Case Study Analysis and Care Plan Creation
Click here to download and analyze the case study for this week. Create
a holistic care plan for disease prevention, health promotion, and acute care
of the patient in the clinical case. Your care plan should be based on current
evidence and nursing standards of care.
Visit the online library and research for current
scholarly evidence (no older than 5 years) to support your nursing actions. In
addition, consider visiting government sites such as the CDC, WHO, AHRQ,
Healthy People 2020. Provide a detailed scientific rationale justifying the
inclusion of this evidence in your plan.
Next determine the ICD-10 classification
(diagnoses). The International Classification of Diseases, Ninth Revision,
Clinical Modification (ICD-10-CM) is the official system used in the United
States to classify and assign codes to health conditions and related
information.
Click here to access the codes.
You are expected to develop a comprehensive care
plan based on your assessment, diagnosis, and advanced nursing interventions.
Reflect on what you have learned about care plans through independent research
and peer discussions, and incorporate the knowledge that you have gained into
your patient’s care plan.
Format
Click here to download the care plan template to help you design a
holistic patient care plan.
Your care plan should be formatted as a Microsoft Word document.
Follow APA style. Your paper should be 2 to 4 pages double-spaced and in 12pt
font.I have attached the template below that needs to be filled out along with a 2-4 page care plan in detail. No plagiarism and there must be at least 3 if not more references.
suo_nsg6001_care_plan_template.doc
Unformatted Attachment Preview
NSG6001 Advanced Practice Nursing I
Care Plan Template
Patient Initials: ______
Age: _______________
Sex: ___________
Subjective Data:
Client Complaints:
HPI (History of Present Illness):
PMH (Past Medical History—include current medications, any known allergies, any history of
surgery or hospitalizations):
Significant Family History:
Social/Personal History (occupation, lifestyle—diet, exercise, substance use)
Description of Client’s Support System:
Behavioral or Nonverbal Messages:
Client Awareness of Abilities, Disease Process, Health Care Needs:
Objective Data:
Vital Signs including BMI:
Physical Assessment Findings:
Lab Tests and Results:
Client’s Support System:
Client’s Locus of Control and Readiness to Learn:
ICD-10 Diagnoses/Client Problems:
Advanced Practice Nursing Intervention Plan (including interdisciplinary collaboration,
community resources and follow-up plans):
References
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