NURS FPX 6610 Assessment 2 Patient Care Plan

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Assessment 2: Patient Care Plan
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Student Name
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Capella University
Course Name
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Prof Name
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March 10, 2023
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Patient Identifier: 6700891 Patient Medical Diagnosis: Poorly controlled anxiety, obesity,
HTN, DM, and Hypercholesterolemia
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Nursing Diagnosis
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First Diagnosis:
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Inappropriate medical services the executives and insufficient instruction about diabetes dangers
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can prompt extreme results.

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Hazard of inappropriate medical services the board

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Emotional: Mrs. Snyder, a 56-year-old wedded mother of two, is going through treatment for
hyperglycemia and uncontrolled diabetes.
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Objective: Owned up to the crisis division with sugar levels going from 230-389, encountering
dyspnea on effort, low stomach uneasiness, discomfort, pee issues, and hypertension.
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Second Diagnosis:
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Higher domestic burden and difficulty preparing meals for family members with food allergies
and lactose intolerance. Neglects health due to validation and compliments from her husband.
First Goal:
Guarantee Mrs. Snyder's pulse and diabetes levels are taken care of, given her malignant growth
finding, which might compound her diabetes.
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Patient-engaged, Quantifiable, Feasible, Sensible, Time-Explicit (Savvy) Objective: The patient
will report improvement in dietary patterns and individual wellbeing in one month or less.
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First Intervention:
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Raise awareness about self-care management, emphasizing lifestyle modifications such as a
healthy diet, physical activity, good sleep patterns, mindfulness, and practice. Patient to reduce
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weight in three months and control snacking habit in one month.
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Encourage diabetes self-monitoring at home through daily eye, blood sugar, and food exams.
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Educate on insulin administration and syringe preparation.
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First Goal Rationale:
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A thorough record of blood sugar levels is crucial for diabetes management. Patient collaboration
with healthcare providers, nutritionists, and diabetes educators is essential for achieving good
health.
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Outcome:
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Regular glucose logs assist the care team in assessing diet, exercise, and insulin dosing efficacy,
facilitating necessary adjustments in medication dosages.
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Subjective: The patient experiences constant anxiety due to situational crisis, feeling
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overwhelmed, depressed, anxious, and weak. High blood pressure and tachycardia result from
household management pressure, the husband's lack of assistance, and the son's issues.
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Second Goal:
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Improved mental health and emotional well-being. Controlled blood pressure (not exceeding
130/90mmHg) and a normal cardiac pulse rate (60-100Bpm) within one month.
Second Intervention:
Prescribe tolerable anxiolytics and weekly counseling sessions (CBT) to control anxiety.
Connect with relevant social groups offering mindfulness and spiritual healing therapies.
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Second Goal Rationale:
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The pharmacology and psychotherapy combination is effective in anxiety control. Reduction in
anxiety level is expected to alleviate blood pressure and tachycardia.
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Outcome:
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Ongoing assessment is necessary, as proposed goals are part of a new care plan.
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Third Diagnosis: rv
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The patient was diagnosed with Ovarian Cancer, facing chemotherapy-related fear and anxiety.
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Subjective: Fear of chemotherapy, concern for failing as a caregiver, and discomfort with surgery
due to liver and colorectal masses.
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SMART Goals:
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Control diabetes within one week.

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Improve physical health and reduce malaise within a month through medicine adherence.
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Report a 70% reduction in anxiety on discharge.

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Find a good care facility for the mother within 15 days.

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Tolerate exertion within three months.
Increase oxygenation by discharge and achieve pain relief within one hour of treatment.
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Third Goal:
Multiple options for better care of the mother through facility placement, providing relief to the
patient, and enabling chemotherapy.
Third Intervention:
Refer Mrs. Snyder to a counselor for caregiver role assistance.
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Engage a social worker to find a suitable placement facility for her mother.
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Conduct thrice-daily pain assessments and educate on nonpharmacological pain management.
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Third Goal Rationale:
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Effective healthcare placement facilities can provide relief from caregiving. Nonpharmacological
interventions are highly effective for cancer patients in pain relief.
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Outcome: rv
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No goals met yet; care plan revision is expected after finding a suitable facility for Mrs. Snyder's
mother.
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References:
Cancer. (2021, October 6). Managing diabetes when you have cancer. Cancer.net.
https://www.cancer.net/navigating-cancer-care/when-cancer-not-your-only-health-concern/mana
ging-diabetes-when-you-have-cancer
Carolina, C. M. (2019, October 16). Unlocking the full potential of self-monitoring of blood
glucose. Uspharmacist.com.
https://www.uspharmacist.com/article/unlocking-the-full-potential-of-selfmonitoring-of-blood-gl
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ucose
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Good therapy. (2019, September 23). Therapy for self-love, therapist for self-love issues.
Goodtherapy.org. https://www.goodtherapy.org/learn-about-therapy/issues/self-love
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Heart. (2021, May 6). Living healthy with diabetes. Heart.org.
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https://www.heart.org/en/health-topics/diabetes/prevention–treatment-of-diabetes/living-healthy-
with-diabetes
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Hoyt, J. (2022, May 26). Assisted living & senior placement agencies. SeniolLiving.org.
https://www.seniorliving.org/placement-agencies/
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Pegg, S., Hill, K., Argiros, A., Olatunji, B. O., & Kujawa, A. (2022). Cognitive behavioral
therapy for anxiety disorders in youth: Efficacy, moderators, and new advances in predicting
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outcomes. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7
NURS FPX 6610 Assessment 2 Patient Care Plan Ramzan, B., Harun, S. N., Butt, F. Z., Butt, R.
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Z., Hashmi, F., Gardezi, S., Hussain, I., & Rasool, M. F. (2022). Impact of diabetes educator on
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diabetes management: Findings from diabetes educator assisted management study of Diabetes.
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Archives of Pharmacy Practice, 13(2), 43–50. https://doi.org/10.51847/2njmwzsnld
Sheikhalipour, Z., Ghahramanian, A., Fateh, A., Ghiahi, R., & Onyeka, T. C. (2019). Quality of
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life in women with cancer and its influencing factors. Journal of Caring Sciences, 8(1), 9–15.
https://doi.org/10.15171/jcs.2019.002
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Ströhle, A., Gensichen, J., & Domschke, K. (2018). The diagnosis and treatment of anxiety
disorders. Deutsches Aerzteblatt Online, 115(37). https://doi.org/10.3238/arztebl.2018.0611
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USC. (2018, January 9). What does self-care mean for diabetic patients? Nursing.usc.edu.
https://nursing.usc.edu/blog/self-care-with-diabetes/
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Call Us Now (612) 234-7670

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m

can prompt extreme results.

Hazard of inappropriate medical services the board

Control diabetes within one week.

Report a 70% reduction in anxiety on discharge.

Find a good care facility for the mother within 15 days.

Tolerate exertion within three months.

Refer Mrs. Snyder to a counselor for caregiver role assistance.

outcomes. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7

Archives of Pharmacy Practice, 13(2), 43–50. https://doi.org/10.51847/2njmwzsnld

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