Write one nursing diagnosis that reflects a priority need for this person. Remember a health promotion diagnosis is a possibility.

Write one nursing diagnosis that reflects a priority need for this person. Remember a health promotion diagnosis is a possibility.

Course Project Milestone #2: Nursing Diagnosis and Plan of Care
Form

YourName: Date:

Your Instructor’s Name:

Directions:
Refer to the Milestone 2: Guidelines found in Doc Sharing to complete the
information below. This assignment is worth 250 points, with 10 points awarded
for clarity of writing, which means the use of proper grammar, spelling, and
medical language.

Type your answers on this form. Click “Save
as” and save the file with the assignment name and your last name, e.g., “NR305_Milestone2_Form_Smith”.When
you are finished, submit theform to the Milestone 2 Dropbox by the deadline
indicated in your guidelines. Post questions in the Q&A Forum or contact
your instructor if you have questions about this assignment.

1: Analyze Assessment Data:

Based on the health history information, identify the following:

A. Areas for focused assessment (30 points)

Provide
a brief overview of those areas of
strength and weakness noted from Milestone 1: Health History.

B. Client’s strengths (30 points)

Expand
on areas identified as strengths related to the person’s overall health.
Support your conclusions with data from the textbook.

C. Areas of concern (30 points)

Expand
on areas previously identified as abnormal and those that place the person at a
health risk. Support your observations with data from the textbook.

D. Health teaching topics (30 points)

Identify health education needs. Support your
statements with facts from the Health History and information from your
textbook.

2: Nursing Plan of Care

Next, plan your care based on your analysis of your assessment data:

A. Diagnosis (30 points)

Write
one nursing diagnosis that reflects
a priority need for this person. Remember a health promotion diagnosis is a
possibility.

B. Plan (30 points)

Write
one goal and one measurable expected outcome related to your nursing
diagnosis. Explain why this goal and
outcome is a priority. Include cultural considerations for this client.

C. Intervention (30 points)

Write
as many nursing orders, or nursing interventions, that you need in order to
achieve the outcome. Provide the
rationale for each intervention listed.

D. Evaluation (30 points)

You
will not carry out your care plan so you cannot evaluate the effectiveness of
your nursing interventions. Instead, comment on what you would look for in
order to evaluate your effectiveness.

Write your Curriculum Vitae (CV). Refer to the template on pages 618-619 in DeNisco and Barker (2013). Your CV should not exceed 2 pages in length.

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