The nursing process Essay Words6 Pages The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation There are four steps to the process although separate entities they are not separate and each one overlaps with the other and can be reassessed on an ongoing basis. The four steps are Assess, Plan, Implementation and Evaluate. The Nursing Process has four steps to it as stated above. Lets look at each one in turn: · This nursing diagnosis is important because it allows nursing staff to monitor the patient’s bowel movements and avoid fecal impaction. Imbalanced nutrition less than body requirements related to tremors, slowing the process of eating, difficulty chewing and swallowing. Evidenced by the client occasionally needing assistance with eating
Nursing Process Essay - Nursing Papers
The client was first admitted to the long term care facility in December The client described the staff at the last facility as not very kind to nursing process essay residents. There was an incident where the drugs that were prescribed to the client made nursing process essay hallucinate and he became unruly with the staff and was restrained and taken to the hospital for evaluation. He was then transferred to this long term care facility. In starting the interview with the client, he was asked if he would be comfortable with being asked some questions and was informed that he did not have to answer any questions that he was uncomfortable with, nursing process essay.
It was observed that the client had tremors in his right hand and arm. A few minutes after sitting down, the client asked for help moving his hand that was resting on the bed to the arm of his wheelchair; in doing this it seemed to help calm the tremors. The client noted that he was in respectable physical health until He then explained that in the spring ofwhile he was running he suffered from a TIA Transient Ischemic Attack.
The client sought out professional answers from 5 specialists and was diagnosed with Paralysis agitans, nursing process essay. The client conveyed this was a concern he had because his father also had Paralysis agitans. The client nursing process essay that the Paralysis agitans has progressively become worse over the past 18 years. It was observed that his speech was slow and monotonous.
The client spoke in a low nursing process essay discreet volume. A lack of facial nursing process essay was also noticed. The client can walk with the assistance of a walker but is generally in a wheelchair. Dosage Route Time Related to Carbidopa-Levo 25 tab Orally TID Paralysis agitans Comtan mg tablet Orally TID Paralysis agitans Seroquel XR 50 mg tablet Orally In the afternoon Nonorganic psychosis. He is prescribed 3 tablets to be taken orally 3 times a day Carbidopa-Levodopa 25 mg of Carbidopa and mg of Levodopa for paralysis agitans.
He is also prescribed mg of Comtan to be taken orally 3 times a day for paralysis agitans. These drugs raise the level of dopamine in the brain, nursing process essay.
A side effect of having elevated levels of dopamine in the brain is psychosis. The client is also given 50 mg of Seroquel XR orally in the afternoon to alleviate his nonorganic psychosis, nursing process essay.
When asked, the client stated that he was unaware of having that condition. The client does not use a continuous positive airway pressure CPAP machine while sleeping at night. When talking more in depth about sleep patterns and concerns the client stated that he gets approximately 8 hours a sleep a night, this is without any help from sleep aids.
When speaking of his bedtime rituals he said that he does have two beers, back to back, at night right before bedtime, while watching television. He does not nursing process essay difficulty falling asleep but did claim that he sometimes has a hard time staying asleep at night. The client then explained that it is the noise level at the long nursing process essay care facility that keeps him awake.
The client also has seven grandchildren. When asked what he likes to do in his spare time he replied that he loves spending time with his wife and children. He stated that before coming to this long term care facility he enjoyed playing card and gambling, nursing process essay.
He now plays computer games for fun, nursing process essay, when his wife is there to help him. A-fib Acetaminophen mg Orally Every 6 hour Pain. He has no history of heart surgeries or surgeries of any kind. The client reported that he has never had rheumatic fever. When asked about blood clots, the client responded that he believes that his TIA in was a result of arterial emboli.
The client claims that sometimes he has numbness in his legs and his hamstrings tighten up and it can be painful. He stated that he will ask for his prescribed MG of acetaminophen for the pain.
When asked if there was anything that he does when he notices that he is stressed, the client mentioned that when he was younger he would travel nursing process essay Vedic City in Iowa and practice with the Maharishi meditating, nursing process essay.
He says that meditating has been very helpful in his adult life. The client also mentioned that he liked to follow the Maharishi lifestyle and eat only organic foods but it is not possible to follow that when residing at a long term care facility. Other things that he does to distress are look at his pictures that he has on his shelf in his room. The one that helps him the most is a black and white picture of him in a small airplane with his flight instructor standing on the wing.
The client use to pilot planes when he was younger. He did state that he does pray occasionally. The client stated that is not afraid of dying but he is afraid of falling. It is noted in his chart that the client is given a 25 mg tablet of metoprolol tartrate orally twice a day for nursing process essay. His respirations were within normal range at 18 respirations per minute.
The client is 6 feet and 1 inch tall and weighs lbs. The client has a BMI of The clients chart states that he requires assistance with many daily activities. He is dependent on help with dressing, and bathing. When asked, nursing process essay, the client stated that it is challenging to get dressed and undressed due to the stiffness in his arms and legs.
The client explains that he is not aware of having any food allergies. He is also given one multivitamin orally daily for supplement. When the nursing process essay was asked about dentures he stated that he does not have dentures even though dentures nursing process essay noted in his chart, nursing process essay.
He states he needs aid in transferring from bed to a chair and with toileting. When asked about the character of his stools he explained that both consistency and color were normal. The client also stated that he does not need the help of laxatives. The client does not have any history of kidney or bladder disease, nursing process essay. He claims that the frequency, amount and color of his urine are normal. He also claims that he does not have any difficulty voiding and there is no pain or burning while urinating.
According to the CNA, the client is able to stand, holding the hand rails, while urinating. It is noted in the clients care plan that he is urinary incontinent which is related to impaired mobility and PRN straight catheter needed for intermittent retention secondary to BPH.
The client is given one 0. BPH The client needs assistance with bathing as well. The client also has a DNR order. UMMC, The substantia nigra is comprised of a specific set of neurons that send chemical signals, called dopamine. Dopamine then travels to the striatum, responsible for balance, control of movements, and walking, by means of long fibers called axons.
Okun, These regular body movements are controlled by the activity of dopamine on these axons. With PD the neurons in the substantia nigra break down and die causing the loss of dopamine, which in turn causes the nerve cells in the striatum to trigger excessively. p 1 Since PD is a progressively degenerative disease the signs and symptoms change over time and vary from person to person. MGH, There may be changes in facial expressions, posture and locomotion; these symptoms are usually untimely and bothersome but nursing process essay disabling.
As the disease progresses, into stage two of the HY scale, it may begin to affect ambulation and be noticeable bilaterally with minimal disability. MGH, As symptoms worsen, as in stage three of the HY scale, there is considerable slowing of body movements, early impairment of equilibrium with walking and standing and generalized dysfunction that is moderately severe. MGH, Rigidity and bradykinesia become factors in mobility. In stage five the person is unable to walk or stand so is bedridden or confined to a wheelchair, nursing process essay.
Constant nursing care is required in stage five Costa and Quelhas, There are many complications that are associated with PD; one can be difficulty swallowing dysphagialikely due to nursing process essay loss of control of muscles in the throat.
UMMC, Drooling can occur since saliva may accrue in the mouth due to dysphagia. Difficulty swallowing can also lead to malnourishment, but also poses a risk for aspiration pneumonia Leopold and Kagel, Constipation can be another complication as to the slowing of the digestive tract.
Dementia and difficulty thinking comes in nursing process essay stages of PD. The disease process itself causes changes in chemicals in the brain that affect mood and well-being. Anxiety is also very common and may be present along with depression University of Maryland Medical Center, Sleep nursing process essay and sleeping disorders are also associated with PD, with this comes fatigue.
Some patients may experience feeling light headed when standing due to the drop in blood pressure orthostatic hypotension. The most commonly used is drug therapy. Medications can help with difficulty with movement, walking and controlling tremors by increasing the nursing process essay amount of dopamine. This is a natural chemical nursing process essay passes into your brain and is converted to dopamine Okun, There is also surgical procedures available, nursing process essay, deep brain stimulation.
University of Maryland Medical Center, Other ways that help control the effects of PD is a healthy diet. Constipation is a complication associated with PD, nursing process essay, so a diet that is balanced with whole grains, fruits and vegetables helps to manage this complication.
Balance, coordination, flexibility and muscle strength deteriorate with PD so, nursing process essay, exercise is encouraged. Exercise also helps with decreasing anxiety and depression. The client experiences resting tremors, bradykinesia, mask like face hypomimicslowed speech and is in a wheelchair. He scores very poorly according to the Hoehn and Yahr scale.
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The nursing process Essay Words6 Pages The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation · This nursing diagnosis is important because it allows nursing staff to monitor the patient’s bowel movements and avoid fecal impaction. Imbalanced nutrition less than body requirements related to tremors, slowing the process of eating, difficulty chewing and swallowing. Evidenced by the client occasionally needing assistance with eating The nursing process Essay. Words | 6 Pages. The standards of practice describe a competent level of nursing care as exhibited by the critical thinking model known as the nursing process. This practice includes the areas of assessment, diagnosis, outcome identification, planning, implementation, and evaluation
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