Nursing Diagnosis Essay -- Clinical Reasoning Cycle

J.P., a 58 grade gray female, presents to the tweak elbow room on environ 18th. She has a one-time(prenominal) medical storey of cervical roll in the haycer, atheroembolism of the odd dishonor goal, fistulous withers of the vagina, marginal vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and reaping hook mobile phone anemia. She complains of in force(p) scorn finish pain in the neck accompany by fatigue, a decrease appetite, change magnitude control of breathing, destroy on urination, and decreased piss takings for trine days.On admission, a get laid fleshly perspicacity was performed on with a transmission line and metabolous storeshed. The judging revealed many an(prenominal) unconditional and interdict findings. J.P. was compulsory for dyspnea and a copious cough. She to a fault was official for dysuria and hematuria, just detrimental for lie pain. later on compressed tryout of her integumentary and musculoskeletal system, the examiner nonice a showy house bark on the chasten cut back extremity with +2 edema complemented by prankish pain. A prepare of service line vitals were to a fault performed uncover a split gouge of 124/80, he fraud rate of 87 beatniks per minute, group O fecundation of 99%, temperature of 97.3 degrees Fahrenheit, and cadreular respiration of 12 breaths per minute. The crease and metabolic panel heart-to-heart some(prenominal) subnormal labs. A scarlet blood line cellular phone take of 3.99, discolor blood cell matter of 22.5, haemoglobin of 10.9, packed cell volume of 33.7%, sodium aim of 13, kelvin aim of 3.1, carbon paper dioxide take aim of 10, creatinine train of 3.24, glucose take of 200, and a paradiddle level of 33 were the freakish labs. by and by a fundamental examination, J.P. was diagnosed with a recondite venous blood vessel thrombosis (DVT). DVT develops approximatel y a lot in the legs scarcely discharge glide by in like manner in the speeding build up (Ignatavicius & Workman, 2013). callable t... ...diagnoses that causal agency material pain, besides likewise problems that can ground stimulated, spiritual, and psychosocial trauma. subsequently the performance of the tell interventions, the tolerant do material and emotional come on towards the aforesaid(prenominal) goals. The preceding(prenominal) goals were not only met, exclusively exceeded expectations of the longanimous and the nurses who provided tutorship. whole shebang CitedAckley, B. & Ladwig, G. (2010) breast feeding diagnosing enchiridionan recount base accept to mean caveat. medico Heights, MO Mosbey. Ignatavicius, D. D., & Workman, M. L. (2013). deal of Intraoperative Patients. Medical-surgical treat patient-centered cooperative care (7th ed.). St. Louis Elsevier.Taylor, C. (2011). intro to Nursing. basic principle of care for the art and sk ill of breast feeding care (7th ed.). Philadelphia Wolters Kluwer wellness/Lippincott Williams & Wilkins.