Planning (Generate Solutions): What are the desirable outcomes? What interventions ….
Planning (Generate Solutions): What are the desirable outcomes? What interventions can achieve these outcomes? What should be avoided? (SMART Planning- specific, measurable, attainable, realistic/relevant, time-restricted- Goal setting)
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Perfusion Case Study: Mai Nguyen, Nam’s 76-year-old mother, has been complaining she feels tired all the time, as though she just can’t do what she normally does. She describes having a hard time catching her breath as she walks up stairs and goes about her day. Nam has noticed that his mother’s ankles are more swollen than he has ever seen them.
He schedules an appointment for his mother at the family clinic where you are the nurse. Mrs. Nguyen appears pale and not her usual energetic self. Nam tells you that his mom is “not right” and seems to be confused about things at home, which is not like her. She has a history of chronic congestive heart failure.
During her visit at the clinic, you observe that Mai has a cough. She spits a small amount of pink, frothy mucus into a tissue. Mrs. Nguyen’s vital signs are as follows: BP, 142/90 mm Hg; pulse, 96 beats/min and with some irregular beats; respirations, 38 breaths/min and shallow; temperature, 97.8°F (36.5°C) oral.
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