Beruflich Dokumente
Kultur Dokumente
Demographic Data
Ethnicity: Caucasian/Non-Hispanic
Religion: Assemblies of God
Code Status: Full
Delivery Date: October 19, 2015
Breast or Formula feeding: Breastfeeding
Psychosocial History
Physiological Status
Dorothea Orem
Self-care (Deficit) Theory
Patient should identify self-care deficits and then define their roles to meet the
demands
Patient should be a self-reliant individual and responsible for own care as well
as others in their family who need care
Meeting self-care needs is an important component of primary care
The patients knowledge of potential health problems is needed for promoting
self-care behaviors
Nursing is a form of action between two or more individuals
Developmental Status
BMI: 30.7
Height: 5 6
Weight:
Pre-pregnancy: 165 lbs.
Pregnancy: 197 lbs.
Post-pregnancy: 190 lbs.
Vital Signs
General Appearance
Lymph nodes
Head and neck
Eyes
Ears
Nose
Laboratory Results
Medications
Norco
Motrin
Fentanyl
Iron Preparation (Ferrous Sulfate)
Oxytocin
Summary
References
Acetaminophen/hydrocodone (2014). In Drugs.com. Retrieved October 24, 2015, from
http://www.drugs.com/sfx/acetaminophen-hydrocodone-side-effects.html
Ackley, B. J., & Ladwig, G. B. (2014). Nursing Diagnosis Handbook (10th ed.). Maryland Heights, MO: Elsevier.
George, J. B. (2011). Nursing Theories: The Base for Professional Nursing Practice (6th ed.). Upper Saddle River,
NJ: Pearson.
Ibuprofen (Motrin) (2014). In Drugs.com. Retrieved October 24, 2015, from http://www.drugs.com/ibuprofen.html
Ladewig, P. A., London, M. L., & Davidson, M. R. (2014). Contemporary Maternal - Newborn Nursing Care (8th ed.,
p. 738). Upper Saddle River, NJ: Pearson Education, Inc.
Pagana, K. D., & Pagana, T. J. (2014). Mosby's Manual of Diagnostic and Laboratory Tests (5th ed.). St. Louis, MO:
Elsevier.
Stages of social-emotional development - Erik Erikson (2015). In Child Development Institute. Retrieved October
25, 2015, from http://childdevelopmentinfo.com/child-development/erickson/
Vallerand, A. H., Sanoski, C. A., & Deglin, J. H. (2015). Davis' Drug Guide for Nurses (14th ed.). Philadelphia, PA:
F.A. Davis Company.