CASE 4
Create a plan of care for the client/family in the following case study.
Write one psychosocial nursing diagnosis and one educational nursing diagnosis related to the case study. The team may include possible data that is not included in the case study but is significant for a client with this disease process.
The plan of care includes the pathophysiology of the disease process, at least 2 medications that are common to treatment (include uses, mechanism of action, side effects, adverse effects, and dosage with citation and reference), assessment data, analysis using Gordon’s Functional Health Patterns, nursing diagnosis written correctly, goal, outcomes (at least 3), and nursing interventions with evidence-based rationale with citation and reference.
Case Study #4
Adolescence and Adherence to Medications
A 14-year-old male adolescent is receiving medications according to the HIV research protocol in a regional medical center several miles from home. He has had HIV all of his life and the prognosis is currently poor. The adolescent and family decided to enroll in a drug trial in an effort to increase life expectance and quality of life. The treatment protocol requires accuracy for time of medication administration. After weeks of hospitalization, the adolescent is experiencing the complications of fatigue and social isolation. Family members describe how the present changes of the body, progression to a new school building, and an additional group of friends have influenced his behavior. Goals agreed on with the adolescent are to maximize immune function and maintain normal development.
1. What priority nursing assessment information does the nurse identify?
2. What nursing interventions would support the nursing goals?
3. When the adolescent develops boredom with the initial nursing interventions, what other activities are suggested?
4. How will the nurse evaluate these goals?
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CITATIONS AND REFERENCES PLEASE
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