Medications-use the medication worksheet for each medication listed in the case study. Each item on the form needs to be completed using your drug guide resource: https://www.epocrate
Using the case study provided, you will complete the clinical worksheets that you will be using in the clinical courses for your clinical assignments.
a) Download the case study and all clinical paperwork.
b) Complete each form using the case study information.
1) Medications-use the medication worksheet for each medication listed in the case study. Each item on the form needs to be completed using your drug guide resource: https://www.epocrates.com . There should be at least one citation for this set of worksheets. A completed example is provided in the attachments.
2) Laboratory and Diagnostic results-there are two separate forms in the attachments for these results.
a)The lab results should all be added in the baseline column. For any abnormal result, you must discuss the significance for the patient in that column. Why is the lab result abnormal? A citation is required at the bottom of the worksheet.
b) The diagnostic results-each column must be completed for each test that is discussed in the case study. The reason ordered pertains to why would this diagnostic be ordered for this patient? The significance is the analysis of the results. Be thorough when discussing the significance. A citation is required at the bottom of the worksheet.
3) Vital Signs-include the vital signs on the care plan form under the appropriate assessment data-list of concepts.
4) Care Plan-You need to complete 1 whole care plan based on case study. This will include one nursing diagnosis with related to and as evidence by if applicable. The nursing diagnosis should be ICNP approved. This is noted in your required care plan book. You will then add at least one expected outcome/measurable goal. The final part of the care plan is to add 3 to 4 nursing interventions per expected outcome/goal listed. If you add 3 expected outcomes, you will need 9-12 interventions. The rationale needs to be included for each intervention. Please make sure to include evaluations of each intervention and the goal. This information is what you would expect after completing the intervention with the patient. Please refer to the Care Plan Example
Add 2 additional nursing diagnoses for this patient but you do not need the whole care plan completed for these 2. You need an approved ICNP diagnosis, related to, and AEB. At least one citation should be included for the entire care plan section.
c) Complete assignment by the due date
Here is the Case Study to use for this assignment: Case Study JP
This Required Assignment - the Charting and Care Plan are worth 50 points toward the theory grade.
Each of the worksheets are Word Documents-type all information and submit, please do not handwrite on any of these documents.**