Client Careplan

In: Science

Submitted By jdavisrnc
Words 5102
Pages 21
Nursing Program


Student's Name Date of Care:
Client Initials Room Number Sex: Age : Admission Date: Admitting Diagnosis: Rt. Lobe infiltrate, Breast & Bone Cancer
Secondary Diagnosis if any): Respiratory Distress
Surgery Type/Date (if any): Lumpectomy on Rt. Foot at 2002
Working Medical Diagnosis/Etiology (describe definition, pathophysiology, and sign/symptoms)

Metastatic Breast Cancer

Metastatic breast cancer is the term used to describe cancer that has spread from the original site in the breast to other organs or tissues in the body. Cancer cells can break away from the original cancer in the breast and the cancer cells that break away can spread to other parts of the body via blood vessels or lymphatic vessels. The original site where the cancer cells came from is called the primary cancer. When cancer cell travels from the breast around the body they can lodge themselves in various body organs or tissues. These cells can begin to form breast cancer in new place and this new cancer is called secondary or a metastasis. Breast cancer most commonly spreads to one or more sites: bone, liver, brain and lungs. The sign or symptoms that may experience will depend on where the cancer is in the body and the extent of the cancer. If its spread to the:
Bone- pain is fairly constant, aching pain. It may increase with movement or activity.
Lungs/pleura- will experience shortness of breath, dry cough, fatigue, chest pain or feeling of heaviness in the chest.
Liver- it includes weight loss, lack of appetite, fatigue, and discomfort at the right side of the abdomen, nausea, jaundiced and swelling of the abdomen.
Brain- will experience headache, nausea and vomiting, weakness in arm or leg,…...

Similar Documents

Client Watch leadership teams for our clients every day. Orchestrating a process that ends in the hiring of world-class talent requires a true partnership with a trusted outside advisor. Maximise your exposure to the global executive talent pool and fully leverage the experience of our executive search consultants. We are the only consulting firm with our own non-commercial online Job Portal We have built a databank of more than 4 Million candidates over a period of time, which allows us absolute success in any mandate in shortest time span with 100% client satisfaction. We serve more than 900 international clients across all sectors and industries. We have clients in UK, Germany, Belgium, South Africa, Netherlands, Singapore, India, United Arab Emirates, Saudi Arabia, Bahrain, Oman, Qatar, Yemen, Libya, Tanzania, Kazakhstan, Tunisia, Jordan, Nigeria, Kenya and Malaysia, Uganda, Hongkong, Australia, USA and many other countries. Specialties Executive Search, Interim Management, Turn Key Recruitment, Corporate Training, Resume Writing Service Universal Hunt Private Limited, an International Business Consulting company with clientèle from various sectors and industries, in countries across Middle East, Africa, Europe, USA and South East Asia. Universal Hunt specializes into Human Resource Solutions, Investment Banking, Engineering Consulting and Information Technology domains. With extensive network of international clients and domain expertise across......

Words: 774 - Pages: 4


...My client is fairly familiar with using computers and can handle basic task. She also has some experience with using Access, but only for viewing data she receives from others. Microsoft Word is another program she is used to. She will need some basic lessons in how to use Access to add or edit data. One of her receptionists knows how to do this, so can teach her. I also recommend that she buys a manual or user guide for her and her staff to read to familiarise themselves with the software. She rated her ease at learning new skills as 7. My client can also save data as well as copy it (including to an external hard drive). The receptionists have a similar skill level to Mrs. Johnson, but rated their ease of learning as 8 and 9. They also said that they are able to handle common errors and problems. Two of the vets have some basic computer skills, but only one of them knows how to use Access. The other will need to learn from either my client or the receptionists. They both know how to use Word. The other two vets have nominal computer skills, so will need more extensive lessons on how to use the system. I would recommend that they go on a training course before the new system comes in place. My client is legitimately accustomed through by revenues of computers and can button basic task. He also partakes some experience with expending Excel, but only for broadcasting data she take delivery of from others. Microsoft Word is a not the same plug-in she is used to. She will......

Words: 485 - Pages: 2


...1) Client A: For Client A I would use the exploratory research as my research design. Exploratory Research entails a very informal research method, in order to gain more background information about the problem. In this case it is said “In these situations we know immediately the problem is that we don’t know what the problem is. There are many possible causes for this slippage.” After gaining their little knowledge of information they have on the cause of the market share to slip 15%, it is clear that this case would be an exploratory research. Also I would use a hypothesis in order to speculate the decline in market share in the past 12 months. Client B: For Client B I would use the Descriptive research design. Descriptive research mostly describes the answers to questions of who, what, where, when, and how. In this case Client B gives us enough information to work from. I would use the cross-sectional study. The cross-sectional study, measures in more of a large population and sample sizes. This study can be beneficial by narrowing down the time period associated with each campaign in each region, and the product category as well. Client C: For Client C I would use the Casual Research method. With Casual research, it mostly focuses on determining what will cause a change in consumer satisfaction, gain in market share, or increases in sales. In this case Client C is trying to determine what factors of their package design (size, shape, color, texture, etc.)to......

Words: 323 - Pages: 2

Nursing Careplan

...Nursing Care Plan Mohave Community College Nur 122. Nursing 2 November 8, 2011 MOHAVE COMMUNITY COLLEGE NURSING DEPARTMENT NURSING CARE PLAN NUR 122 ASSESSMENT A. ADMISSION DATA Date of admission 10/07/11 Client initials CW Medical diagnosis COPD/Leukocytosis Age 65 Sex Female Marital Status Divorced Ethnicity Caucasian Religion Catholic Vital signs upon admission: B/P 107/61 P 98 R 20 T 97.6 Ht 5’4 Wt 99.9lbs Allergies C.W. is allergic to ASA, it causes her to have an upset stomach. B. HEALTH-ILLNESS TRANSITION History of present illness C.W. is a 65 year old female with a history of COPD. She has been admitted to the hospital on several different occasions for a COPD exacerbation. C.W. was admitted through the ER on October 7, 2011 for an increased cough, shortness of breath, which got progressively worse with chest tightness. C.W.’s most recent hospitalization was on September 13, 2011 for a pneumothorax. She was also admitted sometime in August for a COPD exacerbation. Significant client health history (include family history) C.W. is a 65 year old female who lives with her ex-husband. She has a history of leukocytosis, anemia, hyponatremia, COPD, valley fever, chronic pain syndrome, back pain, osteoporosis, small-bowel obstruction, peripheral neuropathy, constipation, and pneumothorax. C.W. also admits to being a current smoker. She smokes approximately 1½ packs per day....

Words: 1711 - Pages: 7

Client Counseling

...Professional Legal Education should necessarily focus on the lawyering skills. Client counselling is a vital skill in which the students of law should be trained. One of the significant functions of a lawyer is to advise the people who seek assistance in knowing the legal implications of their actions. The lawyer is looked upon to facilitate decision making in certain critical legal matters. This function of the lawyer influencing and facilitating decisions is called counselling. Bar Council of India, the highest professional body of lawyers, has a key role in Professional Legal Education.1 It has drawn up a detailed scheme on practical training consisting of professional ethics, barbench relations, contempt of court, moot court, pre-trial procedures, negotiations, interviewing and counselling, drafting of conveyances and pleadings, legal aid, public interest lawyering etc. The word 'Counsel' has its origin in the Latin word 'consilium' which means advice.2 According to Blacks' Law Dictionary, counsel means advice and assistance given by one person to another in regard to a legal matter, proposed line of conduct, claim or contention. As a matter of fact lawyers are also legal counsels. Counsellor is an attorney; lawyer; member of the legal profession who gives legal advice and handles the legal affairs of client, including if necessary appearing on his or her behalf in civil, criminal or administrative action and proceedings.3 The process of counselling has......

Words: 2339 - Pages: 10

Client Paper

...Shahira Turner BSHS /305 CLIENT PAPER 8-3-2014 Eric H. Erickson, a psychoanalyst and expert in adult development, designed the “eight stages of man” model. It is one of many perspectives that is used in human development (Erickson, 1963). (1) According to Erickson, during a person’s life span systemic changes will arise from the time of birth until death, and although we all go through the same developmental stages, individuals experience these stages in different ways. The development of man may be influenced by social context in our lives. Such as home, family and community or an individual may be influenced by personal characteristics of values, traits or childhood experiences. Traditional stages change as society changes and many problems that individuals experience are due to problems of living. But when it comes to individuals who have very serious problems that are not caused by problems of living, it is necessary to classify their problems into identification perspectives. The perspectives are situational, societal or environmental influences that require immediate action and may be long or short termed. Individuals can be subjected to a series of environmental difficulties of a natural disaster such as fire, flooding or earth quake, they may also be subjected to a societal influences such as being homeless due to loss of employment or they may suffer from situational influences of being a victim of a violent crime. Most individuals may have multiple problems......

Words: 1026 - Pages: 5

Client-Based or Client/Serer

...Client-based or client/serer Mashelle Scott IT/240 December 20, 2013 Jennifer Gonzales Client-based or client/serer After reading the scenario I choose a client/server model. Client/server networks employ one or more centralized servers that house critical information that is shared by everyone. Meaning, that it is comprised of a single central computer acting as a server that directs multiple other computers,(clients). They also provide centralized backup, which can be determined by the business. Also as a business expands a client server enables them to reach a shared database program no matter the distance. If there were to be an issue the company could recover the data and resume operations. With client/server model the servers are sometimes clustered in order to provide failover capability in the event hardware failure which avoids downtime and saves the company money. In any situation the decision to employ a client-based or client-server network depends on the business in question. If the company is a small business it may do well without a costly server, as long as there is someone appointed to ensure the backups are performed. As with a bigger business it might be more important to utilize a client-server network for the reason stated above. With a larger company it will be more important in order to provide the security and stability that a client/server network gives. For example, through encryption data can be available only to qualified......

Words: 770 - Pages: 4


...patient is in the stagnant stage because she is unable to perform in all of her daily activities due to her unstable angina and her obesity. Stress and coping How do you cope with stress? Prayer Who do you rely on for support? Pastor and Pastor’s wife Religion Religious preference Baptist Cultural Cultural practices Just to worship God Learning and Teaching Needs Knowledge of diagnosis, treatment, length of stay: She was very knowledgeable about her diagnosis and the treatment planned to take place. She stated her length of stay was longer than expected. Factors that could inhibit learning uncontrolled chest pain Discharge planning Please circle which destination for client after discharge from facility Return to home Nursing home/Rehab placement Home health care Head to Toe Assessment Student Name:_ ________Date:_April 6,_2011_________ SKIN TEMPERATURE: Warm Dry Cool Clammy Diaphoretic COLOR: Normal Pale Jaundice Flushed Cyanotic SKIN CONDITION (DESCRIBE)__________________________________ ____________________________ LEVEL OF CONSCIOUSNESS: Alert Lethargic Comatose Oriented LEVEL OF ACTIVITY Self With Assistance Passive SPEECH: Clear Slurred Aphasic Garbled ORIENTATION: Person Place Time Confused Responds to Commands Responds to......

Words: 1431 - Pages: 6

Discussing an Event I Encountered with a Client.

...This essay is aimed at the discussing an interaction or event I encountered with a client in my work practice in which demonstrated understanding of culture as an aspect of care delivery. The name of the patient will be fictional so as to protect issues of confidentiality as per the NMC code of practice 2008. Shiang et al (1998) cited in Mio and Iwamasa (2003) p.311 defined culture as a shared belief system, a set of values ,… symbols as well as preferred ways of behaving. Holland and Hogg (2010), p4 cited different definitions of culture and come in agreement that culture is an inherited or learned set of guidelines through which we come to know how to live in a social group or within society. Culture is the characteristics of a particular group of people, defined by everything from language, religion, cuisine, social habits. Whereas ………………………………….defines culture as highlights the important aspects of culture being …………………………. The interaction of this essay is about my approached to Ahmed (not real name) who from my observation was putting on a lot of weight than necessities nursing interventions to help him manage his weight in addition; Ahmed has always been a practising Muslim with a strict religious diet but due to deterioration in his mental state, he had abounded his Halal diet and started even consuming pork products: hence my intervention. It is important to help Muslim patients maintain a Halal diet; according to (Holland and Hogg 2010) if Halal meat......

Words: 833 - Pages: 4

Client Paper

...Client Paper Holly Regan BSHS/305 December 15, 2014 Cassidy Hawf Client Paper In order to be a proficient and efficient helper in all facets of the helping field of human services, the helper must first be diverse. Diverse individuals have an upper hand when it pertains to assisting client needs efficiently and their expertise in the proper helping skills to use for each range of problem. The range of problems client's encounter is addiction, homelessness, or mental illness. It is within these ranges of problems the helper must implement a variety of skills to assist the client on how to manage effectively or cope with such issues. When envisioning a client and the problems that can be attributed from the past, the present, and in the future, the helper needs to look at the whole person and not just the problems directly. “Problems for clients are rarely single issues, and the human service professional should approach each client with the expectation of more than one problem. In fact, one problem can cause, influence, or at the very least be related to other difficulties,” (Woodside & McClam, 2011). Range of Problems The range of problems that a client may face can be short-term or long-term. Short-term problems are issues such as being an unemployed or displaced worker, poor living environment, or spousal abuse can be resolved by implementing a plan that will affect each problem by creating a positive outcome. Long-term problems like addiction,......

Words: 1287 - Pages: 6

Client Paper

...Client Paper Tabatha Jones BSHS/305 11/22/2014 Ellen Biros Client Paper In this essay I will be explaining the range of problems facing human services clients today. In the human services field, we run across so many people that are down on their luck, have hit a rough patch, or are just having a hard time providing for themselves or others. It is our goal to take these clients in and take all the negative in life that they are facing and strategize, categorize, and solve whatever problems we are able to. Ultimately coming to us is the first step that they have taken to becoming self-sufficient again, whether they see that or not. And as a human services worker, you have to realize that each client coming in has their own unique needs and goals that they hope to get out of this newfound relationship, and it is our job to do whatever we can to meet these goals, even if it means referring the client elsewhere. Given all of this, I will be only briefly touching on some areas of issues that human services clients face. And to follow, I will explain some of the necessary skills that will help a human services worker progress in helping clients try and resolve these issues. Needs It is estimated that 671,000 people are homeless on any given night, and 1.2 to 2 million people experience homelessness during one year. The numbers of homeless increased in 2008 and 2009 reflecting the economic downturn (National......

Words: 997 - Pages: 4


...The first part of establishing a client-server network in the Home Hospice Care building would be establishing where the Access Points would be in the building for the WLAN, because the Windows 2008 server machine that is running Medical Manager is already set-up for the most part. Here is a diagram of the floor plan with the location of where the APs will be set-up. Each AP will be set-up with an omnidirectional antenna, with antenna gain features to ensure that signal is properly spread to all areas of the hospice through walls and other obstacles. I believe a wireless local area network is the best option. Next, the servers for the file managers and three-in-one printer, copier, and fax machine must be set-up. These servers will also be running on Windows 2008 standard. The file machine needs to be its own dedicated box, so that there is no extra delay for managers and employees when files need to be read, wrote, and managed. A print server set-up with one three-in-one machine would be the easiest to set-up and cost-effective as well. This would be beneficial to all employees and easy to set-up on each workstation. Windows 7 Professional edition would be the best idea for each workstation here at the company. Each workstation needs to have its own license purchased, but the benefits of having extended RAM capabilities is critical to the doctors/nurses here. Also, I think 6 notebook workstations would be a good standard for the doctors/nurses. They......

Words: 330 - Pages: 2


...progress and decide the next step of the event. We planned that each task must be deal with at least two members to insure the task could be achieved successfully. However, we faced the challenge that too many assignments we should finish during the prepare time. That led to our plan disorder in a period. Certainly, we solved this problem after adjust the task schedule. 3. Defining the event According to O' Toole(2012), the first part is defining the event including the brief and expectation, mission, aim and objectives. It conducive to understand the basic information to plan the next step better and to confirm the mission statement to set aims and objectives(Bowdin, 2011). If the purposes of the event cannot be presented clearly in the client brief, the event manager will require to interacts with the customers in order to clarify and explain it(Allen et al, 2011). However, the phase in EMBOK is start from Initiation. Initiation is determining all potential thoughts and identify which is the most suitable for meeting event objectives (Slivers & Nelson, 2009). In the initiation, the concept "may including site and data suggestions, possible sponsors and supporters, a draft budget, possible risks, required management for the event and event logistics"(Allen & O'Toole & Harris & McDonnell, 2011 p158). Because of IFS is a part of the annual international week, which have been held for many years. We got the relevant information from the post years,......

Words: 8038 - Pages: 33

Client Paper

...The range of problems that clients face every day are endless. These problems can range from the physical, emotional, mental, financial, or social. When it comes to helping clients there are many helping skills that can be useful in the process. Skills that are used would be client perspective of situations, embarrassment, reluctance to admit, perceptions of helpers, cultural factors, cost of services, transportation, time, and fear. Using helping skills are crucial in the helping process. The client’s perspective of the situation is very important in the helping process. Many clients may lack resources, skills, or even both to solve their problems. Clients and helpers may disagree about client’s situations. Clients that recognize the existence of problems are not guaranteed to seek help. Clients who consider their problems too difficult to solve, too overwhelming, or too embarrassing to admit are less likely to seek professional help. Often clients perceive seeking help as a burden or waste of time. The nature of problems in living involves a reluctance to admitting to having problems. Men are less likely to seek help because they are socialized to solve problems on their own. When it comes to the perception of human services professionals, helpers are viewed as strangers and experts. This requires individuals to talk about personal matters with someone unknown to them. A “stranger” evokes distrust and suspicion in our society. Fears of the stranger and expert are......

Words: 523 - Pages: 3

Resistant Client

...Hus 2302 A resistant client is a patient of professional psychological counseling who present a defiant or unwilling attitude in response to therapeutic assistance. A client may avoid counseling attempts for various reasons including a fear of intimacy or revelation, an unwillingness to face personal truths, a lack of interest in counseling. The ambivalence of reluctant clients to engage in the helping relationship can negatively affect the counseling, the need to block anxiety inducing awareness from the conscious mind. A tendency toward self destruction or low self-esteem. Other clients may be reluctant because of past experiences with counselors and agencies. These experiences may have been positive, and now the client is hesitant about starting over, negative, or even damaging. Perhaps too little resistance may be indicative of lack of progress. Handle issues of resistance systematically for the client’s own well-being process and outcome. The first step for the helper is to explore the reason for reluctance. Many people from different groups have an ingrained self-protective mistrust of white-controlled institution. Reluctance may also emanate from shame, embarrassment, or fear of exposure of secrets such as substance abuse or physical abuse. Many people fear the counselor’s indirect or direct judgment. For example a gay or lesbian couple may be uncomfortable sharing with a heterosexual helper their concerns about having a child together. Some people may be......

Words: 358 - Pages: 2