Assignment: Health Planning

Want create site? With you can do it easy.

Assignment: Health Planning

Assignment: Health Planning

Community Health Planning

Yodaisy lLORENTE

Florida National University

Prof. Eddie Cruz RN MSN

Community Nursing Class

12/02/2018

BSN Program

Diabetes mellitus type 1:

Assessment:

History: When collecting data, ask the caregiver about:

– The child’s symptoms leading up to the present illness

– Ask about the child’s appetite.

-Weight loss or gain.

– Evidence of polyuria or enuresis in a previously toilet-trained child,

– Polydipsia.

– Dehydration.

– Irritability and fatigue.

Include the child in the interview and encourage him or her to contribute information.

Physical exam:

– Measure the height and weight and examine the skin for evidence of dryness or slowly healing sores.

– Note signs of hyperglycemia.

– Record vital signs, and collect a urine specimen.

– Perform a blood glucose level determination using a bedside glucose monitor.

-Urine dipstick test. For ketones in the urine, the child should be tested using urine dipstick test.

Diagnosis:

1-Deficient Knowledge related to absence or deficiency of cognitive information as evidence by new diagnosis of IDDM

2-Compromised Family Coping related to Inadequate or inaccurate information as evidence by Anxiety and guilt

3-Risk for Injury as evidence by sweating, shakiness, nervousness, lightheadedness, weakness, nausea, moodiness, pale skin, loss of consciousness

4- Imbalanced nutrition: less than body requirements related to insufficient caloric intake to meet growth and development needs as evidence by patient BMI of 16.

Planning:

The major nursing care planning goals for diabetes mellitus type 1 the child.

– Client will verbalize understanding of IDDM.

– Client and parents will demonstrate appropriate blood-glucose monitoring insulin administration, dietary management, and exercise plan.

– Client and parents will identify signs and symptoms of hypoglycemia and hyperglycemia and correct response

– Family will explore feelings regarding the child’s long-term needs.

– Family will determine appropriate support systems and coping skills

– Family will show learning about and managing hypoglycemia and hyperglycemia, insulin administration, and exercise needs for the child.

– Client’s blood glucose levels will maintain between 60 mg/dL and 120 mg/dL.

– Client will maintain adequate nutrition.

Nursing Interventions

-The nurse will assess parents and child understanding of disease and ability to perform procedures and care, for educational level and learning capacity, and for developmental level.

-The nurse will provide a quiet, comfortable environment; allow time for teaching small amounts at a time and for reinforcement, demonstrations and return demonstration; start educating one day following diagnosis and limit sessions to 30 to 60 minutes.

-The nurse will instruct parents and child in insulin administration including drawing up insulin into the syringe, rotating vial instead of shaking, drawing clear insulin first if mixing 2 types in the same syringe, injecting SC, storing insulin, rotating sites, adjusting dosages, reusing a syringe, and needle, and disposing of them

-The nurse will include as many family members in teaching sessions as possible.

– The nurse will assess family coping mechanisms and its effectiveness, family dynamics and expectations related to long-term care, developmental level of family, response of siblings, knowledge, and use of support systems and resources, presence of guilt and anxiety, overprotection and overeating behaviors.

– The nurse will assist family to establish short- and long-term goals for the child and to involve the child in the activities of the family; include the participation of all family members in care routines.

– The nurse will encourage family members to verbalize feelings, to tell how they handle the chronic needs of the family member, and to define coping patterns that support or inhibit adjustment to the problems.

– The nurse will assess for signs and symptoms of hyperglycemia; Monitor serum glucose level, urine for glucose and ketones, pH and electrolyte levels. Also assess for symptoms of hypoglycemia.

-The nurse will administer insulin subcutaneously as prescribed, increase dosage depending on the glucose levels; rotate injection sites, minimize food intake during an infection or illness and modify the dosage of insulin during an illness.

– The nurse will promote exercise program compatible with insulin regimen; instruct to increase carbohydrate intake prior a strenuous activities.

– The nurse will encourage a diet with calories that balance with the energy requirements and paired with the type and action of insulin, and snacks between meals and at bedtime as appropriate.

-The nurse will ensure adequate and appropriate nutrition to maintain the blood glucose at near normal levels; the food plan should be well balanced with foods that take into consideration the child’s food preferences, cultural customs, and lifestyle.

-The nurse will prevent skin breakdown. Teach the caregiver and child to inspect the skin daily and promptly treat even small breaks in the skin; encourage daily bathing; teach the child and caregiver to dry the skin well after bathing, and give careful attention to any area where skin touches skin, such as the groin, axilla, or other skin folds; emphasize good foot care.

Evaluation

Goals are met as evidenced by:

The child/ caregiver:

•Maintained adequate nutrition.

•Promoted skin integrity.

•Prevented infection.

•Regulated glucose levels.

•Learned adjust to having a chronic disease.

•Learned about and managing hypoglycemia and hyperglycemia, insulin administration, and exercise needs for the child

Breast cancer.

Assessment:

During the history:

It is crucial to know if the nurse admitting learns that the patient her mother, two of her aunts, and one sister had been diagnosed with breast cancer. Her mother and one of the aunts died before age 45. . Risk factors include age 65 and above, two first-degree relatives diagnosed with breast cancer at an early age, high breast tissue density, and factors that affect circulating hormones like late menopause, long-term use of hormonal replacement therapy, and obesity.

Physical assessment findings

Breast cancer may present as a palpable breast mass, breast pain, lymph node swelling, or skin changes, such as dimpling or redness. Evaluation of a breast abnormality usually starts with a clinical breast examination and mammography or ultrasonography, with MRI considered for some patients. The next step is a needle biopsy or surgical excisional biopsy. To determine if the cancer has spread, the patient may undergo additional tests, such as X-ray, computed tomography (CT), a bone scan, and fluoro­deoxyglucose (FDG) positron emission tomography (PET) integrated with CT (FDG-PET/CT).Breast cancer screening includes mammography, clinical breast examination (CBE), and breast self-examination (BSE). It is important that patients understand what these examinations are all about, how they are performed, and their limitations.

Diagnosis:

1- Imbalanced Nutrition: Less Than Body Requirements: Intake of nutrients insufficient to meet metabolic needs related to hypermetabolic state associated with cancer as evidence by body weight 20% or more under ideal for height and frame, decreased subcutaneous fat/muscle mass.

2- Acute Pain related to side effects of various cancer therapy agents as evidence by patient verbalize pain and alteration in muscle tone; facial mask of pain.

3- Situational Low Self-Esteem related to threat of death; feelings of lack of control and doubt regarding acceptance by others; fear and anxiety as evidence by Not taking responsibility for self-care, lack of follow-through.

Planning:

– The patient will demonstrate stable weight/progressive weight gain toward goal with normalization of laboratory values and be free of signs of malnutrition.

– The patient will verbalize understanding of individual interferences to adequate intake.

– The patient will anticipate in specific interventions to stimulate appetite/increase dietary intake.

– The patient will verbalize understanding of body changes, acceptance of self in situation.

– The patient will begin to develop coping mechanisms to deal effectively with problems.

– The patient will demonstrate adaptation to changes/events that have occurred as evidenced by setting of realistic goals and active participation in work/play/personal relationships as appropriate.

– The patient will report maximal pain relief/control with minimal interference with ADLs.

– The patient will follow prescribed pharmacological regimen.

Did you find apk for android? You can find new and apps.

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.

image

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

image

Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE
image

Our Services

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.

image

Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality

[display_samples]

It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.

0+

Happy Clients

0+

Words Written This Week

0+

Ongoing Orders

0%

Customer Satisfaction Rate
image

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success

image

We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.
image
image

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now
image