Chat with us, powered by LiveChat You are the nurse caring for an 81-year-old female client in an assisted living facility with a history of dementia, falling, ?hypertension, dysphagia, anxiety, insomnia, and depress - Writeden

 

You are the nurse caring for an 81-year-old female client in an assisted living facility with a history of dementia, falling,  hypertension, dysphagia, anxiety, insomnia, and depression. The client is regularly feeding with thin liquids. The client has a history of smoking and no other health problems.  

Vital signs: 

  • Temperature: 99.2° F 
  • Heart rate: 91 beats/min 
  • Respirations: 20 breaths/minute 
  • O2 saturation: 93% on 2L oxygen via nasal cannula 
  • Blood pressure: 110/68 mm Hg  
  • Pain: "6/10" 
  • Focused assessment findings: 

  • Alert and oriented to person and forgetful
  • He moves all four extremities, and refuses to ambulate, on a wheelchair
  • The apical pulse is regular at 91 beats/minute
  • Lungs clear to auscultation, diminished bilaterally 
  • Bowel sounds hypoactive, abdomen soft, tender in all four quadrants
  • medications
  • amlodipine 2.5mg-once a day
  • furosemide 20mg-once aday
  • atorvastatin 5mg-once a day at bedtime
  • melatonin 5mg-once a day at bedtime
  • memantine 10mg-twice a day

    Using the information from the scenario, create a care plan using the attached template.

NUR2349 Professional Nursing I

Module 05 Written Assignment – Care Plan

Student Name: __________________________

Date: ______________________

Client Gender: ____________ Client Age: ________

Client Diagnosis: __________________________________________________________________________________________________

Assessment data for Nursing Diagnosis

Nursing Diagnosis (3)

Expected Outcomes with Indicators

(1 per Nursing Diagnosis)

Nursing Interventions

(2 per Expected Outcome)

Evidence-based Rationale for each Nursing Intervention (Cited/referenced)

Evaluation

(How do you know it worked?)

Respond to this critical thinking question:

Describe evidence-based precautions to prevent this client from obtaining a nosocomial infection. Provide supporting rationales.

Support your response with evidence from credible sources.