NCP Nursing Diagnosis: Risk for Impaired Skin Integrity

Nursing Diagnosis: Risk for Impaired Skin IntegrityPressure Sores; Pressure Ulcers; Bed Sores; Decubitus CareNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Risk Control * Risk Detection * Tissue Integrity: Skin and Mucous MembranesNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Pressure Ulcer Prevention * Skin SurveillanceNANDA

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4 Nursing Diagnosis Interventions for Dengue Hemorrhagic Fever

Nursing Diagnosis and Interventions for Dengue Hemorrhagic Fever 1. Nursing Assessment Assess the patient’s medical history Assess the increase in body temperature, signs of bleeding, nausea, vomiting, no appetite, heartburn, muscle pain and signs of shock (rapid and weak pulse, hypotension, skin cold and moist, especially on the extremities, cyanosis, restlessness, decreased awareness). 2. Nursing Diagnosis for DHF – Dengue Hemorrhagic Fever Deficient Fluid Volume related to increased capillary permeability, bleeding, vomiting, and fever. Ineffective Peripheral Tissue Perfusion related to bleeding. Imbalanced Nutrition Less Than Body Requirements related to nausea, vomiting, no appetite. Hyperthermia related to the process of viral infection. 3. Nursing Interventions for DHF – Dengue Hemorrhagic Fever Goal: Show signs of liquid fulfillment Shows signs of adequate peripheral tissue perfusion Showed vital signs within normal limits The family suggests that adaptive coping 1. Defi...
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NCP Hirschsprung's Disease : Assessment, Nursing Diagnosis and Interventions

Nursing Care Plan for Hirschsprung's Disease Assessment of Hirschsprung's Disease 1. Activity / rest Symptoms: Malaise, changing patterns of rest / sleep associated with pain, limitations. 2. Ego Integrity Symptoms: Anxiety, fear, feelings of helplessness parents. 3. Elimination Symptoms: Constipation can be accompanied by diarrhea. Symptoms: Abdominal distension progressively, until the thin abdominal wall veins visible, peristaltic activity can be observed. 4. Food / fluid Symptoms: Anorexia, nausea, vomiting, weight loss. Signs: Decrease subcutan fat / muscle mass, weakness, a sign of malnutrition and growth failure. 5. Pain / comfort Symptoms: Abdominal pain. Signs: Facial expressions grimacing, moaning / crying, behavioral distraction, abdominal tenderness / distension. 6. Extension / learning Parent questions related to the disease, care and treatment of children. Patient's discharge plan: Requires assistance / demonstration how irrigation and colostomy care, the abil...
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Acute Pain - Nursing Care Plan for Cesarean Section

Nursing Diagnosis for Cesarean Section : Acute pain related to surgical trauma, anesthesia, hormonal effects, distended bladder / abdomen. Goal: Identify and use interventions to treat pain / discomfort appropriately. Reveal a reduction in pain. Relaxed able to sleep / rest. Intervention: 1. Determine the characteristics and location of discomfort. Pay attention to verbal and non-verbal cues such as grimacing, stiffness, and limited movement or protect. Rationale: The client may not be verbally reported pain and discomfort directly. Distinguish specific characteristics of pain and postoperative pain helps distinguish from complications. 2. Evaluation of blood pressure and pulse, note the change in behavior change. Rationale: Pain can cause restlessness and increased blood pressure and pulse. 3. Change the position of the client, reduce harmful stimuli, and give a back rub. Encourage the use of breathing techniques, relaxation and distraction. Rationale: muscle relaxes and distracts fr...
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