This is a Mind Map Of Nursing Care Plan. A nursing care plan's objective is to describe the patient's needs and desires, as well as the nursing interventions (or implementations) that will be used to address those needs. The care plan is used to establish continuity of care as part of the patient's health record. You can see more mind map templates that shows everything people want to express in EdrawMind's community.
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Outline
Patient Care Plan M.S.
Patient Data Set
72 Year Old
Female
White Woman
Past Medical History
CHRONIC HEALTH HISTORY
Smoker since 17 years old
Smokes 1-2 packs of cigarettes per day
Last lab work done 11 years ago
Menopause at 47 years old
Not taking hormone replacement therapy
FAMILY HISTORY
Mother and grandmother has history of osteoporosis in early 50s
Medication List
Ibuprofen
Risk Factors
SMOKING
55 years
POOR DIET
LACK OF EXERCISE
Does not have energy to exercise
Current History
DATE OF ADMISSION
05/26/2022
HISTORY OF PRESENT ILLNESS
Began 3 weeks ago when getting out of bed
CHIEF COMPLAINT
Pain in upper back
Sharp and knifelike
6/10 on pain scale
decreases to 3-4/10 on pain scale after taking ibuprofen
Assessment
Moderate tenderness to deep palpation over the spinous process at T7
No massess or tenderness to tissue surrounding affective area
No visible masses, skin changes, or erythema
Neurological exam intatc
No muscle wasting
Mind Map Of Nursing Care Plan
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Patient Care Plan M.S.
Patient Data Set
Past Medical History
Medication List
Risk Factors
Current History
Assessment
72 Year Old
Female
CHRONIC HEALTH HISTORY
FAMILY HISTORY
Ibuprofen
SMOKING
POOR DIET
DATE OF ADMISSION
HISTORY OF PRESENT ILLNESS
CHIEF COMPLAINT
Moderate tenderness to deep palpation over the spinous process at T7
White Woman
Smoker since 17 years old
Smokes 1-2 packs of cigarettes per day
Last lab work done 11 years ago
Menopause at 47 years old
Mother and grandmother has history of osteoporosis in early 50s
Pain in upper back
LACK OF EXERCISE
Began 3 weeks ago when getting out of bed
Sharp and knifelike
6/10 on pain scale
decreases to 3-4/10 on pain scale after taking ibuprofen
05/26/2022
55 years
Does not have energy to exercise
Not taking hormone replacement therapy
No massess or tenderness to tissue surrounding affective area
No visible masses, skin changes, or erythema
Neurological exam intatc
No muscle wasting
Patient Care Plan M.S.
Patient Data Set
72 Year Old
Female
White Woman
Past Medical History
CHRONIC HEALTH HISTORY
Smoker since 17 years old
Smokes 1-2 packs of cigarettes per day
Last lab work done 11 years ago
Menopause at 47 years old
Not taking hormone replacement therapy
FAMILY HISTORY
Mother and grandmother has history of osteoporosis in early 50s
Medication List
Ibuprofen
Risk Factors
SMOKING
55 years
POOR DIET
LACK OF EXERCISE
Does not have energy to exercise
Current History
DATE OF ADMISSION
05/26/2022
HISTORY OF PRESENT ILLNESS
Began 3 weeks ago when getting out of bed
CHIEF COMPLAINT
Pain in upper back
Sharp and knifelike
6/10 on pain scale
decreases to 3-4/10 on pain scale after taking ibuprofen
Assessment
Moderate tenderness to deep palpation over the spinous process at T7
No massess or tenderness to tissue surrounding affective area
No visible masses, skin changes, or erythema
Neurological exam intatc
No muscle wasting
Mind Map
Outline
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This work was published by EdrawMind user Makayla LaMarsh and does not
represent the position of Edraw Software.