Module 04 Written Assignment – Nursing Diagnosis
Purpose of the Assignment
- Assist students in clustering assessment data when developing a nursing diagnosis.
- Develop students’ ability to write client based outcomes when planning care.
Course Competencies
- Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
Instructions
Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goal for each nursing diagnosis. DO NOT use risk for diagnoses. Focus on current problems.
Consider the client’s medical history and medications.
Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.
- Nursing Diagnosis Manual, 6e: Planning, Individualizing, and Documenting Client Care
- Nursing Care Plans: Guidelines for Individualizing Client Care Across the Life Span, 10e
|
Nursing Diagnosis |
Nursing Diagnosis |
Nursing Diagnosis |
