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[Verified Answer]: CARE PLANNING DIRECTIONS: As a class use the…

CARE PLANNING DIRECTIONS: As a class use the following scenario to create an ADPIE care plan for this individual. The care plan needs to consist of: 3 Problems • Assessment, Nursing Diagnosis, Goal, Intervention (developing measures or actions to help the client/resident meet the goals) and a 2 week evaluation. SCENARIO: TWIN LAKE HOSPITAL Introduction Mrs. Smith 72 yr. female Primary Dx: Pneumonia, cystitis Secondary Dx: MS, COPD, Arthritis Hx: Pneumonia, UTI, Constipation, SOB Admitted due to Dx: pneumonia and cystitis. Client is a life time smoker with an hx of COPD. Due to Mrs. Smith’s decline and current infections, she is no longer able to care for herself at home, and has decided to move into Long Term Care. Case Manager and Social Support Worker notified of client’s decision. She is widowed and was living alone. She has one daughter, who lives within the city and visits every other day and three (3) sons who visit regularly. There is good communication between all family members. Original Assessment Primary Dx: MS Secondary Dx: pneumonia and cystitis History: MS, COPD, Smoker ADL’s: unable to look after her daily needs in regards to hygiene and medication without assistance Mobility: independent transfer 4ww, wheelchair prn due to fatigue/SOB Skin Integrity: Hx perineal excoriation Diet: high fiber Elimination: stress/urge incontinence of bladder, continent of bowel, Hx of constipation Rest and sleep: requires daily rest periods, Interrupted sleep pattern due to muscle spasms in arms and legs. Respiratory: 02 prn by nasal prongs due to coughing and SOB Care Plan: Mrs. Smith Create a care Plan for Mrs. Smith ADPIE Assessment (Nursing) Diagnosis Plan/Goal Intervention Evaluation

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