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I recommend that in your make-believe case scenario ( complete with name and age
I recommend that in your make-believe case scenario ( complete with name and age ), you combine three clinical conditions. EX: James Smith, 65-year-old male – Acute Myocardial Infarction, Coronary Artery Disease, Diabetes Mellitus, Pneumonia.
Section
Information to Include
Introduction (patient and problem)Explain who the patient is (Age, gender, etc.)
Explain what the problem is (What were they diagnosed with, or what happened?)
Introduce your main argument (What should you as a nurse focus on or do?)
PathophysiologyExplain the disease (What are the symptoms? What causes it?)
HistoryExplain what health problems the patient has (Have they been diagnosed with other diseases?)
Detail any and all previous treatments (Have they had any prior surgeries or are they on medication?)
Nursing Physical AssessmentList all the patient’s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)
Related TreatmentsExplain what treatments the patient is receiving because of their disease
Nursing Diagnosis & Patient GoalExplain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
Explain what your goal is for helping the patient recover (What do you want to change for the patient?)
Nursing InterventionsExplain how you will accomplish your nursing goals, and support this with citations (Reference the literature)
EvaluationExplain the nursing intervention’s effectiveness (What happened after your nursing intervention? Did the patient get better?)
RecommendationsExplain what the patient or nurse should do in the future to continue recovery/improvement
Your paper should be 6 to 8 pages long and will be graded on how well you complete each of the above sections. You will also be graded on your use of APA Style and on your application of nursing journals to the treatments and interventions. For integrating nursing journals, remember the following:
Make sure to integrate citations into all of your paper
Support all claims of what the disease is, why it occurs, and how to treat it with references to the literature on this disease
Always use citations for information you learned from a book or article; if you do not cite it, you are telling your reader that YOU discovered that information (how to treat the disease, etc.)
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