1
Assignment # 2 Version 1 Case Study
Ramandeep kaur
Sheridan college
Professor: Rita Anin
NURS14178 Nursing Care 1
Due Date: March 28, 2022
, 2
Assignment # 2 Version 1 Case Study
Assessment Nursing Planning/Goals Intervention Evaluation
diagnosis (Objectives) (include
rationales)
Subjective Chronic Short Term: 1. The nurse will 1. The client
Data: Confusion 1. The client will limit the sensory remains content
related to (r/t) remain content stimuli by and safe after 24
1. She denies the dementia as and free from decreasing the hours. Goal met.
knowledge of her evidenced by harm within 24 noisy
health history by (aeb) the client hours (Ladwig et environment and
refused to al., 2021, p. 263). providing a calm
stating, “I am
recognize her son environment
healthy as a bat; I
by stating that (Vera, 2020).
can take care of “Who are you?” Rationale: The
myself.” she is nurse can prevent
2. She refused to disoriented, the client from
recognize her son could not frustration and
by stating, “Who identify herself, confusion by
are you?” and she was lost decreasing the
and found in the noise (Vera,
Objective Data: neighborhood by 2022).
paramedics 2. The nurse will
1. She has poor (Ladwig et al., place the
2021, p. 263). identification
personal hygiene.
band on the
2. She is wearing
client and
two different educate the
colored socks. family to always
3. She is keep the
disoriented and bracelets on the
agitated in the client (Ladwig et
emergency al., 2021, p.264).
department. Rationale: The
4. She could not client with
tell her name and chronic
address. confusion may
5. Paramedics wander and lost,
so an
have picked her
identification
up in the
band increases
neighborhood. the client’s safety
(Ladwig et al.,
2021, p. 264).
Assignment # 2 Version 1 Case Study
Ramandeep kaur
Sheridan college
Professor: Rita Anin
NURS14178 Nursing Care 1
Due Date: March 28, 2022
, 2
Assignment # 2 Version 1 Case Study
Assessment Nursing Planning/Goals Intervention Evaluation
diagnosis (Objectives) (include
rationales)
Subjective Chronic Short Term: 1. The nurse will 1. The client
Data: Confusion 1. The client will limit the sensory remains content
related to (r/t) remain content stimuli by and safe after 24
1. She denies the dementia as and free from decreasing the hours. Goal met.
knowledge of her evidenced by harm within 24 noisy
health history by (aeb) the client hours (Ladwig et environment and
refused to al., 2021, p. 263). providing a calm
stating, “I am
recognize her son environment
healthy as a bat; I
by stating that (Vera, 2020).
can take care of “Who are you?” Rationale: The
myself.” she is nurse can prevent
2. She refused to disoriented, the client from
recognize her son could not frustration and
by stating, “Who identify herself, confusion by
are you?” and she was lost decreasing the
and found in the noise (Vera,
Objective Data: neighborhood by 2022).
paramedics 2. The nurse will
1. She has poor (Ladwig et al., place the
2021, p. 263). identification
personal hygiene.
band on the
2. She is wearing
client and
two different educate the
colored socks. family to always
3. She is keep the
disoriented and bracelets on the
agitated in the client (Ladwig et
emergency al., 2021, p.264).
department. Rationale: The
4. She could not client with
tell her name and chronic
address. confusion may
5. Paramedics wander and lost,
so an
have picked her
identification
up in the
band increases
neighborhood. the client’s safety
(Ladwig et al.,
2021, p. 264).
