Eighty-year-old Mrs. Hernandez is newly admitted your acute carehospital unit. She is there for observation and testing after awitnessed syncopal episode. She lives with her 90-year-old husband,who has mild dementia, and her 60-year-old daughter. Her daughteradmits to you that neither of her parents has been doing well andthat the doctors âjust havenât been able to figure it out.â Youknow that Mrs. Hernandez will be receiving both neurological andcardiac testing. However, as a gerontological nurse you also knowthat she and her family may benefit most from a comprehensiveevaluation. The decision of which assessments to do is within thescope of practice for nurses at your facility.
On the basis of the case study, develop a nursing care planusing the following procedure*:
List Mrs. Hernandezâs comments that provide subjective data.
List information that provides objective data.
List two of Mrs. Hernandezâs strengths that you have identifiedfrom the data.
From these data, identify and state, using accepted format, twonursing diagnoses you determine are most significant to Mrs.Hernandez at this time.
Determine and state outcome criteria for each diagnosis. Thesemust reflect some alleviation of the problem identified in thenursing diagnosis and must be stated in concrete and measurableterms.
Plan and state one or more interventions for each diagnosedproblem. Provide specific documentation of the source used todetermine the appropriate intervention. Plan at least oneintervention that incorporates Mrs. Hernandezâs existingstrengths.
Evaluate the success of the intervention. Interventions mustcorrelate directly with the stated outcome criteria to measure theoutcome success.
Eighty-year-old Mrs. Hernandez is newly admitted your acute carehospital unit. She is there for observation and testing after awitnessed syncopal episode. She lives with her 90-year-old husband,who has mild dementia, and her 60-year-old daughter. Her daughteradmits to you that neither of her parents has been doing well andthat the doctors âjust havenât been able to figure it out.â Youknow that Mrs. Hernandez will be receiving both neurological andcardiac testing. However, as a gerontological nurse you also knowthat she and her family may benefit most from a comprehensiveevaluation. The decision of which assessments to do is within thescope of practice for nurses at your facility.
On the basis of the case study, develop a nursing care planusing the following procedure*:
List Mrs. Hernandezâs comments that provide subjective data.
List information that provides objective data.
List two of Mrs. Hernandezâs strengths that you have identifiedfrom the data.
From these data, identify and state, using accepted format, twonursing diagnoses you determine are most significant to Mrs.Hernandez at this time.
Determine and state outcome criteria for each diagnosis. Thesemust reflect some alleviation of the problem identified in thenursing diagnosis and must be stated in concrete and measurableterms.
Plan and state one or more interventions for each diagnosedproblem. Provide specific documentation of the source used todetermine the appropriate intervention. Plan at least oneintervention that incorporates Mrs. Hernandezâs existingstrengths.
Evaluate the success of the intervention. Interventions mustcorrelate directly with the stated outcome criteria to measure theoutcome success.
