8/17/2019 Wk1_DesiredOutcomes_KCasey

1/4

8/17/2019 Wk1_DesiredOutcomes_KCasey

2/4

infection symptoms aeb her rashdecreasin in pain# redness# si;e#and pealin and the patientmaintainin a normal temperaturefor the duration of her hospital stay.

!. Patient will be free of pressureulcers for the duration of her hospitalstay.

!. ssess skin interity. 5ave patient alternate betweenworkin with P6 and O6 everyday.1?. 7at a well:balanced diet hih in

protein.

7valuation

%or the @rst desired outcome "patient will have improved kidney

function aeb a lowered BUN level from the previous day and a continued

normal creatinine level'# this was partially met because upon admission# the

patient,s BUN and creatinine levels were abnormally hih and on the day I

was carin for her# her creatinine level returned to normal and her BUN level

decreased from her initial admission level. Patient,s lab values will need to

continue to be monitored for further improvement or worsenin.

%or the second and third desired outcomes "patient will maintain a

normal blood pressure and temperature for the duration of her hospital stay'#

these outcomes were met on the day that I took care of her# but they are

only partially met for now because she is still oin to remain in the hospital

for at least several days more. %or each remainder day in the hospital# the

8/17/2019 Wk1_DesiredOutcomes_KCasey

3/4

patient,s vital sins# speci@cally her blood pressure# pulse# and temperature#

will need to continue to be monitored at least once a shift.

%or the fourth and @fth desired outcomes "patient will improve in her

mobility by bein able to walk down the full hallway and back to her room

and patient will show improvement in her D3s by bein able to feed herself

with minimal assistance from the sta4 before dischare'# these outcomes

were both not met by the end of my shift with her. )he was only able to walk

down half the hallway and the patient was not able to feed herself at all

without full assistance. 6he patient will need to continue to work with P6 and

if she was not seein O6 already# a referral would have needed to be made

for her to work with them as well to improve her strenth and independence.

%or the last two desired outcomes "patient will show a decrease in her

symptoms of infection and will be free of bed ulcers for the duration of her

hospital stay'# the @rst outcome was not met and the second outcome was

only partially met. %or the outcome of a decrease in her infection symptoms#

the patient,s symptoms remained the same from the previous day and her

rash was still very bad. 6he patient,s skin will need to continue to be

assessed daily and monitored for improvement or worsenin as evidenced by

what,s written in her assessments in her chart. %or the outcome of bein free

from bedsores# this was met on the day that I cared for my patient# but since

she was still oin to remain in the hospital# her buttocks area will need to

continue to be monitored durin every brief chane to see if this outcome is

fully met. Bedsore formation will be prevented by continuin to turn the

8/17/2019 Wk1_DesiredOutcomes_KCasey

4/4

patient every ! hours# performin fre0uent brief chanes after elimination#

and applyin skin barrier as well to the patient.

Dischare Plan