Nursing process

Scenario:

John Chen is an 18-year-old college freshman of Chinese decent. He is being seen in the student health center for his follow-up on his complaints of loose, watery stools. When discussing his health history, John states that he has occasionally had some difficulty with diarrhea and has been told in the past that this is die to lactose intolerance.

This medical problem has just been confirmed by the student health center physician. John reports that this diarrhea has worsened over the last 6 months, since the beginning of the school year. He now reports four to six large, loose stools per day with severe abdominal cramping. He reports that his stools are foul-smelling and accompanied by a great deal of flatus. He states that he finds this to be a very embarrassing problem, especially while living in a “communal” dormitory situation.

John states that he never drinks milk as a beverage and that when he lived at home he ate a traditional Chinese diet with few milk based products. Now that he is eating his meals in the dormitory dining room he feels that the is less able to control the amount of milk product in his diet. Analysis of his 3-day diet recall shows a significant intake of milk products, including some cheese, yogurt, and milk-based foods.

On physical examination you find the following: vital signs and urine specific gravity are within normal limits; height and weight are below average; mucous membranes are pink and moist; skin turgor is normal; capillary refill time is less than 3 seconds; abdomen is soft, with hyperactive bowel sounds.

Task:

Answer the questions presented below. Providing application to the content area being reviewed (group/scenario assigned) and how one would interpret what occurred or how you would enhance the care of this patient type (as indicated).

Complete the following activities:

Assessment:

• What is the patient’s medical issue(s)?
• What is the patient’s psychosocial issue(s)?
• What is the patient’s emotional issue(s)?
• What are potential barriers to the patient’s treatment?

Planning:

Choose five (5) nursing interventions for each of the above questions.

Implementation:

you will review the interventions chosen,

• Choose your top two (2) priority interventions for each question.
• Defend your choices.

Nursing Process Worksheet

Knowledge: This assignment will assist you to become familiar with the following important content knowledge in nursing

1. What is the relationship between critical thinking and the nursing process?
2. Describe the steps in the nursing process.
3. Describe the differences between health promotion and problem focus.
4. Describe how the nursing assessment should lead to the priority nursing interventions.
5. Understand the criteria for priority setting.
6. Understand the difference between protocols and standing orders.
7. Describe the steps of revising the plan of care before, during, and after implementation of the priority interventions.
8. Describe and compare direct and indirect nursing interventions.
9. Describe the process of evaluating the outcomes of care for a patient.

Complete the following activities:                                                                                                                                       

Assessment:

Planning:

Choose five (5) nursing interventions for each of the above questions.

Implementation:

From the interventions you have chosen

The initial post must be a minimum of 600 words total in length when all answers to questions are combined.  (The word count will change depending on the number of questions being asked.  For example: 3 questions total, each question will be a minimum of 200 words each).   Please note: this is only a minimum number of words, more words may be needed to get your point across.  Citations are not to be included in the word count.  you may need to use more to clearly make your point.  Citations do not count as part of your minimum word count.

• All posts, are to be supported and cited by the textbook and reliable nursing journal articles published within 5-7 years. All references must be accessible to peers and faculty by saving them to your computer as a PDF and you then link that PDF to your post. In text citations do not count as part of your minimum word counts.

References:

Total 4 references required, 1 book =Fundamental Of nursing 10^TH Edition, 2021 Elsevier and 3 articles or journal

Reference (cite) required textbook and an evidenced based article that is from an appropriate Nursing journal. The Journal article must be attached to the post. You may have to download the article to your computer than attach it to your post. IF unable to attach, reply to your initial post and attach it there. Any other references utilized would enhance your stand on the discussion post.