Module 09 Assignment – Impaired Immune System Care Map

Module 09 Assignment – Impaired Immune System

Care Map

System Care Map

Purpose of Assignment

For this assignment, you will demonstrate knowledge of the diagnostic process using the template below. You will identify common assessment data, three priority nursing diagnoses, client-centered outcomes, and nursing interventions with rationale for a client with impaired immunity.

Course Competency

· Describe strategies for safe effective multidimensional nursing practice when providing care for clients experiencing immunologic, infectious and inflammatory disorders.

Instructions

Tom Howard, a 45-year old man with HIV from the community, has come to the clinic because he reports he had not been feeling well recently. During the intake process, Tom complains of a dry cough and chilling. The intake nurse takes his vital signs, and they are: Temp 102 degrees Fahrenheit, Pulse 102, Respirations 28 breaths per minute, Blood pressure 135/86. The clinic physician refers Tom to the local hospital for a suspected opportunistic infection.

Use the template directly below these instructions to complete a care map to design care for a client with impaired immunity. For this assignment, include the following: assessment and data collection (including disease process, common labwork/diagnostics, subjective, objective, and health history data), three NANDA-I approved nursing diagnosis, one SMART goal for each nursing diagnosis, and two nursing interventions with rationale for each SMART goal for a client with a immune system disorder.

Use at least two scholarly sources to support your care map. Be sure to cite your sources in-text and on a reference page using APA format.

Check out the following link for information about writing SMART goals and to see examples:

http://rasmussen.libanswers.com/faq/212524

You can find useful reference materials for this assignment in the School of Nursing guide:

https://guides.rasmussen.edu/nursing/referenceebooks

Have questions about APA? Visit the online APA guide:

https://guides.rasmussen.edu/apa

and

Data Collection

Module 09 Assignment – Impaired Immune System Care Map Rubric

Total Assessment Points – 65

Points – 9

Points – 10

Points – 15

Points- 2

Points- 3

Points- 4

Points- 5

Module 05 Assignment – Designing a Care Map

Dr. Christina Cyrus

Rasmussen College

COURSE#: NUR2356

Dr. Cyrus

November 8th , 2020

Assessment/Data Collection

I have chosen to write about Diabetes Mellitus Type 1. In Type 1 Diabetes the langerhan cells that produce insulin are destroyed by an autoimmune process. This means that the pancreas produce little to no insulin. Insulin is required to move glucose into the cells for energy. Without insulin, glucose builds up in the blood and causes adverse effects such as impaired circlation.(Author last name, year). Common labs to diagnosis Type 1 Diabetes are a HGB AIC. This lab tests the average amount of glucose in the blood over the past 2-3 months and can give insight into the function of the pancreas. A client with Type 1 Diabetes may have a genetic disposition or a history of a viral illness. On assessment of a client with Type 1 Diabetes the client may report subjective findings of polyuria, polydipsia, and polyphagia. Objective findings may be decreased sensation, slow healing wounds, and changes in vision. Comment by Christina Cyrus: Clearly identify the Musculoskeletal disorder from Chapter 5 that you are writing about Comment by Christina Cyrus: Explain the disease process clearly so I know that you know what is happening in the body. Comment by Christina Cyrus: Describe applicable lab and diagnostic tests and explain why they are significant for the disorder you are writing about. Comment by Christina Cyrus: Explain risk factors or a health history that would contribute to the disorder. Comment by Christina Cyrus: Describe potential objective and subjective findings on assessment for a client with the disorder.

Nursing Diagnosis/ Goal/ Intervention Comment by Christina Cyrus: You must have THREE correctly done for full credit.

Imbalanced Nutrition: less than body requirements related to inability to not use glucose as evidence by HGB A1C greater than 7% Comment by Christina Cyrus: Nursing Diagnosis with all required parts. Relates to disease and potential problem

Client will maintain pre-prandial glucose levels between 60 and 100 mg/dl for 3 consecutive days within 2 weeks. Comment by Christina Cyrus: Comment by Christina Cyrus: SMART goal that addresses problem identified in nursing diagnosis.

Nurse will teach client how to obtain pre-prandial glucose levels with glucometer and strips. Rationale: The client will need to be able to monitor their glucose levels to make sure it is being utilized for energy and not building up in the vessels (Author last name, year).

Nurse will teach client how to count carbohydrates for insulin administration. Rationale: The client will have to administer the proper amount of insulin to move the glucose into the cells for energy (Author last name, year). Comment by Christina Cyrus: TWO interventions and rationale that will help the client meet the SMART Goal

References Comment by Christina Cyrus:

Author’s Last Name, First initial. Middle initial. (Year). Title of article.
Journal Title, Volume Number(Issue number), Page numbers.