00a0\u00a0\u00a0\u00a0 Obese\u00a0\u00a0\u00a0\u00a0\u00a0 WNL<\/p>\n

Height___________\u00a0 Weight____________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Well groomed\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Poorly Groomed<\/p>\n

Facial<\/p>\n

Expression:\u00a0\u00a0\u00a0 Anxious\u00a0\u00a0\u00a0\u00a0 Happy\u00a0\u00a0\u00a0\u00a0<\/p>\n

Sad\u00a0\u00a0\u00a0\u00a0 Angry<\/p>\n

NEUROLOGICAL<\/p>\n

\u00a0<\/p>\n

(LOC) Level<\/p>\n

of <\/p>\n

Consciousness<\/p>\n

Alert\u00a0\u00a0\u00a0\u00a0\u00a0 Awake\u00a0\u00a0\u00a0\u00a0\u00a0 Lethargic\u00a0\u00a0\u00a0\u00a0\u00a0 Obtunded\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Stupor\u00a0\u00a0\u00a0\u00a0\u00a0 Comatose\u00a0\u00a0\u00a0\u00a0\u00a0 Confused\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Decerebrate\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Decorticate\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/p>\n

Oriented x<\/p>\n

4:\u00a0\u00a0\u00a0\u00a0 Person\u00a0 Place\u00a0<\/p>\n

Time\u00a0 Event\u00a0\u00a0\u00a0 Response to touch\/voice<\/p>\n

Eyes<\/p>\n

Unaided<\/p>\n

sight\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Glasses\u00a0\u00a0\u00a0\u00a0\u00a0 Contact lens \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Implants\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Prosthesis\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Snellen\u00a0 20\/\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Blind<\/p>\n

Pupils<\/p>\n

Equal<\/p>\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0Round\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n

Reactive to light\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n

Accommodates\u00a0\u00a0\u00a0\u00a0\u00a0 Sluggish\u00a0\u00a0\u00a0\u00a0\u00a0 Brisk\u00a0\u00a0\u00a0\u00a0\u00a0 Nonreactive to light\u00a0\u00a0\u00a0\u00a0 Consensual<\/p>\n

Pupil size<\/p>\n

before light ______mm\u00a0 Pupil size after<\/p>\n

light ______mm<\/p>\n

Ears<\/p>\n

Unaided<\/p>\n

hearing\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hard of hearing\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Deaf\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hearing aid\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Implant\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Cerumen\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Drainage<\/p>\n

Extremities<\/p>\n

Hand\u00a0 grips\u00a0\u00a0\u00a0<\/p>\n

+1 +2 +3 +4 +5\u00a0\u00a0\u00a0\u00a0 equal\u00a0 unequal\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Foot pushes\u00a0\u00a0\u00a0\u00a0 +1 +2 +3 +4 +5\u00a0\u00a0\u00a0 equal\u00a0<\/p>\n

unequal<\/p>\n

Cranial<\/p>\n

Nerves – intact<\/p>\n

I(smell)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 II(vision)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 III+IV+VI(eye movement)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 V(sensation of face\/oral)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 VII (facial movement\/taste)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 <\/p>\n

VIII<\/p>\n

(hear\/balance)\u00a0\u00a0\u00a0\u00a0\u00a0 IX<\/p>\n

(taste\/swallow)\u00a0\u00a0\u00a0\u00a0\u00a0 X<\/p>\n

(chew\/gag\/speech)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 XI (shrug\/turn<\/p>\n

head)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 XII(tongue movement) <\/p>\n

Pain<\/p>\n

Character\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Onset\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Location\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Duration\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Severity\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pattern\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Associated Factors\u00a0\u00a0\u00a0 COLDSPA<\/p>\n

CARDIOVASCULAR<\/p>\n

\u00a0<\/p>\n

Skin \/<\/p>\n

Mucous Membranes<\/p>\n

Pink\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n

Pale \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0Cyanotic \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0Jaundiced\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ruddy\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Flushed\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Diaphoretic<\/p>\n

Radial and<\/p>\n

Pedal Pulses<\/p>\n

Radial:<\/p>\n

Palpable (L\/R)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Absent<\/p>\n

(L\/R)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pedal: (DP PT)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Palpable (L\/R)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Absent (L\/R)\u00a0 <\/p>\n

Apical<\/p>\n

Radial Pulses<\/p>\n

(2 people<\/p>\n

simultaneously)\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Apical<\/p>\n

and Radial\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n

Pulse Deficit<\/p>\n

Carotid<\/p>\n

Pulses<\/p>\n

(DO NOT<\/p>\n

TAKE AT SAME TIME)\u00a0\u00a0\u00a0\u00a0\u00a0 Right\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Left\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Thrill\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bruit<\/p>\n

Capillary<\/p>\n

Refill<\/p>\n

Normal (<3 Sec)\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______sec\n\n\n\n \n\n \n\n \n\n \n\n Jugular\n\n Neck Veins\n\n\n\n \n\n \n\n Not\n\n visible\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Visible\n\n\n\n \n\n \n\n \n\n \n\n Edema\n\n\n\n \n\n \n\n Absent\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Present: location\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 +1 +2 +3 +4\u00a0\u00a0 Anasarca\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pitting\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Non Pitting\n\n\n\n \n\n \n\n \n\n \n\n Calf\n\n Tenderness\n\n\n\n \n\n \n\n Denies\u00a0\u00a0\u00a0 Positive Homan\u2019s sign\u00a0\u00a0\u00a0 R L\u00a0\u00a0\n\n calf size R____\u00a0 L_____\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 (team leader or charge nurse\n\n notified)\n\n\n\n \n\n \n\n \n\n \n\n Heart Rhythm\/ \n\n\n\n Sounds \u2013\n\n S1S2\n\n\n\n \n\n \n\n Regular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Irregular\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Murmur\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Extra sounds\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Strong\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Faint\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Muffled\n\n\n\n Telemetry:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 rhythm ___________________\u00a0\u00a0\u00a0\u00a0 Pacemaker\u00a0\u00a0\u00a0\u00a0\u00a0 Defibrillator\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 location\n\n\n\n \n\n \n\n \n\n \n\n IV\n\n\n\n \n\n \n\n Solution_______________\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0Rate \u00a0\u00a0\u00a0 ____ml\/hr\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pump\n\n\n\n Site\n\n location (be specific)\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 ______________________________________\n\n\n\n Site appearance:\u00a0 Clear\u00a0\u00a0\u00a0\n\n Edema\u00a0\u00a0\u00a0\u00a0 Erythema\u00a0\u00a0\u00a0\u00a0\u00a0 Tender\u00a0\u00a0\u00a0\u00a0\u00a0 Pallor \n\n\n\n Dialysis\n\n access: type __________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\n\n Thrill\u00a0\u00a0\u00a0\u00a0 Bruit\u00a0\u00a0\u00a0\u00a0 Location:___________\u00a0 Appearance:____________\n\n\n\n \n\n \n\n \n\n \n\n RESPIRATORY\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n Respirations\n\n\n\n \n\n \n\n Regular\u00a0\u00a0 Irregular\u00a0\u00a0\u00a0\u00a0 Even\u00a0\u00a0\u00a0\n\n Uneven\u00a0\u00a0\u00a0\u00a0 Unlabored\u00a0\u00a0\u00a0\u00a0 Labored\u00a0\u00a0\u00a0\u00a0 Symmetrical\u00a0\u00a0\u00a0 Asymmetrical\n\n\n\n \n\n \n\n \n\n \n\n Lung Sounds\n\n\n\n \n\n \n\n Clear \u00a0\u00a0\u00a0\u00a0 LUL \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 RUL \u00a0\u00a0\u00a0\u00a0\u00a0 LLL\n\n \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 RLL\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0RML\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\n\n Anterior\u00a0\u00a0\u00a0\u00a0\u00a0 Posterior\n\n\n\n Wheezes\u00a0 location__________\u00a0\u00a0\u00a0\u00a0 Rales\/crackles\u00a0\u00a0 location__________\u00a0\u00a0\u00a0\u00a0 Rhonchi\u00a0\u00a0\u00a0 location ________\n\n\n\n Nasal flaring\u00a0\u00a0\u00a0 Sternal retraction\u00a0\u00a0\u00a0 Intercostal retraction\n\n\n\n Do lung\n\n sounds improve with cough and deep breath?\u00a0\u00a0\n\n If no, report to team leader\n\n\n\n \n\n \n\n \n\n \n\n Cough\n\n\n\n \n\n \n\n None\u00a0\u00a0\u00a0\u00a0\n\n Nonproductive\u00a0\u00a0\u00a0\u00a0\u00a0 Dry\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Moist\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Productive\u00a0\u00a0\u00a0\u00a0\u00a0 Sputum:amount \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0color\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 frequency\n\n\n\n \n\n \n\n \n\n \n\n Oxygen\n\n\n\n \n\n \n\n Room air\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Pulse ox ______\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 O2 at_____L\/min\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nasal Cannula \u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Mask \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\n\n\n\n Tent\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CPAP\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 BIPAP\n\n\n\n \n\n \n\n \n\n \n\n Respiratory\n\n Treatments\n\n\n\n \n\n \n\n Incentive Spirometer (IS):\n\n ml______ frequency _______hold for ___ seconds\u00a0\u00a0\u00a0\u00a0 # of times______ \n\n\n\n HHN\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 medication\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bipap\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ventilator?\u00a0 TV\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 rate\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 02%\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 other\n\n\n\n \n\n \n\n \n\n \n\n ALLERGIES\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n BLOOD GLUCOSE\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n GASTROINTESTINAL\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n Oral\n\n\n\n \n\n \n\n Teeth\u00a0\u00a0\u00a0\u00a0\u00a0 Dentures\u00a0\u00a0\u00a0\u00a0\u00a0 Caries\u00a0\u00a0\u00a0\u00a0\u00a0 Dysphagia\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mucous Membranes:\u00a0\u00a0\u00a0\u00a0 intact\u00a0\u00a0\u00a0\u00a0 moist\u00a0\u00a0\u00a0\u00a0\n\n dry\u00a0\u00a0\u00a0\u00a0 pale\u00a0\u00a0\u00a0\u00a0 leukoplakia\u00a0\u00a0 \n\n\n\n \n\n \n\n \n\n \n\n Abdomen:\u00a0\u00a0\u00a0\u00a0 Inspect\u00a0\u00a0\u00a0 \n\n\n\n Auscultate\u00a0 Percuss\n\n Palpate \n\n\n\n \n\n \n\n Soft\u00a0\u00a0\u00a0\u00a0\u00a0 Round\u00a0\u00a0\u00a0\u00a0 Flat\u00a0\u00a0\u00a0\u00a0\n\n Scaphoid\u00a0\u00a0\u00a0\u00a0 Obese\u00a0\u00a0\u00a0\u00a0\u00a0 Firm\u00a0\u00a0\u00a0\u00a0\n\n Hard\u00a0\u00a0\u00a0\u00a0 Nondistended\u00a0\u00a0\u00a0\u00a0 Distended\u00a0\u00a0\u00a0\u00a0\u00a0 Tender\u00a0\u00a0\u00a0 Non Tender\u00a0\u00a0 Location:\n\n\n\n \n\n \n\n \n\n \n\n Bowel\n\n Sounds\n\n\n\n \n\n \n\n RLQ\u00a0 \u00a0\u00a0\u00a0\u00a0 RUQ\u00a0 \u00a0\u00a0\u00a0 LUQ\n\n \u00a0\u00a0\u00a0\u00a0\u00a0 LLQ \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Normoactive\u00a0\u00a0\u00a0\u00a0\n\n Hypoactive\u00a0\u00a0\u00a0 \u00a0Hyperactive\u00a0\u00a0\u00a0\u00a0\u00a0 Absent\n\n\n\n \n\n \n\n \n\n \n\n NG\/ GT\/ JT\n\n\n\n \n\n \n\n None\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Type of tube _____\u00a0\u00a0\u00a0\u00a0\u00a0 patent \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 nonpatent\n\n\n\n Suction:\n\n low\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 high\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Color of drainage\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 amount\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n \n\n \n\n \n\n \n\n Bowel\n\n Movement\n\n\n\n \n\n \n\n Continent\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\n\n Incontinent\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 last BM\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Color\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Size \u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Consistency\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ostomy\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Stool\n\n\n\n \n\n \n\n \n\n \n\n Nutrition\n\n\n\n \n\n \n\n Diet___________\u00a0\u00a0\u00a0 % eaten Breakfast____ Lunch_____\n\n NPO?\u00a0 Why___________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n Self feed\u00a0\u00a0\u00a0 Needs assistance\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Thickened liquids:\u00a0 honey\u00a0\n\n nectar\u00a0\u00a0\u00a0 pudding\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tube Feed_________________\u00a0\u00a0 \n\n\n\n \n\n \n\n \n\n \n\n GENITOURINARY\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n Urine\n\n\n\n \n\n \n\n Continent\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Incontinent\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Catheter type _______________\u00a0\u00a0\u00a0\u00a0\u00a0 Patent\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nonpatent________________\u00a0\u00a0\u00a0\u00a0 \n\n\n\n Color_________________\u00a0\n\n Clear \u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0Cloudy\u00a0\u00a0\u00a0\u00a0\u00a0\n\n Sediment\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Burning\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Frequency\n\n\n\n \n\n \n\n \n\n \n\n Intake and\n\n Output\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n \n\n \n\n PO\/Oral\/Tube Feed\n\n intake____________\u00a0\u00a0\u00a0 IV\n\n intake____________\u00a0\u00a0\u00a0 Urine\n\n output_________\u00a0\u00a0\u00a0 Other output\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n Fluid restriction\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Total I&O\u00a0 + \/-\u00a0\n\n ________________\n\n\n\n \n\n \n\n \n\n \n\n Genitalia\n\n\n\n \n\n \n\n Male\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Female\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 vaginal discharge\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LMP\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 post partum\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\n\n \n\n\n\n \n\n \n\n \n\n \n\n MUSCULOSKELETAL\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n Mobility\n\n\n\n \n\n \n\n ADLs\n\n independent or assisted with\n\n _________________________________________________\n\n\n\n \n\n \n\n \n\n \n\n Muscle\n\n treatment\n\n\n\n \n\n \n\n None\u00a0\u00a0\u00a0\u00a0 Cast\u00a0\u00a0\u00a0\u00a0 Brace\u00a0\u00a0\u00a0\u00a0\n\n Splint\u00a0\u00a0\u00a0 Location \u00a0\u00a0\u00a0 \u00a0Elevate\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Traction - type\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0traction wt:\n\n\n\n \n\n \n\n \n\n \n\n CMST\n\n\n\n \n\n \n\n Circulation: color, pulses, cap\n\n refill\u00a0\u00a0\u00a0\u00a0\u00a0 Motion\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sensation\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Temperature\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n RA\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LA\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 RL\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 LL\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Antiembolitic Hose:knee\/thigh\n\n\n\n \n\n \n\n \n\n \n\n Contractures\n\n\n\n \n\n \n\n Not\n\n present\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Present \u2013 which\n\n extremity?\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 What\n\n % decreased?\n\n\n\n \n\n \n\n \n\n \n\n Amputation\n\n\n\n \n\n \n\n No \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Yes \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Location\u00a0\u00a0 _______________________________\n\n\n\n \n\n \n\n \n\n \n\n ROM\n\n\n\n \n\n \n\n AROM\u00a0\u00a0\u00a0 AAROM\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 PROM\u00a0\u00a0\u00a0\n\n CPM\u00a0\u00a0\u00a0\u00a0 Limited\u00a0\u00a0 location___________________\n\n\n\n \n\n \n\n \n\n \n\n Mobility\n\n\n\n \n\n \n\n Turns self\u00a0\u00a0\u00a0\u00a0\u00a0 Sits independently\u00a0\u00a0\u00a0\u00a0\u00a0 Dangles\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Stands independently\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Walks independently\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n Ambulatory assistance: Gait\n\n belt\u00a0\u00a0\u00a0 Cane\u00a0\u00a0\u00a0\u00a0 Walker\u00a0\u00a0\u00a0\u00a0 Crutches\u00a0\u00a0\u00a0\u00a0 Braces\u00a0\u00a0\u00a0\u00a0 Wheelchair\u00a0\u00a0\u00a0\u00a0 Gerichair\n\n\n\n Walks:\u00a0 distance\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0frequency\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 tolerance\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 PT\u00a0 OT\u00a0\n\n RNA\n\n\n\n \n\n \n\n \n\n \n\n Risk for\n\n Falls\n\n\n\n \n\n \n\n Bed\n\n alarm\u00a0\u00a0 Chair alarm\u00a0\u00a0 1 or 2 Person Transfer\u00a0\u00a0 Floor pad\u00a0\u00a0\u00a0 Side Rails\u00a0\u00a0\u00a0 Mechanical Lift\u00a0\u00a0\u00a0 Slide Board\n\n\n\n \n\n \n\n \n\n \n\n INTEGUMENTARY\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n Appearance\n\n\n\n \n\n \n\n Intact\u00a0\u00a0\u00a0 Color___________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pallor\u00a0\u00a0\u00a0\u00a0\u00a0 Rash\u00a0\u00a0\u00a0\u00a0\u00a0 Bruise\u00a0\u00a0\u00a0\u00a0 Lesions\u00a0\u00a0\u00a0\u00a0\u00a0 Scar\u00a0\u00a0\n\n Location _________________________ \n\n\n\n Turgor_____seconds\u00a0\u00a0\u00a0 Site___________\u00a0\u00a0\u00a0\u00a0 \n\n\n\n \n\n \n\n \n\n \n\n Skin\n\n\n\n \n\n \n\n Warm \u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Hot \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Cool\n\n \u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0Cold\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Dry\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Moist\n\n\n\n \n\n \n\n \n\n \n\n Wound Dressing \n\n\n\n Pressure\n\n Ulcers\n\n\n\n \n\n \n\n None\u00a0\u00a0\u00a0\u00a0\u00a0 Surgical site \u2013 Location\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Well\n\n approximated\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Sutures\u00a0\u00a0\u00a0 Staples\u00a0\u00a0\n\n Steristrips\n\n\n\n Dressing:\u00a0\u00a0 Dry\/intact\u00a0\u00a0 Non-intact\u00a0\u00a0\u00a0 Change:\u00a0\n\n yes\u00a0 no\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n Drainage: Color\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Amount___________\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Odor_________\n\n\n\n Wound appearance\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Drain type\u00a0 _________\u00a0\n\n Amount______\n\n\n\n Stage\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Location\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Size\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tunneling\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Eschar\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Slough\n\n\n\n Stage\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Location\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Size\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tunneling\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Eschar\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Slough\n\n\n\n Stage\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Location\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Size\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tunneling\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Eschar\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Slough\n\n\n\n \n\n \n\n \n\n \n\n ISOLATION\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n Type\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Culture\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Site\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Type\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Culture\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0Site\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n \n\n \n\n PSYCHOSOCIAL \n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n Behavior\n\n\n\n \n\n \n\n Cooperative \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Uncooperative\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pleasant \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Withdrawn \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Combative\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Other_______________\n\n\n\n \n\n \n\n \n\n \n\n Restraints\n\n\n\n \n\n \n\n None\n\n \u00a0\u00a0\u00a0\u00a0 Chemical\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Physical: type \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0location\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \n\n\n\n CMST of\n\n extremity\u00a0\u00a0 RA\u00a0\u00a0\u00a0 LA\u00a0\u00a0\u00a0\n\n RL\u00a0\u00a0\u00a0\u00a0 LL\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Frequency Checked________________\u00a0\u00a0\u00a0\u00a0 See Restraint Form \n\n\n\n \n\n \n\n \n\n \n\n Language\n\n spoken\n\n\n\n \n\n \n\n English =\n\n speaks and understands\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\n\n other_________________\u00a0\u00a0\n\n Interpreter\n\n\n\n \n\n \u00a0\n\nAmbulation status for your patient. What interventions would ensure\n\npatient safety with mobility?\n\n\n\n\n\n \n\n \n\n \n\n \n\n \n\n \n\n \u00a0\n\n\n\n \n\n\n\n \n\n \n\n \n\n \n\n\u00a0\n\n \u00a0\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\n\nWhat education have you seen your nurse preceptor discuss with the\n\npatient? Why was this material discussed? (new med, discharge, etc) \n\n\n\n\n\n \n\n \n\n \n\n \n\n \n\n \n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \n\n\n\n \n\n \n\n \n\n \n\n\u00a0\n\n \u00a0\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\n\nSTUDENT\n\nEVALUATION OF CLINICAL PERFORMANCE \n\n(please list\n\nspecific examples for each clinical experience):\n\nAfter reflecting on your clinical performance today, what\n\ncritical thinking did you utilize and how can you improve on that in your next\n\nclinical day?\n\n\u00a0\n\n\n\n\n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \u00a0\n\n\n\n \n\n\n\n \n\n \n\n \n\n \n\n\u00a0\n\n \u00a0\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\n\nCLIENT CONCEPT MAP PART II (EXAMPLE)\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\n\n\n\nCLIENT CONCEPT MAP PART II Recognize &\n\nAnalyze Cues\n\n\n\n \n\n\n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \n\n \u00a0\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\u00a0\n\n\n\n\n\nCLIENT CONCEPT MAP- PART III-PRIORITY PATIENT PROBLEMS PLAN OF CARE: (EXAMPLE) \n\n\u00a0\n\n\n\n \n\n \n\n ANALYZE CUES\n\n\n\n \n\n \n\n \n\n PRIORITIZE HYPOTHESIS\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n GENERATE SOLUTIONS\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n TAKE ACTIONS\n\n\n\n \n\n \n\n \n\n EVALUATE OUTCOMES\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n \n\n Analyze Cues: Organize and linking the recognized cues to the\n\n client\u2019s clinical presentation. \n\n\n\n \u00a0\n\n\n\n What client conditions are consistent with the\n\n cues? \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n What other information would help establish\n\n the significance of a cue or set of cues?\n\n\n\n \u00a0\n\n\n\n Subjective and Objective Data\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n Evaluating and ranking hypotheses according to priority\n\n (urgency, likelihood, risk, difficulty, time, etc.)\n\n\n\n \u00a0\n\n\n\n Based on analysis, which explanations are\n\n most\/least likely or are the most serious? \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n This is\n\n the identification of your priority patient problems. Identify your top 4\n\n patient priorities here:\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n Identify expected outcomes and using hypotheses to define a\n\n set of interventions for the expected outcomes. \n\n\n\n \u00a0\n\n\n\n What are the desired outcomes related to your #1 priority patient problem?\n\n \n\n\n\n \u00a0\n\n\n\n List a\n\n minimum of two. \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n What should be avoided? \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n Implementing the solution(s) that addresses the highest\n\n priorities. \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n *What interventions can achieve the outcomes\n\n listed for your #1 priority patient problem? \n\n\n\n \u00a0\n\n\n\n List a\n\n minimum of three interventions for each outcome. (note: potential solutions could include\n\n collecting additional information). \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n How should each of the selected interventions\n\n be accomplished (performed, requested, administered, communicated, taught,\n\n documented)?\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n Comparing observed\n\n\n\n outcomes against expected outcomes. \n\n\n\n \u00a0\n\n\n\n What signs point to (or would point to) improving\n\n or declining status for each of the selected interventions?\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n Based on the signs noted, were the\n\n interventions effective? \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n Would other interventions have been more\n\n effective? \n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n \n\n *note:\n\n the selection of interventions is part of generating\n\n solutions \u2013 the actual implementation of interventions is a part of taking action. \n\n\n\n \n\n \n\n \n\n \n\n Cite your\n\n references: \n\n\n\n \u00a0\n\n\n\n \n\n \n\n\u00a0\n\n\u00a0\n\nCLIENT CONCEPT MAP- PART III-PRIORITY PATIENT PROBLEMS PLAN OF CARE\n\n\n\n \n\n \n\n ANALYZE CUES\n\n\n\n \n\n \n\n PRIORITIZE HYPOTHESIS\n\n\n\n \u00a0\n\n\n\n \n\n \n\n GENERATE SOLUTIONS\n\n\n\n \u00a0\n\n\n\n \n\n \n\n TAKE ACTIONS\n\n\n\n \n\n \n\n EVALUATE OUTCOMES\n\n\n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n \u00a0\n\n\n\n Subjective Data\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n Objective Data\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \u00a0\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \u00a0\n\n\n\n \n\n \n\n \n\n \n\n Cite your\n\n references: \n\n\n\n \u00a0\n\n\n\n \n\n \n\n\u00a0\n<\/p>\n","protected":false},"excerpt":{"rendered":"

Nursing Care Plan Part I: Basic Conditioning Factors Date: 08\/25\/2024 A. Patient identifiers: Physician(s): Dr. Emily Carter (Primary Care), Dr. Michael Rodriguez (Endocrinologist) Age: 42\u2026<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1365,1775,196,204,1776,1829,1825,627,1778,1828,1644,1352],"tags":[1823,1831,1824,1830,1827,1826,1682],"class_list":["post-5328","post","type-post","status-publish","format-standard","hentry","category-nursing-care-plan-homework-assignment-help","category-best-case-study-nursing-writing-services-for-care-plans-soap-notes-pharmacology","category-case-study","category-concept-map","category-custom-case-study-writing-service-help","category-help-writing-medical-case-study-assignment-answers","category-help-writing-nursing-concept-map-assignment","category-how-to-write-a-case-study-examples-assignments","category-i-need-help-answering-a-case-study","category-medical-nursing-case-study-writing-help-service","category-patient-case-study-assignment-help","category-sample-nursing-case-studies-with-answers","tag-care-plan","tag-chronic-disease-management","tag-concept-map","tag-diabetes-nursing","tag-medical-surgical-nursing","tag-nsg528","tag-patient-education"],"_links":{"self":[{"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/posts\/5328","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/comments?post=5328"}],"version-history":[{"count":1,"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/posts\/5328\/revisions"}],"predecessor-version":[{"id":5329,"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/posts\/5328\/revisions\/5329"}],"wp:attachment":[{"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/media?parent=5328"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/categories?post=5328"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.studyproessays.com\/nursing\/wp-json\/wp\/v2\/tags?post=5328"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}