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    Nursing Care To Mr. S.T. With Congestive Heart Failure in Bougenville Ward, Liunkendage Hospital, Tahuna

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    Igo Taufik
    This document summarizes a nursing student's 3-day care of a patient named Mr. S.T. with congestive heart failure. The student assessed the patient and identified issues like shortness of breath, edema, and decreased appetite. Physical exams found wheezing, enlarged heart, and low oxygen levels. The student determined nursing diagnoses, outlined interventions, implemented the care plan, and evaluated the patient's status, finding that more time was needed to fully address the diagnoses.

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    Nursing Care To Mr. S.T. With Congestive Heart Failure in Bougenville Ward, Liunkendage Hospital, Tahuna

    Uploaded by

    Igo Taufik
    40 views12 pages
    This document summarizes a nursing student's 3-day care of a patient named Mr. S.T. with congestive heart failure. The student assessed the patient and identified issues like shortness of breath, edema, and decreased appetite. Physical exams found wheezing, enlarged heart, and low oxygen levels. The student determined nursing diagnoses, outlined interventions, implemented the care plan, and evaluated the patient's status, finding that more time was needed to fully address the diagnoses.

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    Nursing Care for patient Congestive Heart Failure

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    This document summarizes a nursing student's 3-day care of a patient named Mr. S.T. with congestive heart failure. The student assessed the patient and identified issues like shortness of breath, edema, and decreased appetite. Physical exams found wheezing, enlarged heart, and low oxygen levels. The student determined nursing diagnoses, outlined interventions, implemented the care plan, and evaluated the patient's status, finding that more time was needed to fully address the diagnoses.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    40 views12 pages

    Nursing Care To Mr. S.T. With Congestive Heart Failure in Bougenville Ward, Liunkendage Hospital, Tahuna

    Uploaded by

    Igo Taufik
    This document summarizes a nursing student's 3-day care of a patient named Mr. S.T. with congestive heart failure. The student assessed the patient and identified issues like shortness of breath, edema, and decreased appetite. Physical exams found wheezing, enlarged heart, and low oxygen levels. The student determined nursing diagnoses, outlined interventions, implemented the care plan, and evaluated the patient's status, finding that more time was needed to fully address the diagnoses.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 12

    Nursing care to Mr. S.T.

    With
    Congestive Heart Failure in
    Bougenville Ward, Liunkendage
    Hospital, Tahuna

    By : Igo Taufik Tumbage


    Based on the nursing care to the
    client Mr. S.T. With Congestive
    Heart Failure in Bougenville
    Ward, Liunkendage Hospital,
    Tahuna in 3 days, started on
    March 11- March 13, 2015.
    The application of Nursing
    Care had done in 5 steps,
    consist of assesstment,
    nursing diagnoses,
    intervention,
    implementation, and
    evaluation.
    Assessment
     Focus data on the assessment
    found on the client with Congesti
    Heart Failure as follows:
    shortness of breathing, coughing,
    weakness, loss of appetite, nausea
    / vomiting, oedema, decreased of
    self-concept
     On physical examination, auscultation of
    the thoracic region there were weezhing
    and Ronchi, the presence of extra heart
    sound (S3 and S4). On ECG result there
    were atrial or ventricular hypertrophy,
    and ischemia. Thoracic images revealed a
    picture of an enlarged heart. Oximetry
    showed low oxygen saturation.
     On the other hand, client was admitted to
    the hospital because of dyspnea or
    diffulties of breathing. When assed client
    said that breathlessness since one week
    ago and oxygen via nasal canule installed 2
    - 4 liters / min and IVFD NaCl 0.9% to 8
    GTT / min
     Client complained shortness of breating
    even while resting so that the client need
    help from families and caregivers in his
    activities. Client also experienced
    weakness, and pale. Client’s vital signs
    results were BP = 130/70 mmHg, p = 98
    times / min, R = 28 times / minute, T = 37
    ℃.
    Nursing diagnosies
     Nursing diagnosis is to identify, focusing,
    and addressing the specific needs of the
    client as well as the response to actual
    problem. From the literature learned by
    the author, there 6 diagnosis for the client
    with Congestive Heart Failure.
     While the review of this case found 2
    diagnosis
    Intervention
    Nursing intervention is the formulation of
    goals, actions, and assessment of the
    Nursing care to the client based on the
    analysis of assessment and health
    problem. In this section, the author does
    not write all the interventions applied to
    the client. It is adapted to the conditions
    and needs of the client.
    Implementation
     Implementation is the application of the
    nursing care plan, there are some
    interventions that can not be
    implemented by the author because there
    are many inhibiting factors such as limited
    facilities or tools and also there are the
    rules stated that student does not allow
    to handle some procedure.
    Evaluation
     The evaluation is conducted to assess
    whether the problem can be solved in a
    natural client or not, and need to be
    assessed, planned. In the evaluation phase
    of the data taken in the form of subjective
    data and objective data. Based on the
    evaluation of the two diagnoses, there is
    no diagnosis has resolved. This is due to
    the limited time which is too short.
    Thank you

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