Psychopathology of Admitting Dx & Health Care - Nursing Assignment Help

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Assignment Task
 

Pathophysiology of Admitting Dx 

  • Patient Initials:
  • Age & Gender:
  • Height/Weight:
  • Code Status:
  • Living Will/ DPOA:
  • 00Patient Information
  • (1)
  • Patient Initials:
  • Age & Gender:
  • Height/Weight:
  • Code Status:
  • Living Will/ DPOA:
  • 1990725-809625History of Present Illness (HPI), Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (1).
  • WHAT BROUGHT THE PT TO THE HOSPITAL? WHAT EVENTS LEAD UP TO THIS? WHAT HAPPENED WHEN THEY GOT TO THE HOSPITAL- UNTIL NOW WHEN YOU ARE PROVIDING CARE? (USE SEPARATE ATTACHED WORD DOC WHEN NEEDED)
  • Medical History: (SEE RUBRIC REQUIREMENTS)
  • PAST DIAGNOSED MEDICAL PROBLEMS
  •  
  • Surgical History: (SEE RUBRIC REQUIREMENTS)
  • PAST DIAGNOSED SURGICAL PROBLEMS
  • Social History:
  • SMOKING/ CIGARETTE/ TOBACCO/ E-CIGARETTE /MARIJUANA USE ALCOHOL/ ELICIT DRUG USE
  • 00History of Present Illness (HPI), Pathophysiology of Admitting Dx (Cite References) Medical, Surgical, Social History (1).
  • WHAT BROUGHT THE PT TO THE HOSPITAL? WHAT EVENTS LEAD UP TO THIS? WHAT HAPPENED WHEN THEY GOT TO THE HOSPITAL- UNTIL NOW WHEN YOU ARE PROVIDING CARE? (USE SEPARATE ATTACHED WORD DOC WHEN NEEDED)
  • Medical History: (SEE RUBRIC REQUIREMENTS)
  • PAST DIAGNOSED MEDICAL PROBLEMS
  •  
  • Surgical History: (SEE RUBRIC REQUIREMENTS)
  • PAST DIAGNOSED SURGICAL PROBLEMS
  • Social History:
  • SMOKING/ CIGARETTE/ TOBACCO/ E-CIGARETTE /MARIJUANA USE ALCOHOL/ ELICIT DRUG USE
  • -6572251771650Chief Complaint
  • Admitting Diagnosis & Admission Date
  • 00Chief Complaint
  • Admitting Diagnosis & Admission Date
  • 1943100-87630000473392539814500047625004038599Erickson’s Developmental Stage Related to pt. & Cite References (1) *List and Discuss specific stage (based on objective assessment)
  • 00Erickson’s Developmental Stage Related to pt. & Cite References (1) *List and Discuss specific stage (based on objective assessment)
  • -7905753962400Cultural considerations, ethnicity, occupation, religion, family support, insurance. (1) (14) Socioeconomic/Cultural/Spiritual Orientation & Psychosocial Considerations/Concerns: include the following Social Determinants of Health (SDOH)
  • ?Economic Stability ( MAY DELETE THESE ‘TIPS” TO USE SPACE)
  • ? Education
  • ?Social and Community Context
  • ? Health and Health Care
  • ? Neighborhood and Built Environment
  •  
  • 00Cultural considerations, ethnicity, occupation, religion, family support, insurance. (1) (14) Socioeconomic/Cultural/Spiritual Orientation & Psychosocial Considerations/Concerns: include the following Social Determinants of Health (SDOH)
  • Economic Stability ( MAY DELETE THESE ‘TIPS” TO USE SPACE)
  •  Education
  • Social and Community Context
  •  Health and Health Care
  •  Neighborhood and Built Environment
  • -809625396240000-828675174307500-876300-32385000
  • -828676-1038225Concept Map (TEMPLATE)
  • Student Name:
  • Instructor:
  • DATE Care Provided and UNIT:
  • 00Concept Map (TEMPLATE)
  • Student Name:
  • Instructor:
  • DATE Care Provided and UNIT:
  • -828675-190500Key Diagnostic Tests/ Procedures and Lab Results with Dates and Normal Ranges (3)
  • Lab Tests
  • Normal Ranges Admission Lab Values
  • Current Lab Values Explain Abnormal Labs R/T Your Pt
  • INCLUDE: Appropriate Diagnostic Tests/ Procedures- DATEs and RESULTS
  • (Can add See attached Word Doc) 00Key Diagnostic Tests/ Procedures and Lab Results with Dates and Normal Ranges (3)
  •  
  • Lab Tests
  • Normal Ranges Admission Lab Values
  • Current Lab Values Explain Abnormal Labs R/T Your Pt
  • INCLUDE: Appropriate Diagnostic Tests/ Procedures- DATEs and RESULTS
  • (Can add See attached Word Doc) 43719753781425ANTICIPATED TRANSFER/ DISCHARGE PLANNING:
  • DISCUSS: PRIORITY GOALS TO BE ACHIEVED to TRANSFER or DISCHARGE
  • EQUIPMENT ( MAY DELETE THESE ‘TIPS” TO USE SPACE)
  • MEDS
  • TREATMENT
  • REFERRALS NEEDED
  • 00ANTICIPATED TRANSFER/ DISCHARGE PLANNING:
  • DISCUSS: PRIORITY GOALS TO BE ACHIEVED to TRANSFER or DISCHARGE
  • EQUIPMENT ( MAY DELETE THESE ‘TIPS” TO USE SPACE)
  • MEDS
  • TREATMENT
  • REFERRALS NEEDED
  • 4562475-781050Medical Management and Collaborative Plan
  • (from MD, PT, OT notes….etc.) *Consider past 24 – 48 hours
  • 00Medical Management and Collaborative Plan
  • (from MD, PT, OT notes….etc.) *Consider past 24 – 48 hours
  • 4505325-8191500045053251190625Patient Education (In Pt.) for Transfer/ Discharge Planning
  • ASSESS LEARNING STYLE:
  • LEARNING PREFERENCE: WRITTEN, VIDEO, etc.
  • LEARNING BARRIER(S): LANGUAGE, EDUCATION LEVEL
  • ASSISTIVE DEVICES: GLASSES, HEARING AIDES, etc.
  • 00Patient Education (In Pt.) for Transfer/ Discharge Planning

 

 


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