Mind Map Of Nursing Care Plan

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
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