Integrated Primary Care (NURS 536) Patient\/ Family & Nursing Care Plan:. Integrated Primary Care (NURS 536)
\nPatient\/ Family & Nursing Care Plan (10%)
\nStudent Name
\nStudent ID
\nDate
\nPrimary Health Care Centre
\nInstructor Name
\nI.\tPatient Profile
\nPatient\u2019s name (First & surname):
\nHealthcare Record Number (HRN):
\nAge:
\nGender:
\nPresenting Chief complaint:
\nAccompanied by:<\/p>\n
Source of data collection\/gathering\tPatient
\nFamily or significant other Caregiver
\nEMS personnel Bystander
\nUse of translator
\nMedical Diagnosis:<\/p>\n
II. Current problem\/illness History (relating to the patient)
\nWhen did it start?
\nWhat are the symptoms?
\nAre others in the family ill with similar symptoms?<\/p>\n
What has been done to treat symptoms<\/p>\n
Primary Health care Practical (NURS 536) Patient\/ Family & Nursing Care Plan (15%)
\nIII. PAST MEDICAL HISTORY (referring to the patient)<\/p>\n
A. Obstetrical history\tBirth order: \t Terms of pregnancy
\nFull-term Pre-term
\nMode of delivery:
\nVaginal delivery Caesarian Section
\nSite of delivery
\nHome
\nHospital
\nB. Past illness
\nAny data in past medical history that are significant and require further clarification. Consider previousacute illnesses including emergency department (ED) and urgent care, infectious diseases, hospitalizations, injuries, accidents, surgeries, and chronic illnesses. Consider how PMH relates to current presenting symptoms or problems.<\/p>\n
C. Allergies\tMedication\u2014prescription, OTC Food\/beverages
\nLatex Iodine
\nEnvironmental<\/p>\n
D. Accident<\/p>\n
E. Hospitalization\tYear:
\nMedical diagnosis:<\/p>\n
F. Immunization history\tComplete Not complete
\nState why not complete:
\nG. Nutrition History
\nTiming and frequency of meals, including food choices if malnourished or obese; ethnic and cultural<\/p>\n
Primary Health care Practical (NURS 536) Patient\/ Family & Nursing Care Plan (15%)
\nconsiderations in food choices.
\nH. Social History
\nExercise and activity, wellness behaviors, behavioral issues at home or at school. Use of media and Internet, friendships, bullying (either being bullied or bullies\u2019 others), aggressive behaviors, violent behaviors, gender identity, and lesbian, gay, bisexual, transgendered, or queer (LGBTQ)+ status.<\/p>\n
I.\tDevelopment History<\/p>\n
6 years and younger
\nReview results of prior developmental screenings, including the Denver Developmental Screening Test (DDST) orthe Ages and Stages Questionnaires, and socioemotional screenings.<\/p>\n
– – Note achievement of developmental milestones at each interval visit. If delays are noted, question the status of intervention services (early intervention for children up to
\n6 years old; occupational therapy (OT), physical therapy (PT), speech, special education services, behavioral therapies for all children.<\/p>\n
7 to 12 years old
\nScreenings based on presenting problem: Pediatric symptom checklist SCARED for anxiety.<\/p>\n
Older than 12 years
\nScreenings based on presenting problem: Tobacco use or substance use HEEADSSS or SHADESS screen PHQ-2 and PHQ-9, if needed CRAFFT or Audit-C<\/p>\n
J.\tMedication history
\nPrescription, OTC, homeopathic remedies, herbs, vitamins, minerals, other supplements.<\/p>\n
Primary Health care Practical (NURS 536) Patient\/ Family & Nursing Care Plan (15%)<\/p>\n
K. Mental health
\nAssess mental health status for children and adolescents. Fears, anxiety, depression, and behavior problems may occur at any age.<\/p>\n
L. Family history\t\t\tRespiratory disease Cardiovascular disease; risk factors
\nNeurologic disease Endocrine disease Hepatic disease\tInfectious disease Hematologic disease Immunosuppression Autoimmune disease Psychological disorders psychiatric or mental health
\nOthers, Specify:<\/p>\n
M. Socio-economic\t\t1. Occupations of father and mother
\n2. Time spent with child by parents, activities together
\n3. Finances\u2014adequacy<\/p>\n
Primary Health care Practical (NURS 536) Patient\/ Family & Nursing Care Plan (15%)
\n4. Persons in the home
\n5. House or apartment living arrangements
\n6. General relationship of family members or role characteristics of family
\n7. Community support systems\u2014friends, church, agencies involved with family
\n8. Safety precautions<\/p>\n
History of descriptive and non-descriptive medications:
\nDescriptive medications (Prescribed by physician\/doctor):
\nGeneric Name & \/ Classification\tTrade Name\tDosage\tFrequency\tRoute<\/p>\n
Non-descriptive medications: Legal\/ illegal, over the counter drugs (OTC):
\nGeneric Name &
\n\/Classification\tTrade Name\tFrequency\tRoute\tRationale<\/p>\n
GENERAL ASSESSMENT\t\tHow would you describe your child’s health right now?
\nCompared with other children, how healthy would you say your child is?
\nWhat does it mean for you to say that your child is \u201chealthy\u201d?
\nHow do you describe good health in your family?
\nDo you have any questions or concerns about your child’s health, growth, or development?
\nHow important is it to you to have a regular health care provider?<\/p>\n
BELIEF THAT HEALTH PRACTICES AFFECT HEALTH STATUS\t\tWhat do you know about this current condition? What caused it? What can you do about it? What can you do to prevent it?
\nHas your child had a problem like this before?
\nHow do you expect your child to respond when sick? To this sickness? What have you done for it in the past?
\nWhat do you do, or have you done that you believe makes a difference in how your child responds to illness?
\nWhat things can you do to help your child cope with being sick? What kinds of feelings do you have when confronted with sudden changes in plans or disruption of normal routine caused by illness in the family? How do you deal with those feelings?
\nHow do you think those feelings affect the way you handle your child’s health and illness?<\/p>\n
DECISION-MAKING\t\tWhat do you do when your child has health problems? What makes you decide to call your health care provider or take your child in for an examination?
\nWho makes decisions about health care in your family?
\nHow do you make those decisions? Do you talk things over? Do you get advice from others?
\nWhy do you think that you make decisions in that way?
\nWhat are the most important things that you consider when deciding about your child’s health care?
\nWhat is most difficult for you when you must make decisions related to your child’s health?<\/p>\n
Health behaviors and use of resources\t\tDo you have a regular health care provider for your child? When did you see that person last?
\nWhat health care resources are available to you? Is there a primary care provider you can get to conveniently? Clinics? Pharmacies?
\nWhat have you done to protect your child from injuries?
\nThere has been much focus on healthy lifestyles, such as eating right and exercising. What does your family do regularly to stay healthy?
\nDoes anyone in your family (adolescents, you) smoke, drink, or use drugs? How often? What kind? Are there other things that your family does that you think are bad for your children’s health?
\nWho cares for your child when you are not at home and the child is not in school?
\nWhat helps you learn about health problems and how to take care of them\u2014 talking to others, reading, using the Internet, watching videos?<\/p>\n
For this illness:
\nHow are you managing a household, work, school, and other childcare responsibilities? What is most difficult for you?<\/p>\n
Having sick children can create a financial strain on families. Is this a problem for your family?<\/p>\n
What is the most difficult part? How comfortable do you feel managing this illness?<\/p>\n
Have you had experience in the past that helps you manage?<\/p>\n
ENVIRONMENT\t\tDo you use booster seats, seatbelts, or child restraints for your child when riding in a car?
\nWhere does your child play? Do you believe it is safe?
\nHave you gone over personal safety with your child (e.g., \u201csaying no\u201d)?
\nIs your home childproof? If you have firearms, are they unloaded and locked? Is ammunition locked separately? Are pools fenced and gated?
\nHow do you heat or cool your home? Is it comfortable?
\nIs there any danger of falls?
\nIs your child dressed warmly for cold weather?
\nDo you have a working smoke alarm?
\nWhat would you do if your child had a health emergency?
\nDo you have a car, or is there a friend, family member, or neighbor close by who could help you?<\/p>\n
CHILDREN WITH SPECIAL NEEDS\t\t\tWhat does it mean for you to say that your child is \u201chealthy\u201d?
\nHow did you feel when your child’s problem was diagnosed? What did you do? What coping strategies do you use as you care for your child?
\nHow has managing a chronic illness changed your family\u2019s functioning? How does your family function?
\nWho is providing specialty care to your child? Do you believe this is adequate? What other special needs do you believe your child has that require care?
\nHow comfortable are you in providing home care?
\nHow are your child’s regular health needs met (i.e., those not directly related to the chronic illness, such as immunizations)?
\nWhat resources do you know about that can help you understand and manage your child’s illness?
\nWhat special physical arrangements have you made to accommodate your child’s illness? At home? In the car? At school or daycare?<\/p>\n
V. Head-to-Toe Assessment (Review of Systems)
\nSuperior Essay Writers Describe only abnormal findings: Refer to PHC theory book)
\nGeneral appearance<\/p>\n
Skin<\/p>\n
Hair<\/p>\n
Head\/ Neck\/ Ears\/ Nose<\/p>\n
Mouth\/ Throat\/ Tongue<\/p>\n
Lymph nodes<\/p>\n
Hands\/ Feet\/ Nails<\/p>\n
Primary Health care Practical (NURS 536) Patient\/ Family & Nursing Care Plan (15%)
\nChest\/ Lungs<\/p>\n
Heart\/ Vascular<\/p>\n
Abdomen<\/p>\n
Neurologic<\/p>\n
Musculoskeletal<\/p>\n
Breast\/ Genitalia \/ Anus<\/p>\n
Diagnostic Examinations\/Procedures:
\n(Include Blood type, Lactate, ABGS, ECG, CTCO2, Lab Tests, radiographic studies, etc\u2026)<\/p>\n
Test\/Procedure\tReference Value (Normal
\nResults)
\nPatient Results
\nNursing Considerations<\/p>\n
Currently Prescribed Medications
\nGeneric Name (Dosage, Route, Frequency)\tTrade Name\/ Classification\tAdverse Reactions\tNursing Responsibilities<\/p>\n
Treatments\/Therapeutic Regimens\/Doctor Orders rather than Medications
\n(e.g. oxygenation, IV therapy, immunization, etc.)<\/p>\n
GENOGRAM<\/p>\n
ECOMAP<\/p>\n
CHILD AND FAMILY PROBLEMS IDENTIFIED ACCORDING TO DOMAINS
\nDevelopmental\tFunctional Health\tPediatric\/Adult disease<\/p>\n
Priority the Problem Identified according to the Classification of System diagnoses (NANDA)
\nDevelopmental\tFunctional Health\tPediatric\/Adult disease<\/p>\n
Kingdom of Saudi Arabia Ministry of Education University of Hail College of Nursing<\/p>\n
\u0627\u0644\u0645\u0645\u0644\u0643\u0629 \u0627\u0644\u0639\u0631\u0628\u064a\u0629 \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0648\u0632\u0627\u0631\u0629 \u0627\u0644\u062a\u0639\u0644\u064a\u0645
\n\u062c\u0627\u0645\u0640\u0639\u0640\u0629 \u062d\u0640\u0627\u0626\u0644 \u0643\u0644\u064a\u0629 \u0627\u0644\u062a\u0645\u0631\u064a\u0636<\/p>\n
NURSING CARE PLAN
\n(Provide 3 Nursing Diagnosis (each domain) and write one Nursing Diagnosis per Page)<\/p>\n
ASSESSMENT\tNURSING DIAGNOSIS\tDESIRED OUTCOMES\tNURSING INTERVENTION\tRATIONALE
\nChild and family defining characteristics
\nSubjective\/Objective)\t\t\tPhysician-prescribed:<\/p>\n
Nurse prescribed (Discharge to home):<\/p>\n
Kingdom of Saudi Arabia Ministry of Education University of Hail College of Nursing<\/p>\n
\u0627\u0644\u0645\u0645\u0644\u0643\u0629 \u0627\u0644\u0639\u0631\u0628\u064a\u0629 \u0627\u0644\u0633\u0639\u0648\u062f\u064a\u0629 \u0648\u0632\u0627\u0631\u0629 \u0627\u0644\u062a\u0639\u0644\u064a\u0645
\n\u062c\u0627\u0645\u0640\u0639\u0640\u0629 \u062d\u0640\u0627\u0626\u0644 \u0643\u0644\u064a\u0629 \u0627\u0644\u062a\u0645\u0631\u064a\u0636<\/p>\n
Integrated Primary Care (NURS 536) Patient\/ Family & Nursing Care Plan:<\/p>\n","protected":false},"excerpt":{"rendered":"
Integrated Primary Care (NURS 536) Patient\/ Family & Nursing Care Plan:. Integrated Primary Care (NURS 536) Patient\/ Family & Nursing Care Plan (10%) Student Name Student ID Date Primary Health Care Centre Instructor Name I. Patient Profile Patient\u2019s name (First & surname): Healthcare Record Number (HRN): Age: Gender: Presenting Chief complaint: Accompanied by: Source of […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5584,5217,5589,5586,5591,5594,5590,5587,5583,5593,5592,5588,5582,5585,5595],"tags":[5597,5601,5602,5605,3665,5603,2339,5607,4868,5598,5604,5606,5600,3325,5599,5596],"class_list":["post-13347","post","type-post","status-publish","format-standard","hentry","category-assessment-homework-help-online","category-australia-essays","category-best-ideas-for-dissertation-topics","category-best-ideas-for-research-paper-topics-in","category-best-thesis-topics-and-ideas-on-different-subjects","category-dissertation-topics-good-thesis-ideas","category-dissertation-topics-for-ph-d-and-thesis-ideas","category-dissertation-topics-for-students-in","category-help-with-australia-assessment-assignment","category-research-topics-for-college-students","category-sample-thesis-titles","category-trending-dissertation-topics-ideas-for","category-uk-assessment-assignment-help","category-uk-essays","category-undergraduate-dissertations-topics-examples-ideas","tag-essay-service-website","tag-essay-writer-from-usa","tag-hire-a-professional-essay-writer","tag-hire-essay-writer-for-your-papers","tag-i-need-help-writing","tag-i-will-pay-someone-to-write-my-essay","tag-looking-for-someone-to-do-my-assignments","tag-online","tag-page-paper","tag-pay-for-essay-get-top-quality","tag-pay-someone-to-write-my-paper","tag-professional-paper-writing-service","tag-professional-to-write-my-essay","tag-write-a-paper","tag-write-my-essay-for-me-by-native-writer","tag-write-my-essay-no-plagiarism"],"_links":{"self":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts\/13347","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/comments?post=13347"}],"version-history":[{"count":0,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/posts\/13347\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/media?parent=13347"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/categories?post=13347"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.colapapers.com\/uk\/wp-json\/wp\/v2\/tags?post=13347"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}