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Breastfeeding Care Program Template

п»їName:

John Doe

School:

NRN information

Date:

12/12/12

Pt. initial

RB

Age

100

Date of Admit

01/01/01

DOB

07/01/01

Code Status

full

Allergies

NKDA

Acknowledging Diagnosis: Pneumonia secondary into a bacterial infection Nursing Diagnosis: Risk for ineffective tissue perfusion (arterial, venous, and peripheral)

STG: Patient could have adequate perfusion AEB Spo2= 95% or perhaps greater

LTG: Patient will certainly maintain sufficient tissue perfusion to essential organs AEB mucous walls, capillary fill up time, heart beat quality, urine output and heart rate which have been WNL. To get STG/LTG (short term goal/long term goal)

Must be measurable - uses ranges: ____ to ____, greater than or equal to, range, parameters Time period: STG -- acute (minutes, hours, days); long term (weeks, months, years)

Assessment

Planning

Rationale

Rendering

Evaluation

Determine your problem in front of you

These kinds of come from the data that you collect during specialized medical which is why detailed assessment is essential! Spend time with the patients!! – should include labs, vitals, and objective checks

How will you resolve the problem at hand?

- Screen, assess, perform, check, attain, teach, adhere to protocols/guidelines

Why exactly should we end up being doing this?

Use a textbook for reference if possible.

Actual interventions

Generally past tight

What proper care was provided for patient?

How did you gather data to assess against your normal varies in your outcome criteria? Consistency - How often did you will get patient info?

Each objective met/not achieved: Should go through like you actually documented vital signs, evaluate, care on your patient What were the results of labs/dx

The thing that was taught/what support measures, comfort used?

WBC 14. two

Keep the customer warm and possess the client wear socks and shoes or slippers although mobile. Do not apply heat. Keep extremities warm to take care of vasodilation and blood supply. В В Heat application can simply damage ischemic tissue. Pt was using socks. Fresh pair applied with AM care.

Attained. Pulses evidente...

03.09.2019

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