NUR2488 Rasmussen SEC2 MOD9 Explanation of Medical Diagnosis Case Study
NUR2488 Rasmussen SEC2 MOD9 Explanation of Medical Diagnosis Case Study
RASMUSSEN COLLEGE
School of Nursing
FORM #3
PATHOPHYSIOLOGY
Explanation of Medical Diagnosis
Diagnosis _______________________________________________________________
Pathophysiology __________________________________________________________________________________________________________________________________________________________________________________________________________________
Textbook Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Client’s Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Recommended Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Current Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Teaching __________________________________________________________________________________________________________________________________________________________________________________________________________________
Prevention __________________________________________________________________________________________________________________________________________________________________________________________________________________
RASMUSSEN COLLEGE
School of Nursing
FORM #3
PATHOPHYSIOLOGY
Explanation of Medical Diagnosis
Diagnosis _______________________________________________________________
Pathophysiology __________________________________________________________________________________________________________________________________________________________________________________________________________________
Textbook Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Client’s Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Recommended Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Current Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Teaching __________________________________________________________________________________________________________________________________________________________________________________________________________________
Prevention __________________________________________________________________________________________________________________________________________________________________________________________________________________
Medication Sheets
A.What is the medication used for?
B.Why would a patient being taking it?
C.What are the most common side effects?
D.What vital signs could be affected?
E.What labs could be affected?
|
Drug name |
Answer to 5 questions |
|
A. |
|
|
Vital signs: |
B. |
|
C. |
|
|
Labs: |
D. |
|
E. |
|
|
Drug name |
Answer to 5 questions |
|
A. |
|
|
Vital signs: |
B. |
|
C. |
|
|
Labs: |
D. |
|
E. |
NURSING DIAGNOSES
FORM #8
|
PRIORITY # |
NURSING DIAGNOSIS |
RELATED/TO (R/T) |
AS EVIDENCED BY (AEB) |
RATIONALE FOR PRIORITIZATION |
Nursing Process Report Form
FORM #9
|
Nursing Diagnosis (R/T and AEB):
|
|
|
|
Assessment Data
|
Nursing Interventions |
Scientific Rationale (including references) |
|
Assessment
Decrease Stressors and/or Strengthen Lines of Defense
Teaching Counseling
|
|
|
Measurable and Realistic Outcomes
|
||
Short Term Outcome:_____ Met_____ Partially Met_____ Not
Describe:
Long Term Outcome:_____ Met_____ Partially Met_____Not MetDescribe:
References
RASMUSSEN COLLEGE
School of Nursing
FORM #3
PATHOPHYSIOLOGY
Explanation of Medical Diagnosis
Diagnosis _______________________________________________________________
Pathophysiology __________________________________________________________________________________________________________________________________________________________________________________________________________________
Textbook Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Client’s Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Recommended Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Current Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Teaching __________________________________________________________________________________________________________________________________________________________________________________________________________________
Prevention __________________________________________________________________________________________________________________________________________________________________________________________________________________
RASMUSSEN COLLEGE
School of Nursing
FORM #3
PATHOPHYSIOLOGY
Explanation of Medical Diagnosis
Diagnosis _______________________________________________________________
Pathophysiology __________________________________________________________________________________________________________________________________________________________________________________________________________________
Textbook Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Client’s Signs and Symptoms __________________________________________________________________________________________________________________________________________________________________________________________________________________
Recommended Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Current Treatments __________________________________________________________________________________________________________________________________________________________________________________________________________________
Teaching __________________________________________________________________________________________________________________________________________________________________________________________________________________
Prevention __________________________________________________________________________________________________________________________________________________________________________________________________________________
Medication Sheets
A.What is the medication used for?
B.Why would a patient being taking it?
C.What are the most common side effects?
D.What vital signs could be affected?
E.What labs could be affected?
|
Drug name |
Answer to 5 questions |
|
A. |
|
|
Vital signs: |
B. |
|
C. |
|
|
Labs: |
D. |
|
E. |
|
|
Drug name |
Answer to 5 questions |
|
A. |
|
|
Vital signs: |
B. |
|
C. |
|
|
Labs: |
D. |
|
E. |
NURSING DIAGNOSES
FORM #8
|
PRIORITY # |
NURSING DIAGNOSIS |
RELATED/TO (R/T) |
AS EVIDENCED BY (AEB) |
RATIONALE FOR PRIORITIZATION |
Nursing Process Report Form
FORM #9
|
Nursing Diagnosis (R/T and AEB):
|
|
|
|
Assessment Data
|
Nursing Interventions |
Scientific Rationale (including references) |
|
Assessment
Decrease Stressors and/or Strengthen Lines of Defense
Teaching Counseling
|
|
|
Measurable and Realistic Outcomes
|
||
Short Term Outcome:_____ Met_____ Partially Met_____ Not
Describe:
Long Term Outcome:_____ Met_____ Partially Met_____Not MetDescribe:
References
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