A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING. /M/Sc.NURSING BY SAHU SIR-8947879143 NURSING CARE PLAN ON LAPROTOMY. SUBJECT: ADVANCE NURSING PRACTICE SUBMITTED TO: SUBMITTED BY: A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING. /M/Sc.NURSING BY SAHU SIR-894787914 Follow us on Facebook: https://www.facebook.com/mcinursingkota/ Study material for:- staff Nurse:- AIIMS/ M.Sc.NURSING/B.Sc.NURSING VISIT REGULAR:- www.mcinursing.com CALL:- 8947879143 (SAHU SIR)
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A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-8947879143
NURSING CARE PLAN
ON
LAPROTOMY.
SUBJECT: ADVANCE NURSING PRACTICE
SUBMITTED TO: SUBMITTED BY:
A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-894787914
Follow us on Facebook: https://www.facebook.com/mcinursingkota/ Study material for:- staff Nurse:- AIIMS/ M.Sc.NURSING/B.Sc.NURSING VISIT REGULAR:- www.mcinursing.com
A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-8947879143
2.
3.
Electrolyte
X-ray
Serology
Sodium= 144mmmol/L
Potassium=4.6mmol/L
Chlorine=107mmol/L
Serum creatinine=0.8mg/dl
Serum BUN=33mg/dl
No abnormality detected
Hbs Ag= non- reactive
HIV= non reactive
Normal
Normal
Normal
Normal
High
Normal
Normal
Normal
Sodium=135-145mmol/L
Potassium=3.5-5.0mmol/L
Chlorine=97-107mmol/L
Serum creatinine=0.7-1.4mg/dl
Serum urea=8-20 mg/dl
-
Negative
5. MEDICATION:
Sl
no
Medication Dose,
route &
time
Action of drug Side effect Nursing
responsibility
1.
2.
Inj. Omnatax
Inj. Metrogyl
1gm
IV
BD
100ml
IV
It is active against gram
–ve organisms and
betalactamase
producing organisms. It
is active against
pseudomonas,
anaerobes, and
spirochaetes.
A direct acting
trichomonocide and
amebicide that works at
Nausea, skin rash,
drug, fever,
diarrhoea, pruritis,
local reaction and
pain,
thrombocytopenia
and luekopenia.
Headache, vertigo,
seizures, abdominal
cramping, nausea,
- check vital signs.
- follow strictly the
five rights.
- monitor closely the
patient for any side
effect of the drugs
given.
-observe the site of
injection carefully.
A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-8947879143
APPLICATION OF THEORY
Name : Mr. Sushanth.
Age : 34 years
Sex : Male
Ward : Post-Operative ward
Present compliant : - Pain in incision site
- Constipation- 3-4 days
- Edema (pedal)
- Fever- 2-3 days
Diagnosis : Intestinal Obstruction
3.
4.
Inj. Rantac
Inj. Tramadol
TDS
50mg
IV
BD
50mg
IV
BD
both intestinal and extra
intestinal sites.
Competitively inhibits
action of histamine on
the H2 at receptor sites
of parietal cells
decreasing gastric acid
secretion.
Weak agonist at opiod
receptors especially
receptors.
rash, constipation,
anorexia.
Vertigo, malaise,
headache, blurred
vision, jaundice,
burning and itching
at the injection site.
Nausea, vomiting,
dizziness, sweating,
stupor, psychiatric
reaction
check vital signs.
- follow strictly the
five rights.
- monitor closely the
patient for any side
effect of the drugs
given.
A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-8947879143
DOROTHEA E JOHNSON’S BEHAVIOURAL
MODEL
Johnson define a system as a whole that function as a whole by virtue of the
interdependence of its parts individual strive to maintain stability and balance in those parts
through adjustment and adaptation to the forces, the impinge of them. A behaviour system is
pattern, repetitive and purposeful.
Johnson’s key concepts describe the individual as a behavioural system composed of
seven sub systems.
1) Attachment- Affiliative: Sub system provides survival and security. Its
consequences are social inclusion, intimacy and the formation and maintenance of
a strong social bond.
2) The dependency sub system: problem helping behaviour that calls for a nurturing
response. Its consequences of approval, attention or recognition and physical
assistance.
3) The ingestive system: Sub system satisfies appetite. It is governed by social and
psychological consideration as well as biologic.
4) The eliminative: Sub system excretes body wastes.
5) The sexual subsystem functions dually for procreation and gratification.
6) The achievement: Sub system attempts to manipulate the environment. It controls
or masters an aspect of the self or environment to some standards or excellence.
7) The aggressive: Subsystem protects and preserves the self and society within the
limits imposed by society.
Each of the above subsystem has the same functional requirement, protection
nurturance and stimulation. The subsystem’ responses are developed through motivation,
experience and learning and are influenced by bio-psychosocial factors.
A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-8947879143
Other concepts associated with Johnson’s model are equilibrium, a stabilised but more
or less transitory resting state in which the individual is in harmony with the self and the
environment tension. A state of being stretched or stained and stressors. Internal or external
stimuli that produced tension and result in a degree of instability.
Assessment of Mr.Ravi Chandran by using Johnson’s Behavioural System
Model:
Eight Sub-systems:
Achievement-
Mr. Sushanth is 34 years old has basic education upto 10th standard, has one daughter
and one son. He has not accomplished all his responsibility in his life with regard to the
family. He wanted to see his children going to school.
Affiliative-
Mr. Sushanth is head of the family and all things under his control. He is working as a
auto driver. He is loved and respect by his friends and family members.
Aggressive/Protective-
Mr. Sushanth is not productive himself and used to take alcohol 2-3 pegs per day and
smoke 2-3 cigarettes per day.
Dependency-
Mr.Sushanth lives with his family and he is the only source of income, earned 1000-
1500 per month and now he feels alone and thinks how he will manage their economic
condition.
Eliminative-
He has no complaints of elimination previously and now he says that he is having
constipation for the last 3-4 days after the operation.
Ingestive-
A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-8947879143
Mr. Sushanth has no complaint regarding food, no nausea or vomiting after admission.
He weight is not appropriate with his age and height. He takes two meals per day and he
takes mixed diet.
Restorative-
Mr. Sushanth is admitted with complaints abdominal pain
Sexual-
Mr. Sushanth is having a good relationship with his wife
Environment Assessment:-
Familial-
Mr. Sushanth has one daughter and one son, he wanted to see his children going to
school and becoming an educated person. He is worrying about his children education. He is
worried more about how he take care of his family.
Socio-cultural-
Mr. Sushanth belongs to Hindu religion. He believes god and go to temple. He
maintains regular social relationship with his relatives, friends and neighbour.
Ecological-
Mr. Sushanth lives in his own hose which is kaccha with two small rooms including the
kitchen. Their surrounding environment is unhealthy.
Developmental-
Mr. Sushanth is 34 years old man. he has a good relationship with his family members.
A COMPLETE COACHING FOR THE PREPARATION OF STAFF NURSE/AIIMS/PGI/RPSC/ B.Sc NURSING.
/M/Sc.NURSING BY SAHU SIR-8947879143
Follow us on Facebook: https://www.facebook.com/mcinursingkota/ Study material for:- staff Nurse:- AIIMS/ M.Sc.NURSING/B.Sc.NURSING VISIT REGULAR:- www.mcinursing.com
CALL:- 8947879143 (SAHU SIR) Follow us on Facebook: https://www.facebook.com/mcinursingkota/ Study material for:- staff Nurse:- AIIMS/ M.Sc.NURSING/B.Sc.NURSING VISIT REGULAR:- www.mcinursing.com
Silverstri LA..comprehensive review of nclex.rn.examination .3rd ed.pennylvania:saunders;2006.p.677-87
Follow us on Facebook: https://www.facebook.com/mcinursingkota/
Study material for:- staff Nurse:- AIIMS/ M.Sc.NURSING/B.Sc.NURSING
VISIT REGULAR:- www.mcinursing.com
CALL:- 8947879143 (SAHU SIR)
Follow us on Facebook: https://www.facebook.com/mcinursingkota/ Study material for:- staff Nurse:- AIIMS/ M.Sc.NURSING/B.Sc.NURSING VISIT REGULAR:- www.mcinursing.com