FORMULATE EXPECTED OUTCOMES FOR EACH NURSING NURSING DIAGNOSES

FORMULATE EXPECTED OUTCOMES FOR EACH NURSING NURSING DIAGNOSES

D.A. is a 45-year-old woman who has recently been diagnosed by a rheumatologist with stage 3 Lyme disease. She is angry that this disease was not correctly diagnosed several years ago when she first developed symptoms of fever, malaise, headaches, and generalized muscle and joint pain. She is the mother of two sons, ages 15 and 22. D.A. is employed as a first-grade school teacher. Her dedication to her school children has provided the motivation needed to maintain this job despite pain and fatigue. D.A. returns home exhausted, in pain, and unable to perform household duties. D.A.’s primary healthcare provider has prescribed diclofenac 75 mg bid to control her complaints of generalized myalgias and neuralgias. The patient now presents to the pain management outpatient clinic with complaints of burning, shooting pain in both feet that has been increasing in frequency and duration over the last 6 months. She also has generalized constant muscle and joint achiness. D.A. appears anxious and expresses concern over her lost functionality. She states that although her husband is fairly supportive, she hates herself for not being a better wife. You also notice D.A. periodically grimacing and clenching her hands. There is a nursing student observing in the pain clinic during D.A.’s visit.

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