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� Explain what the problem is (What was he/she diagnosed with, or what happened?)
� Introduce your main argument (What should you as a nurse focus on or do?)
� Rationale for selection of this topic.
� Include brief literature and general statistics on the topic.
Pathophysiology � Explain the disease (What are the symptoms? What causes it?)
History � Past history of illnesses
� Explain what health problems the patient has (she/he been diagnosed with other diseases?
� Consider medications, allergies, behaviors, and habits which may have impacted upon their health.
� Detail any and all previous treatments (Has she/he had any prior surgeries?)
� Maintenance practices ( immunization, screening, lifestyle)
� Family health history, for example, heart disease, high blood pressure, stroke, diabetes
� Family and other support provided.
� The source of information (patient, relative, other health care professional).
Nursing Physical Assessment � List all the patient�s health stats in sentences with specific numbers/levels (Blood pressure, bowel sounds, ambulation, etc.)
Related Treatments � Explain what treatments the patient is receiving because of his/her disease
Nursing Care Plan
Nursing Diagnosis & Patient Goal � Explain what your nursing diagnosis is (What is the main problem for this patient? What need to be addressed?)
� Explain what your goal is for helping the patient recover (What do you want to change for the patient?)
Nursing Interventions � Explain how you will accomplish your nursing goals, and support this with citations (Reference the literature) .
Evaluation � Explain how effective the nursing intervention was (What happened after your nursing intervention? Did the patient get better?) .
Recommendations � Explain what the patient or nurse should do in the future to continue recovery/improvement
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