Dec 28, 2021 Uncategorized

Nursing care plan Assignment at an Affordable Cost

Instructions:

Student/s are to select three conditions and write
a nursing care plan for each one.
Situation: Ms. Patricia Patterson an 89 year old client was recently diagnosed with
Pneumonia and will require a Home Health nurse to provide daily IV antibiotics
via her CVAD. She has a PICC in her right upper arm. She will require extensive
teaching.
Background: She is 5”4 and weighs 92lbs. She has been a Smoker and has a 30
pack year history, and currently smokes 15 cigarettes per day. She has been
diagnosed with COPD, Atrial fibrillation, CHF, HTN, and Osteoporosis, CAD and had
a Myocardial infarction 5 years ago and had a cardiac stent placed in the RCA. Her
Ejection Fraction (EF) is 30%. She has fallen twice in the last 2 years, but has not
broken anything. She lives at home in a two bedroom apartment on second floor
with her daughter who is in her 50’s and her granddaughter who is in her 30’s.
Needs Assessment: She will need a significant amount of teaching regarding her
pneumonia, SOB, Medications, Breathing treatments via Hand held nebulizer,
Postural drainage and breathing exercises, CVAD/PICC line care, Safety in her
environment, fall risks, and diet. She is very nervous about her diagnosis and
wants to know why this happened and how she can prevent it. She is willing to
learn as much as she can and her daughter and granddaughter are also willing to
learn and help. She states he has learned best in the past by watching videos,
discussions and doing hands on things. She has poor eyesight and wears reading
glasses and a hearing aid. She is worried about the “tubes” sticking out of her
arm. She really wants to get better and resume her normal lifestyle as quickly as
possible. She enjoys Bingo and walks her dog in the morning and evening short
distances. She has noticed in the preceding weeks she is SOB after about 20 feet
of walking and can barely make it up her 8 stairs. She uses a single cane to help
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