NURS FPX 6610 Assessment 1 Comprehensive Needs Assessment 

Nursing Diagnosis and Care Plan for Mrs. Snyder

Patient Information

Patient Identifier: 6700891

Medical Diagnosis: Poorly controlled anxiety, obesity, hypertension (HTN), diabetes mellitus (DM), and hypercholesterolemia

First Nursing Diagnosis: Ineffective Health Management Related to Poor Diabetes Education

Assessment Data

Snyder, a 56-year-old wedded mother of two, is presently witnessing treatment for hyperglycemia and uncontrolled diabetes. She was admitted to the emergency department with blood sugar situations ranging between 230 and 389 mg/dL, passing symptoms analogous to dyspnea, lower abdominal discomfort, malaise, and frequent urination. Also, she has hypertension and follows an unhealthy salutary pattern, constantly consuming babes.

Goals and Outcomes

• thing 1 Within one month, Mrs. Snyder’s blood sugar and blood pressure situations will stabilize. 
• Thing 2: Over three months, Mrs. Snyder will report advancements in her eating habits and overall health (Ramzan et al., 2022). 

Nursing Interventions

• Education on tone—Care operation gives guidance on life variations, including salutary acclimations, physical exertion, and healthy sleep patterns (USC, 2018). 
• Goal of Diabetes tone-monitoring Educate Mrs. Snyder on how to check her blood glucose daily and track her food input to enhance diabetes operation (Carolina, 2019). 
• Insulin Administration Education ensures Mrs. Snyder understands the proper ways for insulin administration to maintain optimal blood glucose control. 

Rationale

Tone-care education equips cases with the knowledge necessary to manage diabetes effectively, promoting adherence to medicine and life changes. Bettered tone operation leads to better collaboration between the case and the healthcare team (Heart, 2021). 

Outcome Evaluation and Re-planning

Snyder’s care team will routinely review her glucose logs to assess the effectiveness of her treatment plan. Predicated on her progress, acclimations may be made to her salutary plan and insulin use to achieve better glycemic control. 

Second Nursing Diagnosis: Anxiety Exacerbated by Domestic and Caregiving Responsibilities

Assessment Data

Snyder reports feeling overwhelmed and anxious due to the stress of managing ménage arrears, minding for her ill man, and conflicts with her son. She has a history of irregular anxiolytic use and presents with high blood pressure and tachycardia. Also, she’s responsible for handling all financial and family matters, further contributing to her stress and anxiety. 

Goals and Outcomes

• thing 1 Within one month, Mrs. Snyder’s blood pressure will stabilize at 130/90 mmHg, and her heart rate will return to the normal range of 60-100 bpm. 
• thing 2 Mrs. Snyder’s anxiety will improve through comforting and harmonious medicine adherence (Pegg et al., 2022). 

Nursing Interventions

• Pharmacological operation Administer anxiolytics as specified to palliate anxiety symptoms. 
• Cognitive Behavioral remedy (CBT) Arrange daily comforting sessions to help Mrs. Snyder develop managing mechanisms (Pegg et al., 2022). 
• Support Group Referral Connect Mrs. Snyder with a support group within her Jewish community to explore mindfulness and spiritual healing antidotes. 

Rationale

A combination of pharmacological treatment and non-pharmacological antidotes, such as CBT, has been proven effective in reducing anxiety. This holistic approach also helps regulate blood pressure and heart rate, perfecting overall well-being (Ströhle et al., 2018). 

Outcome Evaluation and Re-planning

Snyder’s response to remedy and medicine will be covered daily. Acclimations to her care plan may be made predicated on her progress and continued conditions for stress operation and emotional support. 

Third Nursing Diagnosis: Psychosocial Distress Related to Ovarian Cancer and Caregiving Burden

Assessment Data

Snyder expresses fear of witnessing chemotherapy and anxieties about her capability to watch for her elderly ma. She experiences abdominal pain, briefness of breath, and reduced oxygen saturation situations upon exertion. 

Goals and Outcomes

• thing 1 Within 15 days, Mrs. Snyder will secure a care installation for her man, allowing her to prioritize her own health. 
• Thing 2: Over three months, her physical stamina and oxygen situation will improve. 

Nursing Interventions 

Nursing Interventions

• Social Work Referral helps Mrs. Snyder in finding an applicable care placement for her mom to palliate her caregiving burden. 
• Routine Pain Assessment Conduct pain assessments three times daily to cover treatment effectiveness. 
• Non-Pharmacological Pain Management Educate Mrs. Snyder on necessary pain relief strategies analogous to contemplation and yoga (Sheikhalipour et al., 2019). 

Rationale

Furnishing applicable care results for Mrs. Snyder’s ma will reduce her stress and enable her to concentrate on her own health. – Pharmacological interventions have been shown to effectively manage cancer-related pain, promoting both physical and emotional well-being (Hoyt, 2022). 

Outcome Evaluation and Re-planning

Snyder’s pain situations will be nearly covered, and her care plan will be shaped as demanded. Once her ma is placed in a care installation, she will be suitable to shift her focus toward her cancer treatment and overall well-being. 

NURS FPX 6610 Assessment 1: Comprehensive Needs Assessment

Pegg, S., Hill, K., Argiros, A., Olatunji, B. O., & Kujawa, A. (2022). Cognitive behavioral remedy for anxiety diseases in youth efficacy, chairpersons, and new advances in prognosticating issues. Current Psychiatry Reports, 24(12). https://doi.org/10.1007/s11920-022-01384-7

USC (2018). What does “tone care” mean for diabetic cases? University of Southern California Nursing.