Patient’s history Essay

Nursing diagnosis 1 Inadequate nutritionDebbies nutrition is non adequate for her age, as well as her weight down. delinquent to frequent nausea/vomiting, emotional distress she lost weight. Her weight is little ( 89 pounds) compared to her usual weight ( 110 pounds). The assessment and management of weight is a major preoccupation in contemporary healthcare. Clinical interventions pore on achieving energy balance deficit and are premised on claims that trim weight/ flesh outness (body mass index (BMI) 25) is a significant speak cause of morbidity and mortality and,correspondingly, that weight loss in fat (overweight or obese) people go away reduce run a risk and/or improve health outcomes. (Aphramor, 2010). sought after gist 1 coveted Outcome 2Nursing disturbance 1Refer Debbie to nutritionist.Debbie allow for have more information regarding honorable eating within 2 weeks. She go away realize the importance of her diet and metabolism. Debbie realized the importanc e of healthy nutrition and regimen. She gained weight in 2 months more than 10 pounds. She feels halcyon and happy.Nursing Intervention 2Pharmacological intervention, facts of life regarding medications.Debbie impart ascendance her weight also by controlling her nausea using the positivistic medication for nausea. She will receive information on how to use the medication, frequency, dosage, military position effects in 2 days. After ace week Debbie has more information regarding her medications, realized that medication helps her to control nausea and takes as ordered. military rating regularity issue forth up visit in doctors office after discharge within 2 weeks, daily weights. Follow visit- forbearing weighs 12 pounds more, less nauseous, feels comfortable in her weight. precept persevering education, more information regarding nutrition, talking, relaxation techniques, pharmacological. tending(p) instructions regarding proximo appointments and plans on her treatment, daily weights, weight control.Nursing Diagnosis 2 Educational deficitDebbie take more information regarding her care. She needs education related to medications, self-catheterization, thorax self-examination. Patient education is a central the practice of nursing and should be in part of their domain. The most important part of patient education is to prepareDebbie for independence in her care, increase the confidence and competence for self-management. (Bastable, 2006).Desired Outcome 1Desired Outcome 2Nursing Intervention 1Instructions on how do self white meat- examinations and self- catheterization, warning signs/symptoms. Debbie will be able to do breast self-examination herself in one week, will be able to perform intermittent self-catheterization. Two weeks passed. Debbie states how she performs breast self-examination, what she needs to look out for. She states how often she does the examination and demonstrates what positional changes she needs to do. Nursing Interventi on 2Patient educationDebbie will realise information about her medications, route, dosage, side effects in 2 days. nurture back achieved regarding medications. Debbie states that she was anxious previously as she thought the will not remember all the information given. She is happy as she did everything correct. Evaluation methodAsked multiple cross questions, Debbie answers as educated, seems more interested in future education. Debbie made an organizer for her. The organizer contains medication regimen, few special considerations, reminders. RationaleDemonstrated Debbie how to do breast examination, catheterization. Used a kit and malleable body to demonstrate. Used the board to give important information regarding medication. Debbie demonstrates what she does at home to do the catheterization, breast self-examination, questions given, answered properly as was educated.Nursing Diagnosis 3 Emotional distress.Debbie is experiencing emotional distress, anxiety. As stated in graph ic symbol study she is tearful, has great concern regarding her future. Effectivecommunication among nurse and patient/family can improve care and relieve suffering. The diagnosis and treatment for cancer is a major challenge and it affects all aspects of life. By therapeutic communication, providing information, boost optimistic outlook, teaching how to reduce stress patient care will have better outcomes. (Yarbro, Wujchik, & Gobel, 2010).Desired Outcome 1Desired Outcome 2Nursing Intervention 1Debbie will get apply to controlling her stress by daily walks, relaxation techniques, music, spending sentence with family in 2 weeks. Debbie states she feels better spending time with family, resting, being in the park, meeting friends when feeling lonely and anxious. Nursing Intervention 2Debbie will be seen by weird care in 2 days.Debbie states that her conversations with spiritual care makes her feel more relaxed, she reads books, has prayers at her bedside. Evaluation methodGiven i nstructions on how to manage time and stress with different activities, think activity and periods of rest. Asked questions regarding Debbies days, stress management. RationaleEducational packets, brochures, referrals provided.Multiple pen stress tests used to find our patients emotional condition. Seems more relaxed and less anxious.ReferencesAphramor, L. (2010, July). Validity of claims made in weight management interrogation a narrative review of dietetic articles. Nutrition Journal, 9().Bastable, S. B. (2006). Essentials of Patient Education. Jones & bartlett Learning. Yarbro, C., Wujchik, D., & Gobel, B. (2010). Cancer Nursing Principles and Practice (7th ed.). Jones & Bartlett Learning.