ASSIGNMENT HELP | This assessment requires you to choose one (1) priority problem impacting both of the two (2) cases.

The instructions: This assessment requires you to choose one (1) priority problem impacting both of the two (2) cases. Then by applying your knowledge of evidence-based nursing practice and following the steps below demonstrate your understanding as to how to plan and evaluate person centered care for each person in the case studies.

References must use in 2014 to now


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Evidence-based approaches provide an avenue through which reliable healthcare interventions are provided for specific healthcare concerns. EBP helps nurses to use the available research findings to come up with an effective plan of care for the patient’s | PLACE YOUR ORDER NOW AT | aims at exploring the role of EBP in building on assessment data to provide effective interventions for patients whose case is presented in two case studies.

Selecting the Priority Problem

From the assessment of the patient’s conditions, the selected priority problem is impaired hydration.

Assessment Data

There is significant evidence which shows that the two patients are both experiencing impaired | PLACE YOUR ORDER NOW AT | Henry has been admitted to the emergence care setting with difficulty in swallowing which according to the mother could be as a result of sore | PLACE YOUR ORDER NOW AT | old baby could be experiencing pain when swallowing, the pain should not be taken as a priority as such (Valdés & Tewfik, pg. 212). What should be of focus is the inability of the child to properly breastfeed and drink fluids hence deriving him of fluids in the body. The impaired hydration can as well be evidenced by increased lethargy which makes the patient to feel sluggish and fatigued. According to Cooke, (pg 367), dehydration results in a person feeling tired even when they have had | PLACE YOUR ORDER NOW AT | also shows that the mucus membrane is pale with the fontanelle sunken slightly and the bladder is also not palpable. These are symptoms of dehydration.

The assessment data reported for Gerald also shows that the elderly patient is experiencing impaired hydration and therefore it needs to be prioritized. For instance, the situation description shows that Gerald has had a two-day history of painful ribs as a result of | PLACE YOUR ORDER NOW AT | been drinking or eating and has increasingly been feeling drowsy. There is also no palpable bladder and the skin turgor is greater | PLACE YOUR ORDER NOW AT | are all late signs of the patient having impaired | PLACE YOUR ORDER NOW AT | dehydration is one of the risky concerns in patients of all ages, ensuring that the two patients have access to enough fluids should be a priority.

While presenting the assessment data for each case, the similarities to consider include the skin appearance of both clients, the palpability of the bladder and the physical appearance of the | PLACE YOUR ORDER NOW AT | appear active or drowsy? On the other hand, the differences include considering the frequency of fluid intake and r | PLACE YOUR ORDER NOW AT | expected that the frequency of fluid intake should be higher than that of the elderly patient. The drowsiness in the two patients is as a result of dehydration | PLACE YOUR ORDER NOW AT | results in drop in blood pressure and hence poor blood circulation to the brain.

Goal Development using SMART Approach

Goal: Henry will report increased breast | PLACE YOUR ORDER NOW AT | and intake of fluids from the current situation to breast feeding four times a week and taking in water and other fluids at least | PLACE YOUR ORDER NOW AT | will be expected that the patient drinks at least a liter of water/ any other healthy fluids for every | PLACE YOUR ORDER NOW AT | can be summarized in the SMART format as shown below.

Specific: Intake of milk and/or other fluids has increased

Measurable: Increase the rate of breast feeding from the current 50mls of water and six short breast feeds to at least 200mls of water and 4 times of breast feeding for Henry. For Gerald, the goal is to increase the rate of water and food intake from the current zero state to at least 1 liter of water for every 24 hours.

Achievable: Milk and water intake is possible especially with the help of a nutritionist in the plan of care. These fluids can be digested easily and hence both newborns and the elderly can feel hungry faster. Water or milk intake will help the two clients to be active with a better skin.

Realistic: Fluids are recommended as they can help to reduce dehydration in patients. Prolonged dehydration like the one reported in these case studies can make it hard for one to take in enough fluids with the aim of replacing the lost water. Timely: Ensuring that the infant breastfeeds and the elderly patients consume enough water/fluids will help the patients to gain energy to fight off…


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