Identify in order of priority two (2) health needs of this hypothetical client, one (1) real and on
Identify in order of priority two (2) health needs of this hypothetical client, one (1) real and one (1) at risk, that are the highest priorities when offering nursing care in this hypothetical situation.It lists the objective and subjective data that evidences the existence of the health need.Identifies the related focal stimuli in both selected needs.Using the NANDA 2018-20 labels and the PES format, write each of the two priority, actual, and risk nursing diagnoses.Write one (1) expected result for each nursing diagnosis identified in this situation. (Use the format: subject, action verb, maladaptive behavior modification indicator / res and time to achieve it) as learned in module 2.Placing in order of priority, write at least five (5) nursing interventions that you would carry out to achieve each of the expected results. It is important that the interventions include at least one for prevention and health promotion of the client-family.Mention the scientific rationale that validates carrying out each one by intervention.Write an evaluation for each nursing diagnosis in light of the expected outcome you developed. Hypothetical Clinical Situation:You are the nurse assigned to care for an 81-year-old man who speaks only Portuguese and you do not speak Portuguese. It is quite fragile, weighing only 110 pounds. Two weeks ago his left leg was amputated below the knee. The patient has been admitted to the hospital from a rehabilitation center for an acute change in mental status and decreased lung sounds at the base of the left lung. The doctor diagnosed him with pneumonia in the left lower lobe and immediately ordered him to start treatment with antibiotics.The patient needs full assistance to perform activities of daily living (ADLs). A medical interpreter has not yet been assigned to the nursing unit; but, if necessary, you can ask another member of the nursing staff who speaks Portuguese to help you interpret what the patient is trying to express. However, you as their nurse must develop a way to communicate with the patient in order to assess their comfort level, provide care, and identify their health needs. PLAN DE CUIDADOEstimadoDiagnósticos de EnfermeríaDominiosNecesidadesConductas InadaptadasEstímulo FocalSubjetivosObjetivos Resultados EsperadosIntervenciones de EnfermeríaEvaluaciónIntervencionesRacional Científico NOTA DE PROGRESO DE ENFERMERÍAFechaHoraFOCOD. A. RDatosAccionesRespuestas Health Science Science Nursing ENF 101 Share QuestionEmailCopy link Comments (0)
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