Topic: Chronic obstructive pulmonary disease
Paper details:
Patient Case Study:
Completed patient case study that includes appropriate data to support the assessment findings, priority problem, goals, interventions, and evaluations.
Biographical Data:
Demographics including name, age, identified and biological gender.
Residence/Living Situation
Allergies
History of past medical diagnosis
History of past medical and surgical procedures
Description of current problem/presenting problem or chief concern.
Current medications and treatments
Social Supports and history
Laboratory, imaging, testing data and results
Nursing Process Care Plan:
Assessment
Complete patient assessment by systems using template provided.
Areas of concern and/or symptoms identified
Similar areas of concern and/or symptoms grouped/clustered together
Areas of concern and/or symptoms are prioritized, highest to lowest
Actual or potential problem indicated and listed
Nursing Diagnosis/Analysis
One priority problem identified that shows evidence of critical thinking and that there is an understanding of the client’s condition
Defining characteristics and assessment data relevant to identified nursing diagnosis/priority problems.
Planning/Outcomes/Goal
Two goals written relating to primary problem and specific to the patient’s needs
Each goal written as an action (SMART)
Goal is focused on resolving symptoms
Interventions and Rationales
Three interventions identified for each outcome/goal
1 Intervention must be non-pharmacological and holistic
Interventions are appropriate for the specific patient and outcome/goal and show evidence that client’s condition and developmental level is understood
Rationales provided for each intervention and supported by nursing theory and scientific evidence (Referenced)
Evidence of critical thinking
References are appropriate and scholarly
Evaluation
Evaluation statement indicates when and how the clients’ outcome/goal will be evaluated as met or unmet for the specified timelines
Format
APA, word processed
Care plan flows, is organized
No spelling or grammatical errors
Critical Analysis
Write a maximum of 250 words to address your patients potential risk factors or potential challenges. In this section you will identify a minimum of one social determinant of health (SDoH) which could impact your patients ability to meet their identified goal/s and provide a rationale with appropriate APA formatted reference to support your choice. Give a minimum of one community based resource that could support your patient and help to decrease their identified SDoH risk factor
