Nursing jobs care program (Colonoscopy)
S i9000. E is actually a 59 yr old African-American men admitted towards the critical treatment unit due to his kept lower particular (LLQ) abdominal pain. T. E had a colonoscopy a couple of days back. He includes a family history of hypertension (HTN) and a medical history of HTN and anemia. He could be alert and oriented Г—3 (time, place, and person). S. Electronic has no well-known drug allergy symptom and he can NPO apart from medicine.
Trouble: LLQ stomach pain
Assessment| Planning/Nursing Goals| Intervention/Implementation| * Physical variables, including age and pain threshold * Descriptive characteristics of pain, including location, quality, intensity on the scale of just one to twelve, temporal elements, and types of relief. 2. Environmental variables, such as environment and period. | 5. Patient will certainly rate pain on scale of 1-10 and Verbalizes reduced pain level 5. Patient is going to report much more than 4 hours of sleep nighttime. * Sufferer will communicate feeling of comfortableness relief from pain| * Administer prescribedВ analgesic * Conduct comfort measures to promote rest, such as massage, bathing, repositioning, and leisure techniques. 5. Reassess discomfort frequently using pain level. | Exposure to possible bleeding associated with colonoscopy
Assessment| Planning/Nursing Goals| Intervention/Implementation| * Cardiovascular status, which include blood pressure, heart output, Vital signs, individual and family history and ancestors of Heart problems, peripheral pulses and cigarette smoking history. * Presence of health condition which may interfere with blood loss, such as coagulopathies * History of GI concerns, disease, or perhaps surgery; intestinal sound| * Patient should receive adequate screening/monitoring to notify clinicians of existing risk factor to get bleeding. * Patient vital signs and tissue perfusion will remain within expected runs during episodes of risk. | 2. Screen every single patient intended for risk aspect for blood loss. * Attain clinical laboratory test and point of care tests (urine...
References: Carpenito-moyet, LJ. (2010). Nursing Medical diagnosis. Applications to clinical practice. (13th edition) Philadelphia: Wolters kluwer/Lippincott Williams and wilkins.
Ignatavicius, G. D, and Workman, D. M. (2010) Medical-surgical breastfeeding. Patient-centered collaborative care. (6th edition) St Louis, Missouri: Saunders Elsevier.
Sheila Sparks Ralph, Cynthia M. Taylor. (2011). Breastfeeding Diagnosis reference point manual. (8th edition) Philadelphia: Wolters kluwer/Lippincott Williams and wilkins.
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