Documentation for Ostomy Maintenance
ADNG 1050 Foundations of Nursing Skills
Scenario:
Routine Ostomy Care for Postoperative Patient.
· Mary Johnson is a 63-year-old patient who was diagnosed with colorectal cancer. She is 5 days post op. Vital signs are Temp: 98.6°F, HR: 84 bpm, BP: 124/78, RR: 16, O2 Sat: 98% on RA
· You are assigned to care for Mary Johnson, a 63-year-old patient recovering from a recent colostomy surgery. She is alert and oriented, anxious about ostomy care, and states, “I don’t think I can do this myself when I go home.” Your responsibilities today include emptying the current pouch, assessing the stoma and peristomal skin, and changing the appliance using proper technique.
🗂️ Documentation
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To complete: Upload this document to your computer & fill it out electronically (directly into the assignment)
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To turn it in: Re-upload it to the correct file/drop box in D2L.
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1. Write a
DARP note including:
D: Data
A: Action
R: Response/Results
P: Plan
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2. Patient Education (Write as a Script) Keep short and to the point.
🔐 3. National Patient Safety Goal (NPSG) Choose 1 priority NPSG that is relevant to this scenario and tell us why in 1 paragraph.
NPSG Chosen:
Why It Matters:
📝 4. Nursing Diagnosis & Care Plan
✅ 3-Part Nursing Diagnosis:
🎯 5. SMART Goal:
Student SMART goal:
🩹 List:
·
2 Interventions to accomplish this goal
· Rationale for each intervention
· Evaluation for each intervention
1. Intervention:
· Rationale:
· Evaluation:
2. Intervention:
· Rationale:
· Evaluation:
🎥Video Review: