via phone so that the patient does not have to come to appointment, which could be discouraging for the patient if she had to come to a physical location. weather a patient is on a positive track to recovery. This may also allow the patient to ask questions that may have not occurred during the initial patient education lesson. the patient is on the right track to recovery. After asking the patient if she could follow up with a provider I would work to have her follow-up fit her schedule even if it meant that she followed-up with a phone call with health professionals within her area of need. The nurse would ensure to administer the medication as ordered. Whether it be within the one hour before or one hour after rule. The nurse should assess the patient level of pain before and after administration. Assessing the patient before a medication administration a zero to ten rating pain scale. Zero being no pain and ten being the worst pain ever felt. After a pharmacological intervention, the patient should be reassessed. Assessing the patient's pain level will help decrease and prevent the under treatment of pain and resulting harmful effects (Wells, pasero, McCaffery, 2008). This will help the nurse establish a baseline of the patient before the medication. This will let the nurse or health provider know whether the intervention worked or not. If it does work, this intervention can be reused and if it fails the intervention can be modified until a positive affect occurs. time the patients was given her medication, her pained was assessed before and after. The patient did indicate that the medication was helping relieve her pain. Also the provider came into to see the patient and ensured that the medication was helping relieve her pain. ±2 DISCHARGE PLANNING: (put a * in front of any pt education in above care plan that you would include for discharge teaching) Consider the following needs: □SS Consult *□Dietary Consult □PT/ OT □Pastoral Care □Durable Medical Needs □F/U *□Med Instruction/Prescription □ are any of the patient’s medications available at a discount pharmacy? □Yes □ No □Rehab/ HH
± 15 CARE PLAN Nursing Diagnosis: Patient Goals/Outcomes Nursing Interventions to Achieve Goal Rationale for Interventions Provide References Evaluation of Interventions on Day care is Provided ± DISCHARGE PLANNING: (put a * in front of any pt education in above care plan that you would include for discharge teaching) Consider the following □SS Consult □Dietary Consult □PT/ OT □Pastoral Care □Durable Medical Needs □F/U appts □Med Instruction/Prescription □ are any of the patient’s medications available at a discount pharmacy? □Yes □ No □Rehab/ HH □Palliative Care
the patient’s nutrition diet ordered by the doctor or administered via IV if the patient is order an NPO diet as ordered by the doctor. I will check the patient’s food before and then after eating. I will ask the patient what she ate and keep a journal of her eating habits. I will inquire about any food request to ensure the patient is eating as much as she can. I will work with dietician to help improve the patient’s digestive track's health. If the patient is ordered an NPO diet. The patient cannot consume food orally. This leads the patient to be in a nutritional deficient dilemma. Sometimes the provider will order fluids to be administered to the patient to prevent complications (Conchin, S., Muirhead, R., Ferrie, S., & Carey, S, (2013). Even IV fluids can help a patient begin to progress toward a normal diet. The patient is on a clear fluid diet. The nurse did not really record the patient’s intake. The nurse probably did not want to record the diet yet because the patient was just transitioning from an NPO diet to a clear fluid diet. Ideally I would record what the patient has consumed and ensure the output is relatively equal to the input. The patient is ordered a diet that is unique to them. Yes, doctors along with other health professional counterparts know that a patient after surgery needs energy in order to recover. As a nurse it is of the most importance that the patient is given IV fluids during any special diet, especially if the patient is on an NPO diet. ± DISCHARGE PLANNING: (put a * in of any pt education in above care plan that you would include for discharge teaching) Consider the following