Complete a nursing care plan for patient with peripheral vascular disease.
reference
Nursing Diagnosis Handbook, 12th Edition, Authors Betty J. Ackley, Gail B. Ludwig, Mary Beth Flynn Makic.
HOWARD COMMUNITY COLLEGE
NURSING EDUCATION PROGRAM
NURSING CARE PLAN
Student Name:
_ H
S
h
Patient Initials:
N J
:
l
a
y
Date Submitted:
M e C r e a s
Age/Sex
=
Medical Dia gnosis f e r s p h e r a l V a t u d o r D i o n e
by
Complete using y o u r nursing textbooks (cite references used). Underline the etiologies and clinical
manifestations that relate to y o u rc l i e n t .
Summarize Pathophysiology and Etiology o f Primary Diagnosis:
1.
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C l i n i c a l M a n i f e s t a t i o n s (Signs & S y n p t o m s ) :
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Ausring aenvity,
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e
Il.
ot
be l b p
oy
ley ture.
Treatment and Nursing Management:
g u l l ey er else,
s
avascular Surges
(Proper MLATITIV
r a n i ) op lashy,
,m i c h e a l
IV.
fo U P N EVE Ligue.f i a
Diagnostic Studies/Lab Ansiysis
Test
V.
ny
1
Charyes in Stan t o t y
Date
CLent?s Result
Discharge Planning and Client Teaching
LT¢
NURS 142 Care Plan Form Revised Spring 2022
Normal Result
Reason
VI.
G r o w t s 2025
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:
A c o o t d i t n 2 2rikegeny, Stage:
Crisis: h u s
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.
.,
Booger
OG): G – p r o e e s s G a t e f u l l y a n d c l a t h a $ p a r t o f H t
Ld daeo’v
A.
Describe your patient?s ability to achieve their growth and developmental tasks.
:
H o w is this ability affected by the underlying disease process and/or the current
admission?
List nursing actions to assist your client in meeting theirg r o w t h a n d
B.
developmental needs.
ASYSt
with
AbL?s
°
iN
F r o m o t p o s t e Coping
ESAADNIN Salety
measures
gu
*Emotioned
dport
*
VII.
Analyze cues/Interpret Data
VIII. Concepts related to Primary Diagnosis:
*Climnation
-(mmobill
*MUSClE L M A K n e s s
IX.
Prioritize hypotheses using N A N D A l i s t ,
7 RISK
hy Falls
?ASK ter Unpaer edd Stun Wag H t
?SO Gare behest
NURS 142 Care Plan Form Revised Spring 2022
h a n s sms.
Diagnosis: Hhiiphoral Vascular Disease
Student Name:
Ashtir
( ‘ ((
PATHOPHYSIOLOGY (4
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y
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RISK FACTORS
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POTENTIAL COMPLICATIONS/ ALTERATIONS
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MEDICAL
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SIGNS AND SYMPTOMS
a
Age: G
Slee (Lad pique s c e Cer eekochon dligorder:
COUSe Pyh!
YOsSure
NJ
Patient?s Initials:
\C
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Qangrank
cnoy)
* /tnqrogres
¢ Fhorplethysmography
? F e e t ne ? s p a c e . ?Les!
;
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– fielge, volume recording (VR
INTERVENTIONS, LABS, DIAGNOSTIC STUDIES
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phy
HOWARD COMMUNITY COLLEGE
NURSING EDUCATION PROGRAM
NURSING CARE PLAN
Student Name:
Patient Initials:
Date Submitted: _____________________
Age/Sex
Medical Diagnosis
Complete using your nursing textbooks (cite references used). Underline the etiologies and clinical
manifestations that relate to your client.
I.
Summarize Pathophysiology and Etiology of Primary Diagnosis:
II.
Clinical Manifestations (Signs & Symptoms):
III.
Treatment and Nursing Management:
IV.
Diagnostic Studies/Lab Analysis
Test
Date
NURS 142 Care Plan Form Revised Spring 2022
Client’s Result
Normal Result
Reason
V.
Discharge Planning and Client Teaching
VI.
Growth & Development
According to Erikson: Stage: _______________
Crisis: ________________________
Tasks:
VII.
A.
Describe your patient’s ability to achieve their growth and developmental tasks.
How is this ability affected by the underlying disease process and/or the current
admission?
B.
List nursing actions to assist your client in meeting their growth and
developmental needs.
Analyze cues/Interpret Data
VIII. Concepts related to Primary Diagnosis:
IX.
Prioritize hypotheses using NANDA list.
NURS 142 Care Plan Form Revised Spring 2022
Assessment
Data/Recognizing
Cues/Noticing
Identify all data that support the
priority hypothesis.
Priority
Hypothesis/Diagnosis/
Interpreting/Analyze
Cues
Take Action/Responding/
Nursing
Actions/Interventions/
Implementation
According to NANDA
List in order of priority.
Planning/Generating
Solutions/Interpret/
Expected Outcome:
Short Term Goal (STG):
Long Term Goal (LTG):
Evaluate each expected
outcome:
Short Term Goal (STG):
Long Term Goal (LTG):
NURS 142 Care Plan Form Revised Spring 2022
Rationale
Evaluation/Reflection
State the rationale for each
nursing action. Cite reference
and page number.
Evaluate the patient response to
each nursing action providing
objective & subjective data.
Revise nursing actions as
necessary.
Assessment
Data/Recognizing
Cues/Noticing
Identify all data that support the
priority hypothesis.
Priority
Hypothesis/Diagnosis/
Interpreting/Analyze
Cues
According to NANDA
Planning/Generating
Solutions/Expected
Outcome:
Short Term Goal (STG):
Long Term Goal (LTG):
Evaluate each expected
outcome:
Short Term Goal (STG):
Long Term Goal (LTG):
NURS 142 Care Plan Form Revised Spring 2022
Take Action/Responding/
Nursing
Actions/Interventions
List in order of priority.
Rationale
Evaluation/Reflection
State the rationale for each
nursing action. Cite reference
and page number.
Evaluate the patient response to
each nursing action providing
objective & subjective data.
Revise nursing actions as
necessary.
MEDICATION PREPARATION SHEET
Allergies:
Med as per MAR:
MD Order:
Time(s) Due:
Generic/Trade Name:
Normal Dosage:
Classification/Action:
Indication for Patient:
Major Side Effects:
Parameters Checked:
Med as per MAR:
MD Order:
Time(s) Due:
Generic/Trade Name:
Normal Dosage:
Classification/Action:
Indication for Patient:
Major Side Effects:
Parameters Checked:
Med as per MAR:
MD Order:
Time(s) Due:
Generic/Trade Name:
Normal Dosage:
Classification/Action:
Indication for Patient:
Major Side Effects:
Parameters Checked:
Med as per MAR:
MD Order:
Time(s) Due:
Generic/Trade Name:
Normal Dosage:
Classification/Action:
Indication for Patient:
Major Side Effects:
Parameters Checked:
NURS 142 Care Plan Form Revised Spring 2022
ID [18
J a e=
? 2
Microbiology/ Culture & Sensitivity:
oe
Diagnostic Tests & Results:
|
Pain Rating & Location:
Pain Meds:
Pertinent Meds:
tt VV 1 D
–
:
tVAlund
Ser
,
NG
W471,
MICO f a z o r t a ae
ia
Consultation Pending: e
+
v o t h v r o i n e ,
eal
JO)
e
D/C Plans:
t
Supportrevo
dua ters, Son
e
education Needed:
compliant with Care: _ _
Any Significant Events During Shift:
Choleed.
CY
Ol
|
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