Module 04 Written Assignment – Nursing Diagnosis

Purpose of the Assignment

1. Assist students in clustering assessment data when developing a nursing diagnosis.

2. Develop students’ ability to write client based outcomes when planning care.

Course Competencies

· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.

Scenario

Kacie Benson, a 19-year-old female, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her range of motion (ROM). She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. A recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.

Instructions

Complete the template for Kacie Benson, considering her medical history and medications.

In this table, include this information:

· Three NANDA-I approved nursing diagnoses

· One SMART goal for each nursing diagnosis

· Two scholarly sources to support information in the care map.

· Cite sources in-text and on a reference page using APA format.

Resources

What is the SMART method? How do I set realistic goals?

Nurse Reference eBooks

APA 7th Edition Guide

Nursing Diagnosis

Nursing Diagnosis

Nursing Diagnosis

SMART Goal

SMART Goal

SMART Goal

Module 04 Written Assignment – Nursing Diagnosis grading Rubric

Total Assessment Points – 35