ISBAR plan of care for Tai Kam

Tai cam
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Table of Contents
REFERENCES................................................................................................................................4
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ISBAR plan of care
Identification
Patient name
Tai kam
Age/ Date of birth
70 years 31/1/19xx
Gender
male
Situation
The current situation Tai is that he is been diagnosed earlier from bengin prostatic hypertrophy for
prostatic cancer. Also, he is having allergy of malarone (neutropenia). Also, immunisation is weak
due to influenza and pneumococcal vaccine. Now, to cure prostate cancer he has to undergo
transurehial resection of prostate.
Background
Tai was born in Lahn Cam in vang tau in Vietnam. He suffered from malaria at age of 6 years old
since school child. His recovery was impacted for a long time period due to an allergy of
antimalarial medication. This forced him to remain on bed. There is fracture in left ankle when he
met with an accident with motor cycle. Also, there is chronic rhinitis and type 2 diabetes. He is
suffering from hypertension and ischaemic heart disease.
Assessment
Objective data
Patient medical history
Current progress report
Medical plan
Subjective data
Patient background
Report from previous doctors and nurse
Patient relatives
Problems
It has ben identified that there are many problems been faced by tai. As he has gained weight and
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