[Answered]: e Nursing ProcessDiagnosisLEARNING OUTCOMES1

e Nursing ProcessDiagnosisLEARNING OUTCOMES1.Describe the nursing process as a problem-soltechnique in the context ot assessment of theadult, plan of care, nursing interventions, andnursing documentation.2. ldentity the use of the nursing process minimume Area Assessments (CAALdata set (MDS) and Caredeveloping nursing care plans for residents innursing facilities.3. Use the nursing process to develop a care plan orthe presented case study.CASE STUDYResident AdmissionDecember 1, 2017, 1 pm Mrs. H. 69 year-old, white,widowed, female, Is admitted to Room 169 of PeachValley Assisted Living. She arrived via privately ownedCSE STUDYcont’dmorning from Mercy Hospital following a 3-day stay.The reason for her hospital stay was sepsis related to aurinary tract infection. She has Parkinson’s, diabetesmellitus, and atrial fibrillation. Dletary was notifed ofno concentrated sweets, and minimal dark leafy greensdiet. The following medication orders were faxed tothe pharmacy:-Furosemnide (Lasi) 40 mg PO once a day forperipheral edema- Levodopa-carbidopa (Sinemet) 25/100 mg2 tablets PO three times a day for Parkinson’sAtenolol 50 mg PO once a day for atrial fibrillationPlavix 75 mg PO once a day for atrial fibrillationPotasslum chlorlde (K-tabs) 1 tab PO once a dayrelated to diuretic useChaptr 4dalbetesformin 800 mg PO once a day befoe nocnThe Ue f the urng Proces and Nurng agossaepam era) 20 mg PO nighthy at bedtieinsomea-0cusate IDulcolax) sodium suppnltoy pnstipationainophen Tyleno 000 mg PO every slkours prn painactrim 800/1e0 g tice a dary foe 14 dayslowdng discharge from hospital on 12/o/2017edauohter has durable power of attorney toranclal and heath- care decslons b t has not yetned the advance directive form foe “Do ieeResuscitate Resident has a lving wil and hershes are known to her fanibeDaughter reports that she is allergic to penn wears glasses, and used to read often bt nooner neads at all, has all her own teeth in goodal does not use a hearing aid, and uses aalker to ambulate. Hee height is 5 feet. S inches:er welight is 124 poundsvehicle with her two daughters. She was discharged the or hurt her. She has sbecome quite fral and has lostthat she cold potentiy say there if he lesThe dauohters are expressinamch gut overthe decison to place Mrs Hje an stendedCare facty bus they adit that she wrond besafer there.MesH.ls abie to walk with er alker b lsvery unsteady She fogets were she ls ard wanade toders trdg to frd her wys ddess herelf bu reeshehangeshoes When contused of es putngher clothes sevetaldeaecothes ver top e bas ect beenMes H.ls abie toTeeet anount CMrs His alert and orlented to self and dauoher She is orlented to time but is unsure of wherehe ls and is unabie to respond to location ques-ions she just shakes her head no, For the pastByears she has been iving with one of her twgauohters for 6 months at a time, Caring forMrs H has been quite stressful at times, Shehas become increasingly paranoid and sometimesbelleves that her famiy is trying to steal from heerincontieence.galt is unsteady50 pounds over the past year. Herand she uses a waliker to ambulate. She occaslon-ally leaves the house unattended and has been red home by neighbors several times. One ofturnedher daughters is a school teacher but has had totake a leave of absence to care for her mother, andthe other daughter has four children stl lving athome and has difficuity managing the increaslngdemands of caring for her mother at home.deaiMrs Has a hoemake and enjoyed9ardening, reading and was cte an accom-gardeningpllshed planist. She has no interest lnat theand no longer reads but wl sit down at tplano and play for 1 to 2 hours left undsturbes.Physical AssessmentGeneral Appearance Thin wbite woman.Head and Neck kWhite har.Scalp dry with mdtipleareas of white dry faing Face symmetrical.Skin also ls dry. Eyes are clear with no drainage.conjunctiva pink pupils are equal at 5 mm andreact beisky to light, consensual, and accom-modatlve eNo drainage from nose patient is abieto breathe through both nostris. No drainagefrom ears Did approprlately respond whenasked in a whisper to ralse her arm.Oral mucousmembranes are pink and dry. No saliva poolingnoted between gum and cheek. Tongue pinikwith no coating: remains at midine when ex-tended from mouth Throat dry with no pharyn-geal drainage or redness noted; no cervicallymph nodes palpable: no thyroid nodules orenlargement palpated.Mrs H. was admitted to Mercy Hospital afterher daughter took her to the emergency room be-cause her mother was more unsteady on her feetand slurring her words. Mrs. H. was determined tohave a severe urinary tract infection. She was ad-mitted and Intravenous antibiotics were started.After several days of discussion between Mrs, Hher primary care doctor, and her daughters, It wasChest: Symmetrical chest movements. Breathsounds clear throughout though diminished,Aplcal pulse: 78 and regular. No extra heartsounds noted Back has multiple waxy, ightbrown tomedium brown, 2-to 3-cm, f