Nursing Care PlanCLIENCIAL IMAGETM. GB is a 78 year old white male admitted to the Bay Pines VAMC on 06/18/96. for “atypical chest pain and hemoptysis”. VS BP 114/51, P 84, R 24, T 97.4. He seems alert and oriented x3 and happy. Bowel sounds present x 4. Pt. has a red area on his coccyx. Silvadene treatments have been started. Pt. Has a fungal lung infection with a suction pleural drainage tube inserted into his chest. Pt is extremely thin with poor skin turgor with a diagnosis of cachexia (wasting) secondary to malnutrition and infection. The patient is not allergic to medications, but is allergic to aerosol disinfectants and dust. Advanced instructions on the file. DNR code status. Attending physician Dr. R, Thoracic surgeon Dr. L. Psychology Dr.W. There are physiotherapy, occupational therapy and infectious disease consultations if necessary. He lives with his wife to whom he has been married for 56 years. His son and daughter come to visit him. He doesn't smoke. He wears dentures but didn't bring them. He does not use a hearing aid but he suffers from hearing loss.Pt. is able to perform all ADLs with limited assistance. He wants to get better and leave the HSP. Pt. He said “90 days is too long to be here.” Pt. states that he is concerned about maintaining his tube site when he gets home and doesn't think his wife can do it for him. Diet: puree, high in protein, low in fat, anti-dumping with number of calories (all meals) and drink supplements between meals at 79 cc/h 12h 24h/24 via the PICCDIAGNOSTIC MEDICAL line: Empyema, Hemoptysis, Necrotizing pneumonia, Aspergillosis (Aspergillus fumigatus) cachexia secondary to malnutrition/infection, hypothyroidism, type II diabetes mellitus and...... middle of document ......trol. The home health aide/registered nurse needs to understand this after discharge. OUTCOME/GOAL STATEMENT: Short term: Patient will verbalize feelings of concern regarding remaining at home with SO prior to discharge. Long term: (after discharge) Pt will work with home health care provider to relieve frustration and prevent further depression. Bibliography: REFERENCES: Brunner, LS and Suddarth, D. S Textbook. of Medical-Surgical Nursing, 1988 6th ed. JB Lippincott Company, Philadelphia Doenges, ME & Moorhouse, MF Nursing Care Plans 3rd ed. 1993 FA Davis Company, Philadelphia Fischbach, Frances, A Manual of Laboratory & Diagnostic Tests, 4th ed., JB Lippincott Company, Philadelphia Lewis, SM & Collier, IC Medical Surgical Nursing, 4th ed. Mosby Company, St. Louis.Mosby Company. Folio Bound Drug Views 1994 St. Louis