WHAT YOU SAY AND WHAT STUDENT SAYS BACK TO YOU WHAT YOU DO/WHAT STUDENT DOES WHAT YOU SAY AND WHAT STUDENT SAYS BACK TO YOU WHAT YOU SAY AND WHAT STUDENT SAYS BACK TO YOU
Skills to be taught, equipment, objectives, delegation, safety concerns, safety nursing dx., evidenced based practice CLINICAL MANIFESTATIONS INDICATING NEED FOR SKILL
SKILLS TO COMPLETE SKILL
UNEXPECTED OUTCOMES AND WHAT TO DO ABOUT THEM
“The spleen plays multiple supporting roles in the body. It acts as a filter for blood as part of the immune system. Old red blood cells are recycled in the spleen, and platelets and white blood cells are stored there. The spleen also helps fight certain kinds of bacteria that cause pneumonia and meningitis (The Spleen (Human Anatomy): Picture, Location, Function, and Related Conditions", 2010)”
Student will be able to identify and demonstrate how to perform a spleen assessment.
Spleen assessment can not be
delegated to unlicensed assistive personnel.
If the proper assessment is not performed, an enlarged spleen may be missed diagnosis or the underlying disorder may not be discovered.
Safety Nsg Dx:
Risk for infection as it relates to the immune system being compromised as evidence by low white blood count.
Evidenced Based Practice:
Pain in the abdomen is one of the highest reason a patient visits the emergency room “(An Evidence-Based Approach to Abdominal Disorders, 2004).”
Client is complaining of abdominal discomfort.
Client is experiencing swelling on lower left side...
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...of the patient’s spleen.
An Evidence-Based Approach to Abdominal Disorders. (2004, August). Retrieved November 23, 2013, from http://www.researchandmarkets.com/reports/1946705/an_evidencebased_approach_to_abdominal_disorders
Dillon, P. M. (2007). Nursing health assessment: Clinical pocket guide (2nd ed.). Philadelphia: F.A. Davis Co.
Gulanick, M., & Myers, J. L. (2011). Nursing care plans: Diagnosis, interventions, and outcomes (7th ed.). St. Louis, Mo: Elsevier Mosby.
Smith, S. F., Duell, D., & Martin, B. (2008). Clinical nursing skills: Basic to advanced skills (8th ed.). Upper Saddle River, N.J: Pearson Prentice Hall.
The Spleen (Human Anatomy): Picture, Location, Function, and Related Conditions. (2010, April 29). WebMD Retrieved November 22, 2013, from http://www.webmd.com/digestive-disorders/picture-of-the-spleen