Concept Map November 30 Dehydration

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Concept map Student Name: Date: Medical Diagnosis Dehydration Objective Data Normal BP 58 year old woman Anorexic Fragile, in a lot of pain Marks on her arms, indicating possible self-harm. Subjective Data (Risk Assessment/Health Promotion) “I am in a lot of pain.” “I have pain all over my body. Nursing Diagnosis (with R/T and AEB) Primary: Disturbed Energy Field r/t unbalanced energy field as evidenced by lack of eating. Goals/Outcomes (NOC) (SMART) Patient will state sense of well-being, as well as feelings of support by the end of the shift. Interventions (NIC) See page 2

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Concept map dehydration

Transcript of Concept Map November 30 Dehydration

Concept map Student Name: Date:

Concept map page 2 Name

Date

Nursing Diagnosis (with R/T and AEB)

Primary:

Disturbed Energy Field r/t unbalanced energy field as evidenced by lack of eating.

Subjective Data

(Risk Assessment/Health Promotion)

I am in a lot of pain.

I have pain all over my body.

Objective Data

Normal BP

58 year old woman

Anorexic

Fragile, in a lot of pain

Marks on her arms, indicating possible self-harm.

Interventions (NIC)

See page 2

Medical Diagnosis

Dehydration

Goals/Outcomes (NOC)

(SMART)

Patient will state sense of well-being, as well as feelings of support by the end of the shift.

Interventions (NIC)

Evaluation

Patient is able to reduce pain by healing touch.

Rationale (cite source)

TT and HT when provided in the clinical setting provides and promote comfort, calmness, and well being. P322.

(Ackley, Ladwig, 2008).

Rationale (cite source)

HT may reduce stress, anxiety and pain, facilitate healing. P322

(Ackley, Ladwig, 2008).

Rationale (cite source)

It lets family members know that the nurse has heard and understood was was said, and it promotes the relationship between nurse and family mebers.P323 (Ackley, Ladwig, 2008).

Rationale (cite source)

Imagery is harmless, is time and cost-effective and creates a healing partnership between the nurse and client. P323

(Ackley, Ladwig, 2008).

Teach

Administer TT and or/H.

Assess

Consider using therapeutic touch and or healing touch for client with anxiety, tension pain.

Collaborate

Validate the clients feelings and concerns related to sense of disharmony or energy disturbance.

Other

Teach the client how to use guided imagery.