Question Answered step-by-step Care Plan Assignment Case Scenario “Oh, this is awful,” Jenny… Care Plan AssignmentCase Scenario”Oh, this is awful,” Jenny muttered to herself. She was sitting on the toilet with a pair of very wet panties and slacks around her ankles. Jenny said that she never knew when it would hit, this need to urinate quickly. She would find herself running to the bathroom like a woman possessed and then usually not making it in time. “It also seems like I’m ‘peeing’ all the time, she said. “This is getting old and is no fun at all.” Nursing AssessmentJenny Hill is an 82 yr older woman who lives in a home for older women. She has trouble controlling her urination. She finds that when she has to urinate, she has to get to the bathroom quickly or wet her panties. She has started wearing incontinence pads, but she hates them because they are uncomfortable, and she’s afraid they show when she wears pants. Also, they cost a lot of money. She finds herself getting up to urinate two to three times per night. Sometimes she finds she really smells of urine in the morning, and her sheets are wet with urine. She limits her usual social activities because of the possible embarrassment of smelling like urine.  Over the last week, she has decrease drinking tea, coffee, and other fluids during the day. She makes an appointment with the Nurse Practitioner to discuss her problem. Mrs. Hill complained that she had some vaginal pain and burning.  Vitals taken by the nurse was 128/92, P-96 R-22 T-36.2 wt 136lb. The nurse noted that she looked pale, had chapped lips and a dark circle under her eyes. Last week Mrs. Hill weighed 142lbs. Instructions Pain and Urinary incontinence are the priority two nursing diagnoses for the Case Study. 1) Please develop these two nursing diagnoses for the Case Study. Remember, when constructing your statement, include the condition r/t the problem AED subjective and objective data. Remember that you want to address patient needs but need to prioritize them using Maslow’s hierarchy of needs. Ex. Decreased mobility r/t osteoporosis as evidenced by an inability to walk to the bathroom, stated “I am having trouble walking,” and visible bone deformities (kyphosis) 2) Based on your nursing diagnoses, develop three goals for each diagnosis. Remember that your goals have to follow the SMART parameters and have to include a timeline that is realistic ex. Two weeks.Ex. The client will learn how to use a walker in her home successfully in two weeks. 3) Develop interventions for each one of your goals; remember that interventions are how you will achieve your goals. They can include other multi-disciplinary team members and family. Interventions: The client will be referred to occupational therapy to assess her home; the client will be referred to physiotherapy to assist with mobilization; education will be provided to family members regarding pain control to increase mobility 4) Develop a rationale for three of your interventions – why are you going to be doing what you are doing. An occupational therapist will evaluate the client’s home and ensure that it is safe, accessible and provide necessary aids to help increase independence. 5) Evaluation, write three evaluation statements, remember that the stated goals are either met or unmet, and you must re-state your goal with the timeline and include proof. Ex. The client has learned to use her walker in-home successfully within two weeks. She is able to manage her ADLs and required less assistance from loved ones. Health Science Science Nursing NURSING CNC105 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step I need help pls with week 7  Case studyThe client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her when she was 9 years old). She presents following a 21-day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month.Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control,” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.During today’s assessment, she appears quite calm and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She says she knows this because the television is telling her so.She currently weighs 140 lbs., and she is 5′ 5.SUBJECTIVEClient reports that her mood is “good.” She denies auditory/visual hallucinations but believes that the television talks to her. She believes that Allah sends her messages through the TV. At times throughout the clinical interview, she becomes hostile towards you but then calms down.A review of her hospital records shows that she received a medical workup from physician, who reported her to be in overall good health. Lab studies were all within normal limits.Client admits that she stopped taking her Risperdal about a week after she got out of the hospital because she thinks her husband is going to poison her so that he can marry an American woman.MENTAL STATUS EXAMThe client is alert and oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Her speech is slow and, at times, interrupted by periods of silence. Self-reported mood is euthymic. Affect is constricted. Although the client denies visual or auditory hallucinations, she appears to be “listening” to something. Delusional and paranoid thought processes as described above. Insight and judgment are impaired. She is currently denying suicidal or homicidal ideation.You administer the PANSS which reveals the following scores:-40 for the positive symptoms scale-20 for the negative symptom scale-60 for general psychopathology scaleDiagnosis: Schizophrenia, paranoid type Assignment: examine antipsychotic therapies, you explore the assessment and treatment of patients with psychosis and schizophrenia. You also consider ethical and legal implications of these therapies. Health Science Science Nursing NURS 6630 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step discuss why you have decided to complete your BSN at this time, andthe concern you have about completing your baccalaureate degree. Base on the readings in the course materials, what strategies can you implement to be successful student? Health Science Science Nursing NRS-430V 0102 Share QuestionEmailCopy link Comments (0)

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Question Answered step-by-step What is an article that speaks about advanced practicing nurse… What is an article that speaks about advanced practicing nurse advocacy? Examples of types of Advocacy  Individual  Family  Community  System  State/national      Legal  Moral Substitutive (client/surrogate) PoliticalSpiritual Health Science Science Nursing NURSING MS 5350 Share QuestionEmailCopy link Comments (0)

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