Before beginning, make sure you complete the assigned readings identified on the Readings and Materials page, including the QSEN web site competencies. Read Millie's story and listen to the audio monologue then complete nursing plan of care as listed below. See the rubric, which the scoring will be based upon. Millie Larsen Update Utilize Millie Larsen Case Study to develop a nursing plan of care that includes assessment information to formulate an ACTUAL priority patient problem for Millie with at least one goal using SMART Language (specific, measurable, attainable, realistic & timely). Then critically think about which nursing interventions would be appropriate to reach your chosen goal/outcome. The nursing interventions need to include an assessment, a physical intervention that the nurse would do, and a patient education or teaching intervention. You will then evaluate at the end by addressing what and how you would measure if you were able to meet your goal/outcome or would need to revise the plan of care. You will need to give some supporting evidence that you would see if the goal was met. Utilize the attached Module 7 Nursing Care Plan Form to complete all aspects of the nursing process for the nursing diagnosis that you chose to develop for Millie. You can see the grading Rubric for Module 7 Nursing Care Plan Form here to assist you. Your Ladwig resource will help you identify specific NANDA-I diagnoses that might apply to Millie Larsen. NUR104 Module 7 Nursing Plan of Care Form NUR104 Review of Millie's Story↓ Evaluation You will be evaluated using the NUR104 Module 7 Nursing Care Plan Rubric linked below. This is one type of assignment. All assignments combined total 40% of your course grade./nSUBJECTIVE DATA (Assessment) Click or tap here to enter text. OBJECTIVE DATA (Assessment) Click or tap here to enter text. ACTUAL PATIENT PROBLEM (PES Format- PROBLEM related to ETIOLOGY as manifested by SYMPTOMS or defining characteristics) Click or tap here to enter text. GOAL(S)/OUTCOME(S) (Include goals utilizing the SMART format: Specific, Measurable, Attainable, Realistic and Timely) Click or tap here to enter text. IMPLEMENTATION (Nursing/Collaborative Interventions/ Care Strategies - minimum 3 per goal/outcome) Click or tap here to enter text. RATIONALE FOR CARE INTERVENTIONS/ STRATEGIES (Explanation of how/why your interventions work to resolve the problem) Click or tap here to enter text. EVALUATION (Assess client to determine if they met the goal(s)/outcome(s) established. Provide evidence to support your evaluation. If goal(s)/outcome(s) were not met- what other interventions may be needed?) Click or tap here to enter text./n Continuation for Millie Larson Unfolding Case Study Millie has been hospitalized for several days now and has developed a fever of 102 F with some productive coughing and difficulty breathing. She is also complaining of some pleuritic chest pain when she tries to take a deep breath. Her respiratory rate has increased to 26 breaths per minute, and her heart rate is 60, blood pressure is 98/66 mm Hg, O2 saturation is 90% on 6 L/min oxygen via nasal cannula. When the nurse assessed Millie's lung sounds, she heard rhonchi and scattered crackles. A chest X-ray was obtained, and Millie is diagnosed with hospital-acquired pneumonia. A complete blood count was drawn, and the results show that Millie's white blood cell count is 22,000. New orders have been obtained from the provider, and Millie is to be transferred to a Special Care Unit (SCU) to monitor her condition more closely. New orders include: Obtain sputum specimen and blood cultures. Oxygen at 6-8 Liters high flow nasal cannula to keep 02 sat at or above 92% Normal saline intravenous solution at 100 mL/hr Ciprofloxacin (Cipro) 400 mg intravenous mini bag every 12 hours Acetaminophen 650 mg oral every 6 hours prn for fever greater than 101F Tramadol hydrochloride 50mg (oral) every 4-6 hours PRN for pain Albuterol respiratory nebulizer treatments q 4 hours and prn Respiratory monitoring per acute protocol Millie still has a Foley catheter in place, and her urinary tract infection has resolved, but the provider still wants to strictly monitor her intake and output. Millie is lethargic and appears very ill and still is not eating well or taking in oral fluids as the provider would like. Her intake has only been 300 mL IV fluids, 50 mL oral intake plus sips, and output of 200 mL clear yellow urine./n

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