Patient: Christy Ann-Marie Sagampbell
DOB: 1/26/1949 Age: 71 Sex: Female
Mrs. Sagambell is a resident of a nursing home. She has been placed in a care home due to her family’s inability to care for her. Mrs. Sagambell has fallen 4 times in the past month. Her daughter, Marlene, advises that the patient has been forgetful lately and she feels concerned. You assess Mrs. Sagambell and you notice that her urine foul smelling. The patient reports “it hurts when I tinkle”.
Use the prompt to prepare a nursing care plan with 2 pertinent nursing diagnoses
List the nursing diagnoses in order of priority (1 being the heist priority)
Document the patient findings using the nursing process on the care plan:
Assessment: Subject and Objective assessment data from the prompt
Diagnosis: minimum 2 nursing diagnosis
Planning: Expected outcomes
Interventions: Nursing actions that would be taken for each nursing diagnosis
Evaluation: Met/unmet or partially met
Use the provided care plan template (use of an unapproved template with receive an automatic zero)
Provide the rationale for choosing the interventions listed in the care plan
Pay attention to detail and make sure that the interventions are directly related to your nursing diagnosis
Provide options for all possible outcomes: Met, unmet and partially met.
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