Develop a nursing care plan that includes all phases of the nursing process for patients receiving biologic response–modifying drugs and for those receiving antirheumatic drugs.

Understanding Health Insurance: A Guide to Billing and Reimbursement
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Publisher:GREEN
Chapter7: Cpt Coding
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Develop a nursing care plan that includes all phases of the nursing process for patients receiving biologic response–modifying drugs and for those receiving antirheumatic drugs.

Expert Solution
Step 1

Provide communication among nurses, their patients, and other healthcare providers to achieve health care outcomes. It also a formal process that includes correctly identifying existing needs, and recognizing potential needs or risks.

Step 2

Assessment

Nursing diagnosis

Objective

Planning

Rationale

Implementation

Evaluation

Subjective data

The patient says that" I am getting pain over joints,   feeling weakness and joint stiffness in the morning time"

Objective data

Joint swelling, pain scale score 8 out of 10

Pain-related to joint inflammation secondary to rheumatoid arthritis as evidenced by pain scale score

Patient get relief from pain and pain scale score become 0 out of 10

Assess patient vital signs and ask the patient to rate pain from 0 to 10 and describe pain patient experiencing

 

Reposition the patient in his/ her comfortable position

Encourage pursed-lip breathing and deep breathing exercise

Administer analgesics for rheumatoid arthritis

Ask the patient to re-rate pain 30 minutes after administering analgesics

To create a baseline set of observations for patient

 

 

To promote patient comfort

 

To get relief from pain and slow down inflammation

To get relief from anxiety and restlessness

 

To assess the effectiveness of treatment

Checked vital signs, it shows temperature and pulse rate increased, pain score shows 8 out of 10

 

 

 

Positioned the patient in a comfortable position as a side-lying position

The patient did pursed-lip breathing and deep breathing exercise

Administered non-steroidal anti-inflammatory drugs

 

 

 

Patient re-rate as reduced pain and it shows pain scale score of 3 out of 10

 

The patient got relief from pain and now showing a pain scale score of 0 out of 10

 

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