Question: Please Read The Following Case Study And Fill Out The Concept Map Below. Fill In Objective & Subjective Data. Develop Two Nursing Diagnoses (NANDA Approved). DIAGNOSIS HAS TO BE PRIORITIZED. Establish Appropriate Nursing Interventions- FOUR INTERVENTIONS FOR EACH PROBLEM (NIC Approved). Please Fill In The Evaluation Section By Describing What You Think …
Please read the following case study and fill out the concept map below. Fill in Objective & Subjective data. Develop two Nursing Diagnoses (NANDA approved). DIAGNOSIS HAS TO BE PRIORITIZED. Establish appropriate Nursing Interventions- FOUR INTERVENTIONS FOR EACH PROBLEM (NIC approved). Please fill in the evaluation section by describing what you think would happen in this scenario based on your diagnoses and interventions. Mr. Lawson is a 62 year old patient who had abdominal surgery for a colon resection and removal of a tumor two days ago. His nurse, Tonya, implemented pain-control strategies in an effort to help him become more mobile to aide in the recovery process. Until now, he was getting out of bed and rating his pain at a level of 5 on a scale of 0 to 10. The patient tends to guard his incision by placing his hand over the wound when moving. Mr. Lawson weighs 220 lbs and is 5 ft 11 inches tall. He has tried to cough more during his postoperative deep breathing exercises. Tonya is caring for him for the third day in a row and begins the morning shift by inspecting his surgical wound. The wound is approximately 15 cm in length and closed with steel sutures. Tonya notices separation of the wound between two sutures at the bottom of the incision. There is a small amount of serous drainage. The area is inflamed and she asks the patient if the incision is tender when she gently palpates around the area. Mr. Lawson states, “Ow, that feels sore there. I think I pulled it when I coughed last night.” He rates his pain at this time as being at a level of 5. Tonya checks Mr. Lawson’s vital signs and notes that his temperature of 38.2 C. Tonya also inspects the intravenous access device in the patient/s left forearm. It is intact, and there are no signs of phlebitis at the IV site. Mr. Lawson states that he will have activity restrictions and his wife will be of assistance to him once he returns home. His discharge has been planned tentatively. His family depends on his income he appears anxious when sharing concerns with Tonya about being able to return to work after surgery. He consistently does not seem to understand Tonya when she is teaching reviewing discharge plan & teaching discharge instructions. Mr. Lawson also verbalized some concern by asking Tonya, “The doctor told me that I would not be able to lift anything heavy and I’m not so sure if I understand. The way my incision looks, will I need to do something to it?” CONCEPT MAP SUBJECTIVE DATA: INTERVENTIONS: NURSING DIAGNOSIS/PROBLEM PRIORITY 1 OBJECTIVE DATA: EVALUATION: SUBJECTIVE DATA: INTERVENTIONS NURSING DIAGNOSIS/PROBLEM PRIORITY 2 OBJECTIVE DATA:
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