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CARE PLAN FOR SELF-EVALUATION 1 After the conversation with the patient's mother raised my care problems coincided with the patient's spondylitis mother issues raised. 2 The most important patient care problems had difficulty breathing spondylitis through the nose and dry cough. 3 The most important problem I found difficulty breathing through the nose, because the patient felt discomfort, constantly runny nose and it was also a sleep disorder that adversely affects spondylitis the pace of recovery is why this problem consider the most important. 4 The designated care problems based on the patient's course of visible symptoms were associated with the disease. 5 of these goals could be achieved, as they were realistic and enforceable. 6 Man with the patient and his mother on the first day developed friendly relations, spondylitis which have a positive impact on the course of care. 7 The information obtained care plan generation was enough, because I tried to find out everything you need, what I need care plan for forming. 8 The patient and his mother care for my work assessed positively and actively involved. 9 care during the patient's ability to achieve good results, so that the patient's spondylitis mother's subjective evaluation of the results were positive. 10 Care-time measures planned side-effects were observed. 11 If I should re-start the patient's care, but in other circumstances, I would change the care plan to the new conditions if need be. ...
Examination of a patient 1.Before conversation with the patient first conversation with the patient's mother was held on 9 May 2013, fixed the date of accession. The conversation took place day hospital ward. Since the patient spondylitis and her mother were in the House alone, talk was pretty easy. Mother was a friendly and willingly answered questions. The answers were quite clear and convincing. The mother complained that the child now has a runny nose and cough, but not temperature. During the discussion, I observed spondylitis that the child often coughs. The child was quite restless, tearful. Mother told me that a month ago, a child was sick with pneumonia and treated in the hospital. Inpatient got planned. 2.Pašreizējās disease history Disease began pakāpeniski.Pirmie symptoms appeared May 6, then the appearance of a slight cough and runny nose. The child was still active, but had a poor appetite. Patient tormented dry cough especially in the mornings and evenings. Cough mother gave the child Brontex syrup for runny nose drops Xymelin. Diagnosis installed 3 days after symptoms appear. 3.Iepriekšējās health history before the pārslimoja infectious mononucleosis. spondylitis A month ago, suffered from pneimoniju.Pneimoniju spondylitis treated with antibiotics. Bed compliance with the regime. Pneumonia manifested by cough, fever up to 390 degrees, had vomiting, weakness. After the mother's words a child has been vaccinated according to age. The second day of life tuberculosis vaccine. 2, 4, 6, month of life combined vaccine against diphtheria, tetanus, whooping cough (pertussis component acellular), polio, spondylitis Haemophilus influenzae type b and hepatitis B infection. Within 12 months of first combined vaccine booster dose administered. Injuries occurred. Surgery, blood transfusions, the bleeding was not.
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