X NURSING CARE PLAN Cues Subjective cues: Nursing Diagnosis Analysis Goals and Objective Implementation Rationale Evaluation Scientific Analysis: Objective Cues: Situational Analysis: OBJECTIVES Affective Independent: Outcome Evaluation Met Unmet B Met Unmet Psychomotor Dependent. Collaborative: Dependent. Met Unmet Met Unmet Met Unmet Met Unmet Met Unmet Collaborative: Met

3-2-1 Code It
6th Edition
ISBN:9781337660549
Author:GREEN
Publisher:GREEN
Chapter6: Icd-10-cm Outpatient And Physician Office Coding
Section: Chapter Questions
Problem 13MC
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Make a nursing care plan based on NANDA also provide Short term goal and long term goal Chief Complaints: Hypogastric pain history of present illness 2 months prior to consultation the patient complained of abdominal pain associated with discomfort, she was admitted to the ER but was discharged with unrecalled medications. 1 month prior to consultation the patient had moderate to severe dysmenorrhea, a whole abdominal ultrasound was performed and the results indicated the patient to have myoma in her uterus. 2 weeks prior to admission the attending physician was consulted due to the results of the whole abdominal ultrasound hence her admission for a total abdominal hysterectomy bilateral salpingo-oophorectomy. past health history Patient underwent a total thyroidectomy Diagnosis: Myoma Uterine
X
NURSING CARE PLAN
Cues
Subjective cues:
Nursing
Diagnosis
Analysis
Goals and Objective
Implementation
Rationale
Evaluation
Scientific Analysis:
Objective Cues:
Situational Analysis: OBJECTIVES
Affective
Independent:
Outcome Evaluation
Met
Unmet
B
Met
Unmet
Transcribed Image Text:X NURSING CARE PLAN Cues Subjective cues: Nursing Diagnosis Analysis Goals and Objective Implementation Rationale Evaluation Scientific Analysis: Objective Cues: Situational Analysis: OBJECTIVES Affective Independent: Outcome Evaluation Met Unmet B Met Unmet
Psychomotor
Dependent.
Collaborative:
Dependent.
Met
Unmet
Met
Unmet
Met
Unmet
Met
Unmet
Met
Unmet
Collaborative:
Met
Transcribed Image Text:Psychomotor Dependent. Collaborative: Dependent. Met Unmet Met Unmet Met Unmet Met Unmet Met Unmet Collaborative: Met
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