concept map november 30 dehydration
DESCRIPTION
Concept map dehydrationTRANSCRIPT
Concept map Student Name: Date:
Concept map page 2 Name
Date
Nursing Diagnosis (with R/T and AEB)
Primary:
Disturbed Energy Field r/t unbalanced energy field as evidenced by lack of eating.
Subjective Data
(Risk Assessment/Health Promotion)
I am in a lot of pain.
I have pain all over my body.
Objective Data
Normal BP
58 year old woman
Anorexic
Fragile, in a lot of pain
Marks on her arms, indicating possible self-harm.
Interventions (NIC)
See page 2
Medical Diagnosis
Dehydration
Goals/Outcomes (NOC)
(SMART)
Patient will state sense of well-being, as well as feelings of support by the end of the shift.
Interventions (NIC)
Evaluation
Patient is able to reduce pain by healing touch.
Rationale (cite source)
TT and HT when provided in the clinical setting provides and promote comfort, calmness, and well being. P322.
(Ackley, Ladwig, 2008).
Rationale (cite source)
HT may reduce stress, anxiety and pain, facilitate healing. P322
(Ackley, Ladwig, 2008).
Rationale (cite source)
It lets family members know that the nurse has heard and understood was was said, and it promotes the relationship between nurse and family mebers.P323 (Ackley, Ladwig, 2008).
Rationale (cite source)
Imagery is harmless, is time and cost-effective and creates a healing partnership between the nurse and client. P323
(Ackley, Ladwig, 2008).
Teach
Administer TT and or/H.
Assess
Consider using therapeutic touch and or healing touch for client with anxiety, tension pain.
Collaborate
Validate the clients feelings and concerns related to sense of disharmony or energy disturbance.
Other
Teach the client how to use guided imagery.