NURS FPX 6610 Assessment 2 Patient Care Plan
NURS FPX 6610 Assessment 2 Patient Care Plan
Name
Capella university
NURS-FPX 6610 Introduction to Care Coordination
Prof. Name
Date
Patient Care Plan
Patient Identifier: 6700891
Patient Medical Diagnosis: Poorly controlled anxiety, obesity, hypertension (HTN), diabetes mellitus (DM), and hypercholesterolemia.
Nursing Diagnosis
Diagnosis 1: Risk of Improper Healthcare Management
Mrs. Snyder, a 56-year-old mother of two, exhibits a lack of understanding and education regarding the risks associated with uncontrolled diabetes. Subjectively, she reports consumption of unhealthy snacks and difficulties managing her diet. Objectively, her emergency department (ED) admission shows sugar levels ranging from 230 to 389 mg/dL, dyspnea on exertion, malaise, and urination problems. Additionally, she has HTN.
Goals and Outcomes
Goal 1: Mrs. Snyder’s blood sugar and blood pressure levels will be within the target range within one month of treatment.
Goal 2: Mrs. Snyder will improve her eating habits and reduce her weight by 5% over the next three months.
Nursing Interventions and Rationale
| Interventions | Rationale |
|---|---|
| Educate the patient on self-care management, including healthy eating, regular exercise, and mindfulness practices (USC, 2018). | Effective self-care practices can reduce glucose levels, manage weight, and improve blood pressure control. |
| Encourage home glucose monitoring and proper insulin administration techniques (Carolina, 2019). | Regular monitoring helps track glycemic control, allowing adjustments to the care plan if needed. |
| Coordinate with a dietitian to create a personalized dietary plan. | A tailored diet can support weight loss and blood sugar stabilization (Heart, 2021). |
Outcome Evaluation and Re-planning
Mrs. Snyder demonstrated adherence to self-monitoring and reduced snacking habits, achieving a partial reduction in glucose levels. Further dietary adjustments and additional follow-ups are planned to sustain improvements.
Diagnosis 2: Psychological Burden Due to Anxiety and Family Caregiving
Mrs. Snyder faces constant anxiety related to caregiving responsibilities, contributing to her HTN and tachycardia. She reported irregular intake of anxiolytics and overwhelming stress from balancing household duties and caregiving for her elderly mother.
Goals and Outcomes
Goal 1: Mrs. Snyder will demonstrate improved mental health and reduced anxiety levels, as evidenced by a 70% reduction in anxiety symptoms within one month.
Goal 2: Blood pressure will stabilize below 130/90 mmHg, and her heart rate will remain between 60-100 bpm within one month.
Nursing Interventions and Rationale
| Interventions | Rationale |
|---|---|
| Initiate weekly cognitive-behavioral therapy (CBT) sessions for anxiety management (Pegg et al., 2022). | CBT effectively reduces anxiety and promotes healthier coping strategies. |
| Prescribe tolerable anxiolytics as needed under medical supervision (Ströhle et al., 2018). | Medication combined with psychotherapy optimizes anxiety management outcomes. |
| Facilitate access to mindfulness and spiritual healing groups within the Jewish community. | Mindfulness practices can improve emotional regulation and reduce anxiety. |
Outcome Evaluation and Re-planning
Mrs. Snyder reported reduced anxiety after four weeks of CBT sessions. Continued mental health support and adjustments to her pharmacological regimen are recommended.
Diagnosis 3: Impacts of Ovarian Cancer Treatment
Mrs. Snyder, undergoing chemotherapy for ovarian cancer, reported severe anxiety about treatment outcomes, caregiving responsibilities, and pain management. She also experiences shortness of breath and low oxygen saturation levels during exertion.
Goals and Outcomes
Goal 1: Mrs. Snyder’s pain levels will decrease by 70% within one hour of pharmacological and nonpharmacological interventions.
Goal 2: She will demonstrate improved oxygen saturation (above 95%) and reduced exertion-related symptoms within three months.
NURS FPX 6610 Assessment 2 Patient Care Plan
Nursing Interventions and Rationale
| Interventions | Rationale |
|---|---|
| Refer Mrs. Snyder to a counselor for caregiver role adjustment and stress reduction (Hoyt, 2022). | Counseling can provide coping strategies and emotional relief for caregivers. |
| Conduct thrice-daily pain assessments and encourage nonpharmacological methods such as meditation and yoga. | Nonpharmacological methods have been proven effective in reducing pain and promoting emotional stability (Sheikhalipour et al., 2019). |
| Collaborate with social workers to secure assisted living for her mother. | Placement can reduce caregiving stress, enabling her to focus on personal health (Goodtherapy, 2019). |
Outcome Evaluation and Re-planning
Placement for her mother is underway, which is expected to alleviate caregiving stress. Pain management strategies and oxygen therapy will be re-evaluated during the next follow-up to ensure alignment with her evolving needs.
References
Cancer. (2021). Managing diabetes when you have cancer. Cancer.net. https://www.cancer.net
Carolina, C. M. (2019). Unlocking the full potential of self-monitoring of blood glucose. US Pharmacist. https://www.uspharmacist.com
Good Therapy. (2019). Therapy for self-love. Goodtherapy.org. https://www.goodtherapy.org
Hoyt, J. (2022). Assisted living & senior placement agencies. SeniorLiving.org. https://www.seniorliving.org
Pegg, S., et al. (2022). Cognitive behavioral therapy for anxiety disorders in youth. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7
NURS FPX 6610 Assessment 2 Patient Care Plan
Sheikhalipour, Z., et al. (2019). Quality of life in women with cancer and its influencing factors. Journal of Caring Sciences, 8(1). https://doi.org/10.15171/jcs.2019.002
Ströhle, A., et al. (2018). The diagnosis and treatment of anxiety disorders. Deutsches Aerzteblatt Online, 115(37). https://doi.org/10.3238/arztebl.2018.0611
USC. (2018). What does self-care mean for diabetic patients? Nursing.usc.edu. https://nursing.usc.edu