What does Janie tell the nurse about her experience with herself?
This inability to function normally and control her symptoms created high anxiety. One of your first priorities is to help Jane reduce her anxiety. As Jane's anxiety is reduced, other interventions to resolve her symptoms should be effective. Jane is experiencing hallucinations. Disturbed Thought Processes applies as a nursing diagnosis.
What should I do if Jane is having trouble breathing?
Mar 02, 2021 · (4) Jane’s insurance plan requires Jane to pay a $100 deductible each year before it starts to cover any medical expenses. 9. (2) After this $100 has been paid, then Jane must pay 20% of each medical bill, which represents the coinsurance until a total of $2500 has been paid.
What are the progress sections of a treatment plan?
What is the first step in formulating a treatment plan? ... -priority treatment-preparatory phase-treatment phase-Maintenance phase. Priority treatment consists of? (3) ... -recare treatment plan. What is the dental hygiene process of care-assess-diagnose-plan-implement-evaluate.
How do you treat Jane’s pain after surgery?
1) Involve the client in the treatment planning process. 2) Develop a comprehensive problem list. 3) Create long-term goals, short-term goals, and objectives. 4) Identify and Document Ct Strengths. Step 1) Involve the client in the treatment planning process.
Why are treatment plans important?
Treatment plans are important for mental health care for a number of reasons: Treatment plans can provide a guide to how services may best be delivered. Professionals who do not rely on treatment plans may be at risk for fraud, waste, and abuse, and they could potentially cause harm to people in therapy.
What is a treatment plan?
A treatment plan may outline a plan for treating a mental health condition such as depression, anxiety, or a personality disorder. Treatment plans can also be applied to help individuals work through addictions, relationship problems, or other emotional concerns.
What is a mental health treatment plan?
Mental health treatment plans are versatile, multi-faceted documents that allow mental health care practitioners and those they are treating to design and monitor therapeutic treatment. These plans are typically used by psychiatrists, psychologists, professional counselors, therapists, and social workers in most levels of care.
What is progress and outcomes?
Progress and outcomes of the work are typically documented under each goal. When the treatment plan is reviewed, the progress sections summarize how things are going within and outside of sessions. This portion of the treatment plan will often intersect with clinical progress notes.
Do you need a treatment plan for a 3rd party?
Treatment plans are required if you accept 3rd party reimbursement and are just good practice. They are a road map to treatment. They are fluid and are developed with the client/patient. Pretty much necessary if you are doing your job as a therapist.
What is goal language?
The language should also meet the person on their level. Goals are usually measurable—rating scales , target percentages , and behavioral tracking can be incorporated into the goal language to ensure that it is measurable .
Set Up Step 3: Treatments
Now that you have let Jane know your area of practice, you can set up the different services that you offer. Under the Settings tab in the top menu, navigate to Treatments & Classes on the left.
Treatment Set Up Tips
Here are a few tips to keep in mind while completing this information:
What does a chest x-ray show on Jane?
Jane’s chest x-ray report shows that bilaterally clear indicate there is no fluid in the lung. Cardiac shadow normal indicates solid tissues of heart and there is no abnormal finding.
What is the diagnosis of ineffective breathing clearance?
Nursing Diagnosis: Ineffective breathing clearance related to excessive mucus production and bronchospasm due to anaesthesia drugs and Jane’s past medical history of asthma evidenced by inability to raise secretions, cough and abnormal breathing sounds.
What is CBC test?
Complete blood count (CBC) is tested for anemia, dehydration status, infection, polycythemia and blood type ABO incompatibility and as well it’s give diagnostic result about hematologic, recovery, other body systems, prediction and treatment response (Malarkey & McMarrow 2005, p. 223).
What does BUN mean in blood?
Blood urea nitrogen (BUN) is to measure the quantity of urea in the blood and used to evaluate renal function . Normal range is 8 to 20mg/dl (Schull 2009, p. 692). Increased BUN level could be a sign of dehydration, pre or renal failure or gastrointestinal bleeding (Kee 2009, p. 85).Monitor Jane’s intake-output and vital signs to prevent from dehydration.
What is creatinine made of?
Creatinine is created from creatine, a molecule of main importance for energy production in muscles and is a chemical waste molecule that is generated from muscle metabolism. Normal range is 0.6 to 1.1mg/dl (Schull 2009, p. 692). About 2 percent of the body’s creatine is changed to creatinine daily.
What is abdominal x-ray?
661). Abdominal x rays help to envision for free air under both diaphragms and air-fluid movement in intestine, abdominal wall and in between the liver. An abdominal x-ray may detect the fecalith that may be the cause of appendicitis. Base on Jane’s abdominal x rays is to view her diaphragms as she has history of asthma or for any distention of abdomen.
What are the symptoms of emphysema?
Observe signs and symptoms of with pain, BP, heart rate, temperature, color and moisture of skin, restlessness, and ability to focus. Observe for any discomfort or side effect reactions and advise Jane to report any abnormalities.
How does the nursing process help?
Use of the nursing process helps to promote critical thinking, decision-making and problem- solving (Keenan et al, 2008). This is important for prioritizing care. In Jane’s case during assessment the primary nursing diagnosis will form the basis of care for the first 24 hours and as she continues to improve other nursing diagnoses will be established until she is ready for discharge. During admission, the objective signs of difficulty in breathing, difficulty in speaking and dusky lips helped to reach the primary nursing diagnosis of ‘impaired gas exchange’. Based on this, interventions such as putting her on supplemental oxygen and taking her blood samples for further investigations as well as doing a chest X-ray are implemented. The impact of some of the interventions has an almost immediate outcome, for example putting her on oxygen immediately improves her oxygen supply and she is able to communicate better allow for easier history taking and assessment. In this case, the nursing process has helped to prioritize care in such a way that the client’s physiological need of lack of adequate oxygen is met first and then once this need has been met, then other health needs can follow in order of priority until favorable outcomes have been achieved and the patient is ready for discharge. Following the nursing process systematically ensures that information is overlooked or skipped. This is evident from the nurse’s assessment of the client, Jane which revealed the markings on Jane’s chest and back. Had the assessment not been systematic perhaps this would have been missed leaving out the important information of her health seeking behavior and cultural beliefs as well.
Why is Erikson's theory of development important?
Erik Erikson’s theory of development is relevant to Jane’s care because it helps to form the basis for assessment, analysis and response to the client’s care. Nurses being familiar with Erikson’s Development Theory can help in analysis of the symptomatic behavior a patient has in the context of their struggles with current developmental tasks (Current Nursing, 2011). Using the theory it is possible to identify Jane’s faulty behavior based on what is expected at her developmental stage. This will also be beneficial in determining which intervention will be necessary for Jane because then the care given to her will be directed at the appropriate developmental stage. Further, interventions will be provided with the goal of helping her resolve the conflict that she needs to resolve in order to move on to the subsequent developmental stage. For instance, Jane has had problems resolving the role confusion versus identity stage which is causing her to participate in certain activities merely to fit in, thus to help her be her at her appropriate developmental stage she may need counseling to help her understand why she believes she cannot stop smoking. Once the challenge of the adolescent developmental stage has been resolved, Jane will be in a position to begin managing the challenge of her appropriate development stage which is intimacy versus isolation.