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Nursing Care Plan

The nursing care plan is for a 36-year-old female patient admitted with urinary stones. The nursing diagnoses include actual fear related to knowledge deficit about her disease. Short-term objectives are to make the patient more comfortable and informed within a half hour. Long-term objectives are for the patient to understand her disease and feel less fear and anxiety within a day. Nursing interventions include assessing the patient's mood, communication, anxiety, and learning barriers. Teaching the patient about increased fluid intake, exercise, symptoms requiring follow-up, and catheter/incision care is also part of the plan. The evaluation shows the objectives were not yet achieved as evidenced by the patient's discomfort and high anxiety

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Ahmed Mohammed Salama
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33 views

Nursing Care Plan

The nursing care plan is for a 36-year-old female patient admitted with urinary stones. The nursing diagnoses include actual fear related to knowledge deficit about her disease. Short-term objectives are to make the patient more comfortable and informed within a half hour. Long-term objectives are for the patient to understand her disease and feel less fear and anxiety within a day. Nursing interventions include assessing the patient's mood, communication, anxiety, and learning barriers. Teaching the patient about increased fluid intake, exercise, symptoms requiring follow-up, and catheter/incision care is also part of the plan. The evaluation shows the objectives were not yet achieved as evidenced by the patient's discomfort and high anxiety

Uploaded by

Ahmed Mohammed Salama
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Nursing care plan

Patient name: Miss M Age: 36 Sex: female


Diagnose: urinary stone Date of Admission: not available
Nursing Diagnose Objectives Nursing Intervention Evaluation
(✓ ) Actual ( ) Short Term Objectives: Assessment: Objectives are:
Potential Within half hour the pt 1. Assess mood and facial
Fear can feel more expressions and feelings ( ) archived
Related to comfortable and know 2. Assess Appreciate and none ( ) partially achieved
verbal communication
Knowledge deficient more information ( ✓) not achieved
Secondary to urine about here disease and 3. Assess Anxiety scale
decrease here fear 4. Assess here information about
stone As evidenced by:
And here scale of here disease
5. Assess here barriers to
anxiety will be 3
learning
6. Assess here ability to learn or
perform desired health-related
care.

Subjective data: Long Term Objective: Nursing Intervention:


Not available because Within one day the pt 1. Render physical comfort for
the pt admited from will be know the most the patient.
(ER) important information 2. Grant a calm and peaceful
Incomplete history about here disease and environment without
taken(gap) relieved here fair interruption
3. Include the patient in creating
-Correlate symptoms the teaching plan, beginning
with causative factors. with establishing objectives
-Verbalize and goals for learning at the
understanding of beginning of the session.
therapeutic needs. 4. Consider what is important to
-Initiate necessary the patient.
lifestyle changes and 5. Explore reactions and feelings
participate in treatment about changes
regimen.

Objective data: Patient Health teaching:


She is looked very Teach the pt about
discomfort 1. importance of increased fluid
And many questions intake of 3–4L a day or as
Here scale of anxiety is much as 6–8 L a day.
5 2. Promote regular activity and
Inaccurate follow- exercise program.
through of instructions 3. Active-listen concerns about
therapeutic regimen and
lifestyle changes.
4. Identify signs and symptoms
requiring medical evaluation
(recurrent pain, hematuria,
oliguria)
5. Demonstrate proper care of
incisions and catheters if
present.

Students name: Rahma ebrahim mohamed

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