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Case Study Stihl Explained for Students (Easy Guide)

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This question relates to case study stihl and requires a structured academic response.

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Original Question

NUR 111 Case Study # 5 Ms. Stihl was cleaning her chainsaw when she accidentally lacerated her right index finger. She informs you- the urgent care nurse- that she is a “chronic diabetic and is current on my tetanus immunization.” She states that she was just “cleaning my chainsaw when it slipped” and “as it fell I tried to catch it and cut myself.” “I have a hard time with wound healing.” The laceration is 0.75cm long and extends through the dermis and epidermis. There is no active bleeding at this time and the wound has required sutures. Since Ms. Stihl will need to follow up with her primary care provider she will need a plan of care developed that includes teaching interventions and instructions regarding wound care, infection prevention and follow up appointments. Use the care plan template from BLACKBOARD. Refer to your NANDA list and the Ackley and Ladwig textbook to identify an appropriate nursing diagnosis Once you have identified the appropriate nursing diagnosis, you will need to reference your Ackley text to develop a plan of care for Ms. Stihl. Cluster the data in the case study into the appropriate objective and subjective categories Select one Short term and one Long term goal for Ms. Stihl. Make sure your goal is SMART! Select four nursing interventions to assist your client in reaching his goal. Include the rationale for each intervention. Remember the rationale for each intervention is written in italics in your Ackley text and can be found right after each specific intervention. The intervention must help Ms. Stihl achieve the goal you have established for him. Write a nursing order for each intervention. Follow the guidelines to assist in writing the responses and evaluations Make revisions or document why no revisions were needed. Make sure you have references noted on the careplan where indicated. Client Care Plan Client Initials __________ Date ____________Student _______________________Instructor______________ Complete prior to clinical day: Nursing Diagnosis List (from NUR111 NANDA list): Clinical Practice Guidelines-(E-Health on assigned client) Choose one Nursing Diagnosis from the list above and complete below Cues (organized as Subjective or Objective): Subjective: Objective: Complete Nursing Diagnosis Revisions: Outcome Statements (Short and Long Term) ST: LT: Evaluation of Outcome Achievement ST: LT: Revisions: ST: LT: Nursing Interventions (minimum of 4 with rationale, individualized nursing orders, and patient response) 1 Assessment Intervention: Source: Pages: Rationale: N.O.: Pt. Response/Evaluation: 2 Teaching Intervention: Source: Pages: Rationale: N.O.: Pt. Response/Evaluation: 3 Action Intervention: Source: Pages: Rationale: N.O.: Pt. Response/Evaluation: 4 Action Intervention: Source: Pages: Rationale: N.O.: Pt. Response/Evaluation: Revisions: 1. 2. 3. 4. References: Nursing diagnosis handbook , 12th edition, Betty J Ackley NANDA -Nursing Diagnosis for Nursing 111 Activity Intolerance Activity intolerance Risk for Activity intolerance Mobility Impaired bed Mobility Impaired physical Mobility Impaired wheelchair Mobility Impaired Walking Sedentary Lifestyle Airway Problems Ineffective Airway clearance Impaired Gas Exchange Risk for Aspiration Injury / Infection Risk for Falls Risk for Injury Risk for Infection Risk for Bleeding Delayed Surgical Recovery Fluid Volume Deficient Fluid volume Fluid volume excess Risk for deficient Fluid volume Risk for imbalanced Fluid volume Thermoregulation Hyperthermia Hypothermia Hygiene/ Grooming Readiness for enhanced Self-care Bathing Self-care deficit Dressing Self-care deficit Feeding Self-care deficit Toileting Self-care deficit Bowel Constipation Perceived Constipation Risk for Constipation Diarrhea Bowel incontinence Urinary Functional urinary incontinence Overflow urinary incontinence Reflex urinary incontinence Stress urinary incontinence Urge urinary Incontinence Risk for urge urinary incontinence Impaired Urinary elimination Readiness for enhanced Urinary elimination Urinary retention Nutrition Nausea Nutrition Imbalanced: less than body requirements Overweight Readiness for enhanced Nutrition Impaired Swallowing Impaired Dentition Skin / Tissue Impaired Skin integrity Risk for impaired Skin integrity Impaired Tissue Integrity Risk for Ineffective cerebral Tissue perfusion Decreased Cardiac Output Pain Acute Pain Chronic Pain Sleep/ Rest Fatigue Disturbed Sleep Pattern Communication Impaired verbal Communication Impaired Memory Knowledge Deficient Knowledge (specify) Readiness for enhanced Knowledge Noncompliance Ineffective health Maintenance Emotional Anxiety Fear Relocation stress syndrome Risk for Relocation stress syndrome Social Isolation Acute Confusion Chronic Confusion

 
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