Background of self and current working area / department, introduce the case scenario.Health Assessment - 1250 words*. Subjective Data Chief complaint, Past medical history, Family history, Social/Spiritual history, Focused review of systems, Functional health, pattern assessment, Cluster the data and determine/modify.. Objective Data Complete focused, physical exam including related systems. ldentification of diagnostic data.. Assessment Determined nursing diagnosis(es) and collaborative problem(s).Nursing Plan and Evaluation - 750 words" . Plan For each nursing diagnosis or collaborative problem, determined at least two specific measurable patient outcomes. The plan also includes nursing interventions that are evidence-based with rationale and target specific etiologies of illness or risk behaviors. lnterventions integrate the unique needs of the patient.. Evaluation Describe the methods used to evaluate each of the patient outcomes.Conclusion - 250 words* o Give an overall appraisal of what you have learned from this case study.Presentation . lncludes sentence construction, word choice, spelling, punctuation, and grammar
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