Saturday, October 7, 2017

Care plan on nursing




ASSESSMENT
DIAGNOSIS
GOAL
INTERVENTIONS
EVALUATIONS
ACTIVITY-REST
Only sleeps four hours a night
 Insomnia
Patient will focus on increasing the number of hours of sleep per night.
Patient should be prescribed with sleeping pills.
Patient should also be instructed to sleep in a dark and quiet room.    
Monthly evaluation should be used to reveal the number of hours of sleep
O2-CO2
102 beats per minute
 Tachycardia
Patient will work to reduce her beats per minute.
Patient should be taught techniques such as carotid sinus massage, valsalva maneuver, and dive reflex.
The patient will be evaluated to determine her heart beats per minute.
ELIMINATION
Little blood in vomit, dehydration  
Stomach ulcer
Patient will reduce the occurrence of vomiting.
Patient should drink more water to reduce the impact of dehydration. Antibiotics should also be prescribed to treat the stomach ulcers.
Patient will undergo several X-rays to determine the extent of stomach ulcers. 
INGESTIVE
Binging and purging, stomach pain, difficulty swallowing, multiple dental caries, taking diuretics and laxatives
 Bulimia
Patient will increase her daily food consumption.
Patient will be prescribed with multivitamins to increase her appetite.
Patient’s weight will be measured to determine the extent of bulimia. 
AFFLIATIVE
Confused, no eye contact, no smile
Major Depressive Disorder
Patient will work on becoming more social.
Patient will be exposed to social gatherings to develop and sustain social relationships. 
Patient will be asked to reveal the number of new friends.
PHYSICAL INTEGRITY
Lethargic, obsessed with losing weight  
 Depression
Patient will cultivate greater self-esteem.
Patient should be sent to a counselor to build self-esteem. 
Patient will be asked to state what she likes about herself.


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