Year Para Gravida Explained for Students (Easy Guide)

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Original Question

J.G. is a 34-year-old P1G1 (para 1, gravida 1) woman who underwent an emergency cesarean delivery after a prolonged labor, during which she exhibited a sudden change in neurologic functioning and started seizing. Since that time, she has experienced 3 tonic-clonic (grand mal) seizures. She was diagnosed as having a basal ganglion hematoma with infarct and was started on phenytoin. Post-delivery, J.G. demonstrated dyskinesia, resulting in frequent falls during ambulation. Once the seizure disorder appeared to be under control, she was transferred to a rehabilitation facility for evaluation and 2 weeks of intensive physical therapy (PT). She is now home, where she is doing well but still has occasional falls and is receiving PT 3 times a week in her home. She remains on phenytoin and has had no seizures since her release from the rehabilitation facility. As the nurse case manager (CM) for J.G.’s health maintenance organization (HMO), you make a home visit yo see the patient and her family for evaluation of long-term, follow-up (F/U) care. Develop a care plan with three nursing diagnoses for the patient who is experiencing a seizure disorder. EACH nursing diagnosis must consist of THREE (3) parts: (a). the nursing diagnosis b) related to, (pathophysiology) (c) as manifested by = (your assessments- signs & symptoms); include four (4) Nursing Interventions for each nursing diagnosis (120pts), one measurable Goal Statement (use the SMART format) for each diagnosis (30pts), and an Evaluation Statement for each goal (30pts) (300pts) ONE nursing diagnosis must be a discharge diagnosis and ONE diagnosis must be directed toward the psychosocial implications of a young new mother with new onset of seizures.

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