Nursing Case Study

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University of Phoenix Material

Case Study Grid

List five factors of the patient’s history that demonstrates nursing needs.

1. Pain (post op)
2. Poor Nutrition secondary to nausea
3. Fear r/t unknown outcome
4. Anxiety r/t lack of support system
5. Knowledge deficits (r/t self catheterization)
6. Depression
7. Safety after discharge
8. Support post discharge

Complete the table below with the following information:

• Formulate three nursing diagnoses using the Problem, Etiology, and Signs and Symptoms (PES) format and the taxonomy of NANDA. The diagnoses must be based on the case study, be appropriate, be prioritized, and be formatted correctly.

• For each nursing diagnosis, state two desired outcomes using NOC criteria. Desired outcomes must be patient-centered and measurable within an identified timeframe.

• For each outcome, state two nursing interventions using NIC criteria as well as one evaluation method. Interventions and the evaluation method must be appropriate to the desired outcomes.

• Provide rationale for each nursing diagnosis, and explain how PES, NANDA, NOC, and NIC apply to each diagnosis.

Use a minimum of three peer-reviewed resources, and create an APA formatted reference page.

Nursing Diagnosis 1: Acute pain r/t surgical intervention for cervical cancer as evidenced by a subjective pain scale rating of 8/10 Desired Outcome 1 Desired Outcome 2 Patient will state a decreased level of pain as evidenced by verbalizing a pain level less than 3 on a 1-10 pain scale within 6 hours of initial assessment (American Nurse) Patient will perform activities of recovery with an acceptable level of discomfort by end of shift, day two of intervention action.
Nursing Intervention 1
Ensure the patient receives appropriate analgesic care.
Evaluation method Utilize a 1-10 pain intensity scale. Observe patient
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