Nursing Care Plan
← Healthy Weight | Treating Schizophrenia → |
In formulating a care plan, it is important to note that the environment plays a significant role in the movement from an exacerbation of a chronic illness to stability. According to Florence Nightingale, the important elements for the patient under nursing care are: personal hygiene, nutrition, ventilation, room temperature, sanitation, lighting, waste disposal systems, noise, beddings and water quality (George, 2011). However, everything in the patient’s environment, including equipment, must be taken into consideration. The environment also includes comfort, presence of the nurse, stimulation, communication of health advice as well as inspiring hope. The goal of nursing care is to make sure that the patient’s environment promotes health. This means that the environment must not be a source of stress or further disease, but should provide the patient’s physiological, psychological and social needs.
The care and assessment data towards the patient is the focus; it is obtained through careful observation and conducting a patient interview. With empathy and active listening, the nurse engages the patient in a conversation. Mr. Issler states that he is unsure if he has hypo or hyperthyroidism but indicates to the bottle of Synthroid as his thyroid medication. He has not been compliant with follow-ups and regular blood draws for T4 levels. As a result, he went from a hypo to a hyperthyroid condition. He also is dyspneic from pulmonary congestion secondary to CHF. This keeps him awake at night. Further, he states he has not had much appetite following his wife’s death. The wife cooked meals for and took care of him. His BMI is normal but states he has lost weight. He felt desperate lately that he had to call his daughter-in-law for help. He is anxious about his condition, fearing he might not get better.
Based on assessment, the following are the patient’s primary areas of needs: nutrition, sleep, oxygenation, knowledge about medical condition and social support system. The nurse then proceeds to modify the environment to fulfill these needs.
xygenation is the priority problem and the aim of interventions is to ease his dyspnea. His bed is positioned at high Fowler’s. The nurse also ensures a quiet and relaxing atmosphere so that the patient can get enough rest and sleep. Moreover, the nurse assists in relieving anxiety, which can increase the respiratory rate, and this is done by allowing the patient to verbalize his feelings.
With regard to nutrition, one goal is to prevent further weight loss and maintain the patient’s BMI within the normal range. The other goal is to prevent fluid retention by reducing sodium intake. Adequate nutrition and an appropriate diet will provide the energy to fulfill activities of daily living, while preventing a worsening of his condition. The nurse then coordinates with the dietary department to give the patient low-fat, low-salt meals which incorporate his preferences. Since food seems to remind him of his wife and her loss, the presence of the nurse during meal times for company and encouragement creates a situation more conducive to eating.
Finally, the nurse empowers the patient by teaching him about his co-morbid conditions and the clinical and self management involvement. The goal is to promote effective coping with chronic illness to optimize health outcomes and prevent hospitalizations (Washburn & Horneberger, 2008). Health education will emphasize compliance with medications, follow-up visits, diet and physical activity and promote self-care, all of which increase his quality of life. Prior to discharge, the nurse will also discuss with him and his daughter-in-law the home environment to guarantee that it will be healthy for him. The nurse also explores with him groups or organizations which he can tap for social support, such as a church. She/he facilitates a discussion of his future plans, the possible activities he can do with his grandchildren and hobbies and other leisure activities he can pursue. A focus on the future with its numerous possibilities helps the patient to regain optimism, a sense of purpose and hope.
The nursing care plan above reflects the theoretical statement that the physical and social environment can influence patient’s health. In fulfilling the role of a nurse in Florence Nightingale’s environmental theory, modifying the environment is not done mechanically but in a patient-centered and holistic way. The patient’s needs and preferences ultimately define what the interventions are and these address not only physiologic needs but also psychosocial and even spiritual needs. The environment is expanded beyond the physical to also include the social environment where the nurse is a key element. Assessment techniques advocated by Nightingale assist the nurse in creating an appropriate care plan.
We provide you with nursing essays written from scratch!
- Treating Schizophrenia
- How Advance Nursing Practice Has Had an Impact in Diabetes treatment and Management
- Healthy Weight
- Post-Traumatic Stress Disorder
Sylvia B.
Lakeview, MA
|
|
|
Your writers did an excellent job writing my four papers last semester. I don’t think I could have possibly made it through the semester without any help of EssaysEmpire.com. I deeply appreciate the help |
David H.
New York, NY
|
|
|
I want to thank each writer who participated in helping with my large project. I know they spent a lot of energy turning out an admirable product, and I feel good for having hired them to take on this important project. EssaysEmpire.com is reputed as the best writing company on the Internet. Now, I know first hand, that you live up to that reputation. I could not have asked for a better deal. |
Tommy Davids
Singapore, CH
|
|
|
EssaysEmpire.com knows how to do the things that it takes to instill confidence in their customers. They can be counted on every time, to deliver high quality service and high quality writing at prices that we can afford. I would never use any other writing company. “If it ain’t broke, don’t fix it.” It ain’t broke! |
Nancy B.
Lawrence, KS
|
|
|
I accidentally read the wrong chapters for my history assignment. Therefore, when it came down to the wire and I needed to hand in my history paper, I had to reach out for help very quickly. Your writers were able to put something together for me so fast! I couldn’t believe it! I handed the paper in and got a very high score on it. I was stunned! Thank you so much for your help! |
Terry M.
Sparta, NJ
|
|
|
I got an A+ on the paper that you guys wrote for me. I can’t believe it! THANKS!!!! Many, many thanks! This A+ added those few extra points that I needed to stay on the Dean’s Honor List. You’re the greatest, EssaysEmpire.com! |
Alexandra Z.
Dallas, TX
|
|
|
I am sitting here reading over what your writing service offers and I just realized that you are the only one that offers free rewrites and full guarantees on your work. This tells me that you are an honest company that I want to do business with. |
Zola R.
Salulita, MX
|
|
|
The paper that I bought from EssaysEmpire.com was a whole lot better than I thought it would be. Thank you for the excellent service and product. I will be happy to recommend you to my friends. |
George Sparlin
Nashville, TN
|
|
|
You guys are fabulous to offer such amazing guarantees for your work. I hired you for my last two papers because there was no risk involved. That was a pretty attractive option, if you ask me. Of course, I didn’t have to cash in on any kind of guarantee, because the work was perfect! Go figure. Thank you, EssaysEmpire.com. |
Pierre W.
Memphis, TN
|
|
|
There are four things that I look for in a good writing service. #1. They have to be fast. A good writing service won’t miss an important deadline. #2. A good writing service will let customers actually talk to the writer who is working on their customer’s papers, so the customer can work out important details. #3. A good writing service will have a user-friendly website that is easy for the customer to use and #4, a good writing service will offer quality guarantees. EssaysEmpire.com meets all of this criteria and more. EssaysEmpire.com is the best writing service and has the reputation to prove it. I wouldn’t even consider using another writing service since experiencing the excellence that is EssaysEmpire.com! |
Royce E.
Dallas, TX
|
|
|
I first approached EssaysEmpire.com with skepticism. However, now, I have none. I am convinced that you are probably the best writing service on the Internet. Plus, you don’t overcharge, as so many writing services do. Thank you for the quality writing at affordable prices. You offer such a valuable service to students such as me. |
Sharon S.
Dallas, TX
|
|
|
I greatly appreciate your assistance. Writing has never been my strong point. When I needed help, EssaysEmpire.com gave it to me. I am completely satisfied! |
John G.
Erie, PA
|
|
|
Thanks goes out to the writers who presented me with the best paper I have ever turned in. My professor was so impressed with it that he took excerpts from it to put in his class handouts on how to write the perfect paper. EssaysEmpire.com, you made me one proud student today! |
Rob B.
Tulsa, OK
|
|
|
I needed APA formatting, EssaysEmpire.com’s writers gave me APA formatting. I needed 2000 words. EssaysEmpire.com’s writers gave me 2000 words. I needed an A+ on my paper to bring up my GPA. EssaysEmpire.com gave me a paper that got an A+. I am a happy person, thanks to EssaysEmpire.com! |
Sharon Q.
Lexington, OK
|
|
|
Working with your writers is always such a pleasure. Thanks again. |
Katy A.
London, England
|
|
|
Your writers are very good at what they do. I would recommend your service to anyone. It is impressive and it doesn’t cost too much. |
Marcus H.
Eugene, OR
|
|
|
You’ve done it again! Every time I order a paper from EssaysEmpire.com, you top the last one. This latest one was the best yet. I truly do appreciate the fact that you offer such high quality writing. It never fails. With some of the other writing services online, you ever really know what you are going to get. Sometimes, they just sell you a paper that someone else has already bought. I never have to worry about things like that happening when I use EssaysEmpire.com. |
Allen P.
Denver, CO
|
|
|
Writer #3827 is a great writer! I got an A+ on my very first paper of the term. This is the way to set the pace for the rest of the term. Thanks! |
Mike G.
Rochester, NY
|
|
|
Your writing service is different from other writing services. Yours is the only one I have ever dealt with that I can truthfully say is legitimate. The staff is very professional. The writers are the best in the business. I am pleased with the results of my last three orders and plan to return for more soon. |
Tiffany E.
Monroe, LA
|
|
|
I am 100% satisfied with the writer that you assigned to my project. This person understood exactly what I needed, even though I’m not the best communicator and the instructions were tedious and difficult. I felt certain I would have to send my paper back for a number of revisions, but I didn’t. The writer was able to convey exactly what I wished to express and he did it in record time!Thanks for everything. EssaysEmpire.com is the greatest! |
Sarah M.
Portland, OR
|
|
|
Today was the perfect day to make an A+! It convinced me that there are solutions to problems that seem impossible to solve. When I realized that the due date for my paper was coming up quickly, I felt like there was nothing I could do. If I didn’t hand in my paper on time, I would get an F and fail the course. However, I had to study for 3 major exams and write two other papers. My roommate suggested that I turn the paper over to you guys, which I did, and voila! I got an A+ on it and the problem was solved. Thank you, EssaysEmpire.com and to your writers and staff. You are a great writing service. |