Nursing Management Plan For Nursing - 1533 Words

Assignment 1 Nursing care plans are structured nursing processes that identifyf patients â€Å"needs, goals, and progress, and identify current nursing interventions† (Caple, 2016, p. 1). Identification promotes communication with other health professionals providing care to the patient (Caple, 2016, p. 2). Care adapted holistically will meet the patients unique needs promotes positive outcomes (Caple, 2016, p. 1). This assignment introduces Mrs Adams (pseudonym) and briefly discusses her nursing management plan on day nine of admission. Her management plan developed by the nurse included input from a range of health professionals, friends and family. One important aspect of Mrs Adams nursing management plan explored in depth is oral cavity†¦show more content†¦Mrs Adams was monitored four hourly for changes in vital signs. The nurses believe this is appropriate for Mrs Adams clinical state as she is currently stable but at moderate risk of adverse events that could be detected b y abnormal vital signs. The nurse records observations on the Adult Deterioration Detection system (ADDS) (XDHB, 2017), and calculated a score of zero. Included on the ADDS chart is a numeric rating scale that measures pain intensity (Douglas, Schoenwald, 2013, p. 1334). Mrs Adams verbalises systemic pain as a seven out of ten at rest and a nine out of ten on movement. The nurse administered regular analgesia as prescribed and morphine subcutaneously through a dedicated morphine line located on the right deltoid half an hour before personal cares involving movement. No phlebitis was detected. Other prescribed medicine was administered through Mrs Adams nasogastric tube (NGT). This tube was flushed before and after medication and four hourly as per hospital policy to maintain the tubes patency (X District Health Board, 2015, p. 5). The flushes and NGT feeds were recorded on a fluid balance chart similar to Wottons (2013, p. 1215). Urine output from Mrs Adams indwelling catheter (I DC) was also recorded on this chart. Faecal output ranging from type six to seven was recorded on a Bristol’s bowel chart (Watt, 2013, p.1126). Personal cares such as wrap changes, positioning and bed washes are a two person assist asShow MoreRelatedNursing Management Plan791 Words   |  4 PagesThe goal of this innovation is to create a more inclusive and accessible access to web-based functions. The plan is to provide internal workers and external customers stress-free access to web-based functions whether, they be work related function or easing access to provider and service products. 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