Highlights
Task:
Name: Roberto J. Pinon
Demographics:
SSN: 34569504
78 y/o Male
DOB: 11/13/1942
Height: 182.9 cm
Weight: 95.3 Kg
Diagnosis: Chronic Obstructive Pulmonary Disease
Isolation: Standard Routine
Advance Directives: Full Code
Admitted: One day Ago
Married
Roman catholic
Occupation: Retired Postal Worker
Next of Kin: Maria Pinon Wife
Hispanic and speaks only Spanish requires a translator
History:
COPD
Basal Cell Carcinoma (2000)
Bladder Cancer (2005)
HTN
Assignment Instructions Individual Submissions Part B:
You will be expected to complete the care map by writing goals and nursing interventions on your own. You will submit this work to Assignments in eConestoga.
1. Choose 1 priority health problem for your client
2. Write a 3-part problem statement (nursing diagnosis) for this problem.
3. Write 2 client-centered goals
a. preferably one short and one long term goal
b. goals must be “SMART”
4. Select several nursing interventions to help your client achieve their goal
a. for each nursing intervention - provide rationale – explain why you are doing each nursing intervention
b. all rationale needs appropriate APA in-text citation 7 th edition and a reference
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