428 UNIT 6 The Nursing Process CRITICAL THINKING EXERCISES 1. Compare a written

Question

428 UNIT 6 The Nursing Process CRITICAL THINKING EXERCISES 1. Compare a written nursing care plan for a client in a long-term care facility (e.g., nursing home) with that of a client in an acute care facility (e.g., hospital). What are the similarities and differences? Because all people have similar needs, why do you think these differences exist? 2. Practice making a nursing diagnosis. From the follow- ing data, write a three-part nursing diagnostic state- ment: A male client, age 69, complains that he has difficulty swallowing because of a severe sore throat. He complains of having a dry tongue and feeling thirsty and light-headed. He has not urinated in 5 hours and does not feel the urge to urinate now.

Explanation / Answer

Nursing Care Plan For Long term care Facility:

Long term care facility care mostly will providng for the patient those who are chornically ill,Aged persons such as cancers,dementia,COPD patients. in facility settings patietn need to comforbale care like feeding and hygienic practise of patient routine activities

When a person requires someone else to help him with his physical or emotional needs over an extended period of time, this is long-term care. This help may be required for many of the activities or needs that healthy, active people take for granted and may include such things as:

Nursing care plan includes Long term Care Facility

·         Walking

·         Bathing

·         Dressing

·         Using the bathroom

·         Helping with incontinence

·         Managing Pain

·         Preventing unsafe behavior

·         Preventing wandering

·         Providing comfort and assurance

·         Providing physical or occupational therapy

·         Attending to medical needs

·         Feeding

·         Answering the phone

·         Meeting doctors' appointments

·         Providing meals

·         Maintaining the household

·         Shopping and running errands

·         Providing transportation

·         Administering medications

·         Managing money

·         Paying bills

·         Doing the laundry

·         Attending to personal hygiene

·         Helping with personal grooming

·         Writing letters or notes

·         Making repairs to the home

·         Maintaining a yard

Removing snow

Choose a comfortable setting Set aside adequate time Encourage verbal expression of both positive and negative feelings of past events Ask open-ended questions about past events Encourage writing of past events Tape the reminiscence and play it back to the client as appropriate Ask the family to bring photo albums or scrapbooks Help the patient to begin a family tree Encourage the patient to write to old friends Use communication skills such as focusing, reflecting, and restating to develop the relationship Comment on the affective quality accompanying the memories in an empathetic manner Use direct questions to refocus back to life events, if patient digresses Inform family members about the benefits of reminiscence Gauge the length of the session by the patient's attention span Avoid using with persons who are in a state of generativity or with those who are avoiding reality Acknowledge previous coping skills Monitor for defensiveness obout the past Repeat session weekly or more aften over prolonged period

the above major things need follow daily nursing care for paln for a pateint in long care facility

Acute Care Facility: An acute care facility provides immediate care for traumas and injuries, severe or sudden illness, or recovery from surgery. Generally, stays are brief in acute care, and patients are sent home or transferred to other medical facilities as soon as they are stable.

in acute care facility patent Needs Active Treatment and Close monitoring and Nurse must need Assess the patient 1.neurological assesment

2.need to maintan 24 hours urine out

3.out put and input chart

4.continous vitals monitoring

Need to Check

1.respiratory pattern

2.heart monitorning

3.respiratory rate monitorining

date Nursing Out comes Nursing Interventions Acute Respirtaoty Failure

Need to Check

1.respiratory pattern

2.heart monitorning

3.respiratory rate monitorining

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