Sample nursing diagnosis care plans. Nursing Care Plans for Pneumonia 2022-10-27
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A nursing diagnosis care plan is an important tool for a nurse to use when caring for a patient. It helps the nurse to identify the patient's health problems and to develop a plan of care to address those problems. A nursing diagnosis care plan consists of several components, including the nursing diagnosis, the patient's goals and expected outcomes, the nursing interventions that will be implemented to achieve those goals, and the evaluation methods that will be used to assess the effectiveness of the plan.
One example of a nursing diagnosis care plan is for a patient who is experiencing chronic pain. The nursing diagnosis for this patient might be "pain, chronic," and the patient's goals might include reducing the intensity and frequency of the pain, improving their ability to perform daily activities, and increasing their overall sense of well-being. To achieve these goals, the nurse might recommend a variety of interventions, such as medication management, physical therapy, and relaxation techniques. The nurse might also suggest that the patient keep a pain diary to track their pain levels and any factors that might be contributing to the pain.
Another example of a nursing diagnosis care plan is for a patient who is experiencing difficulty with mobility. The nursing diagnosis for this patient might be "impaired physical mobility," and the patient's goals might include improving their ability to move around and perform activities of daily living, such as bathing and dressing. To achieve these goals, the nurse might recommend physical therapy, assistive devices, and a structured exercise program. The nurse might also suggest that the patient work with a physical therapist to develop a home exercise program to continue their progress after they leave the hospital or nursing facility.
It is important to note that nursing diagnosis care plans are not set in stone and may need to be modified as the patient's condition changes or as new information becomes available. The nurse should regularly assess the patient's progress and make any necessary adjustments to the care plan to ensure that the patient's goals are being met.
In conclusion, nursing diagnosis care plans are an important tool for nurses to use when caring for patients. They help to identify the patient's health problems, set goals and expected outcomes, and implement interventions to address those problems. By regularly reviewing and adjusting the care plan as needed, the nurse can ensure that the patient is receiving the best possible care and working towards their desired outcomes.
Fracture Nursing Care Plans: 11 Nursing Diagnosis
Alternate periods of physical activity with rest and sleep. Secure a bed board under the mattress or place the patient on the orthopedic bed. Assist in the treatment of the underlying disease. Stress can cause a wide range of behavioral and physiological responses, which can indicate how difficult it is to cope. Nursing Care Plan for Diabetes 12 Risk for Risk-Prone Behavior Nursing Diagnosis: Risk for Risk-Prone Behavior related to negative self, poor comprehension several stress factors, lack of social support and negative perceptions about healthcare secondary to diabetes mellitus. Includes detailed nursing care plan guides for common nursing diagnostic labels. Planning and delivering individualized or patient-centered care is the basis for excellence in nursing practice.
Nursing Care Plan (NCP): Ultimate Guide and Database
For instance, skin integrity breakdown could occur in a patient with limited mobility. Refer to a dietitian. Recognize the risk factors for infection in patients with tracheostomy and intervene as follows: — Recognize the risk factors for infection in patients with tracheostomy and intervene as follows intervene as follows: Risk factors include the presence of underlying lung disease or other serious illness, increased colonization of the oropharynx or trachea by aerobic gram-negative bacteria, increased access of bacteria to the lower respiratory tract, and cross-contamination caused by manipulation of the tracheostomy cannula. Normally, when the blood glucose level goes down, the insulin production is also slowed down in the pancreas. It provides an opportunity for timely treatment and prevention of infection. To facilitate the body in cooling down and to provide comfort. That the care planned will meet and achieve the goal set.
Teach those present deep breathing exercises and effective coughing techniques. Encourage the patient to avoid or reduce the intake of urinary irritants such as colas, alcohol, tea, and coffee. Hildegard was also one of the first nurses to do scholarly work since Florence Nightingale. Short Term and Long Term Goals Goals and expected outcomes must be measurable and client-centered. For example, if a goal is for the patient to seek counseling for alcohol dependency during the hospitalization but the patient is currently detoxing and having mental distress - this might not be a realistic goal. Administer the prescribed antibiotic and anti-pyretic medications. Provide smoking cessation and counseling as indicated.
Disclosure: Included below are affiliate links from Amazon at no additional cost from you. Problem-focused diagnoses have three components. Adequate oral hydration results in more urine production leading to flushing of debris, small renal stones, and bacteria from the bladder once the urine is eliminated. Step 1: Assessment The first step in writing an organized care plan includes gathering subjective and objective data. Please feel free to edit, modify, and share the template. Diabetic patients suffer from slow wound healing.
Allow the patient to verbalize feelings and advise the patient that it is normal to feel and react that way. Indicates an objective to be completed over a longer period, usually over weeks or months. Determine if the patient and the significant other have changed in their relationship. Nursing References Ackley, B. We may earn a small commission from your purchase.
To perform appropriate wound care and aid in the healing process against the infection that has triggered the fever. Archives of disease in childhood, 98 9 , 721-724. Collect blood samples for renal function tests. Exercise decreases the blood glucose level as the demand for glucose energy in the cells increases with physical activity. With proper use of the nursing process, a patient can benefit from various nursing interventions to eliminate fever and promote client comfort and well being. An optimal amount of traction weight is maintained.
25+ Nursing Care Plan Examples [+ NANDA Outline & How
Discuss with the patient the importance of identifying how the patient handled the problems in the past and determine how the patient became in control of the situation. Explain to the patient the importance of washing the feet with lukewarm water and mild soap on a daily basis. Patients who cannot afford treatments may not adhere, worsening outcomes. In this blog post, we will explore different ways in which medical practitioners can diagnose activity intolerance and provide appropriate intervention measures accordingly, as a way to guide you, the nursing student… This blog post will provide a detailed overview of nursing interventions and care plans for anxiety. Asepsis in wound care will prevent further contamination of wounds.
Consider the use of a bedside lamp that is turned on at night. Apply distraction methods during procedures that may cause fear to the patient. Deliver oxygen with humidity as prescribed. When creating a nursing care plan, it is essential to make sure that they are well organized and easy to follow. Gastric acid aspiration the most common route , causing toxic injury to the lung, obstructions foreign body or fluids , andinfections rare. Identify causes of misunderstanding about wound care.
Explain the need to reduce sedentary activities such as watching television and using social media in long periods. Peplau was born on September 1, 1909. Secure and wrap knots with adhesive tape. It has over 100 care plans for different nursing topics. Provide the patient a thorough explanation of the desired information and avoid giving more than what the patient can manage. They are just as beneficial to nurses as they are to patients.
With proper use of the nursing process, a patient can benefit from various nursing interventions to assess, monitor, and manage diabetes and promote client safety and wellbeing. Review hospital protocols regarding transferring a patient. Distraction is utilized to divert focus away from a feared treatment and toward an enjoyable experience. Below are 5 nursing care plans that a nurse can consider in the care of a patient who has hyperthermia. Abdominal distention may be caused by ingestion of air or reflect the influence of bacterial toxins in the gastrointestinal GI tract. National Center for Biotechnology Information. Step 7: Providing Rationale Rationales, also known as scientific explanations, explain why the nursing intervention was chosen for theNCP.