Nursing Diagnosis and Care Essay

1 Analyze Assessment selective studyBased on the health history culture, identify the following A. Areas for focussed assessment (30 points)Provide a brief overview of those aras of strength and weakness uttermost-famed from Milestone 1 Health History. From the conversation with call forth on her medical examination history she is in denial about the occurrences that is happening in her aliveness which is making her non-compliant about victorious her medicinal drugs as prescribed. It appears that taking her medications provide bear her an unfit mother in the presence of her children gibe to JAW. Being a hospital corpsman in the Navy she is well aware of the ramifications about taking medications especially the ones that ordain help her batter these issues.B. Clients strengths (30 points) work out on areas identified as strengths related to the persons boilers suit health. patronise your conclusions with information from the textbook. JAW is in good shape according t o military regulations. She gear ups at least triad times a hebdomad which is keeping her somatogenicly in shape thereby not subjecting her to hypertension, any cardiac diseases, or joint problems at the present. I asked JAW was she awkward jawing to me about her health history and the issues that are related to her and me existence her best friend. Her health patterns are excellent compared to others because she does follow the rules and conforms to the Navy standards. She likewise watches what she consumes tostay compliant with the nutritional needs as part of her physical fitness regimen.C. Areas of concern (30 points)Expand on areas previously identified as abnormal and those that place the person at a health risk. Support your observations with data from the textbook. JAW has anxiety and depression concerns. Her failed two marriages and raising her terce children as a single mom are causing her more or less undue stress in her behavior and it could possibly lead to more or less pernicious decisions about her life choices. Stress can sometimes inspire or enhance a person performance and JAW chooses to run to help her escape what she is experiencing in her life. Fitness influences some qualities much(prenominal) as mental alertness and emotional stability because it is known that the body affects what it does to the mind. If she would force her medications as prescribed it could help her take defend of the amount of bad or negative thoughts she may be having as far as her marriages and being a single parent. She has to be pass oning to verbalize that she has a problem and that she needs help which will be the first tint to understanding what the underlying cause of her unre gaind uncertainties is truly.D. Health teaching topics (30 points) aim health education needs. Support your statements with facts from the Health History and information from your textbook. JAW does not possess any pertinent health issues that require conterminous attention but the issues that she does have can manifest into something major because she does have a diagnosis of anxiety and depression. The emotional reactions to stress may take difficulties sleeping, inability to concentrate, or in her case anxiety and depression. There are umpteen support groups out there for JAW to join such as single parents and marriage counseling to name a fewer to help her overcome her problems. She can also schedule some sessions with a psychologist to talk through her problems and try and devise a plan to egg on forward with her life. At this point I would strongly suggest that she does loss some type of counseling because her masking the stress in her life will not help her cope.2 Nursing Care be afterNext, plan your care based on your analysis of your assessment dataA. Diagnosis (30 points)Write one nursing diagnosis that reflects a anteriority need for this person. Remember a wellness diagnosis is a possibility. unproductive individual copin g related to situational crisis as evidence by anxiety, depression, and adaptation in lifestyle.B. Plan (30 points)Write one remainder and one mensural expected outcome related to your nursing diagnosis. Explain why this goal and outcome is a priority. Include cultural considerations for this client. Goal JAW will verbalized the ability to cope effectively with anxiety by instituting three upstart stress-reducing skills by April 30, 2014. Outcome JAW will be equal to identify the stressful situations in her life and adjust changes suited for her and her children. African Americans are very hesitant to seek extraneous help to solve their problems because they are regarded as private people and JAW doesnt want anyone to know that she feels might jeopardize her career.C. Intervention (30 points)Write as many nursing orders or nursing interventions that you need in order to turn over the outcome. Provide the rationale for each intervention listed. 1). Inter Provide information re garding different ways to deal with the current situations that promote anxiety olfactory modalitys and the feeling of being depressed. grass over With this information it provides JAW an opportunity to learn new coping skills. 2). Inter Teach importance on how to balance life. informer A life out of balance adds immensely to stress and anxiety. The changes affects adequate to(predicate) sleeping patterns, family time, quiet time, and overall enhancements of quality of living. 3). Inter Refer to outside resources, including support groups, psychotherapy, and community recreation involvement. shutout People have a tendency to benefit from the support of other people with similar problems and the resources ready(prenominal) will help keep her life in balance and monitoring device her stress levels. 4). Inter Encourage JAW to identify and verbalized feelings and perceptions.RAT The process of identifying feelings that remain underlying and drive behaviors enables the clients to b egin taking control of their lives. 5). Inter Teach JAW the physiologic actions of taking antidepressants and how it alleviates symptoms of anxiety and depression. RAT Many depressed people resisttaking medication because they dismay becoming addicted to the drug. However antidepressants are not addictive drugs and providing her with the information about the drugs physiologic action helps with adherence.D. Evaluation (30 points)You will not carry out your care plan so you cannot judge the effectiveness of your nursing interventions. Instead, comment on what you would look for in order to evaluate your effectiveness. I would inquire about rather JAW has started her medication regiment and if she has any questions in regards to how it will affect her as far as her family and her career. Did she make the time to seek a physiologist to help her and her family overcome these difficult times of being just the four of them and also a psychiatrist to continue to prescribe the necessary m edications? JAW will be able to discuss 3 coping techniques that she utilizes to help her feel more in control over her current situation. She will also be able to share the support system of people she can talk to when she is faced with a crisis. The way she has adjusted to her new life will ensure that she has become compliant with the medication regime and have seek the appropriate to help her overcome these issues so she can move forward.