Postingan

Menampilkan postingan dari Maret, 2009

Nursing care plans NANDA Nursing Diagnosis: Disturbed Sensory perception

NANDA Nursing Diagnosis Definition: Change in the amount or patterning of incoming stimuli accompanied by a diminished, exaggerated, distorted, or impaired response to such stimuli Defining Characteristics: Poor concentration, auditory distortions, change in usual response to stimuli, restlessness, reported or measured change in sensory acuity, irritability, disoriented in time, in place, or with people; change in problem-solving abilities; change in behavior pattern; altered communication patterns; hallucinations; visual distortions NOC Outcomes Body Image Cognitive Orientation Sensory Function: Vision Vision Compensation Behavior Cognitive Orientation Communication: Receptive Ability Distorted Thought Control Hearing Compensation Behavio Client Outcomes Demonstrates understanding by a verbal, written, or signed response Demonstrates relaxed body movements and facial expressions Explains plan to modify lifestyle to accommodate visual or hearing impairment Remains free of physical har

Nursing care plans for Dermatophytosis (tinea)

Nursing care plans for Dermatophytosis Dermatophytosis (tinea) is a group of superficial fungal infections usually classified according to their anatomic location. Dermatophytosis may affect the scalp (tinea capitis), the bearded skin of the face (tinea barbae), the body (tinea corporis, occurring mainly in children), the groin (tinea cruris, or jock itch), the nails (tinea unguium, also called onychomycosis), and the feet (tinea pedis, or athlete's foot). These disorders vary from mild inflammations to acute vesicular reactions. Tinea infections are prevalent in the United States and are usually more common in males than in females. Although remissions and exacerbations are common, with effective treatment, the cure rate is very high. About 20% of infected people develop chronic conditions. Causes Tinea infections result from dermatophytes (fungi) of the genera Trichophyton, Microsporum, and Epidermophyton. Transmission can occur directly through contact with infected lesions or i

Nursing care plans for Disturbed Body Image

Nursing Diagnosis  : Disturbed Body Image Nursing care plans for Disturbed Body Image NANDA Definition: Confusion in mental picture of one's physical self Defining Characteristics: Nonverbal response to actual or perceived change in structure and or function, verbalization of feelings that reflect an altered view of one's body in appearance, structure, or function, erbalization of perceptions that reflect an altered view of one's body in appearance, structure, or function, behaviors of avoidance, monitoring, or acknowledgment of one's body Objective Missing body part; actual change in structure or function; avoidance of looking at or touching body part,  intentional or unintentional hiding or overexposure of body part; trauma to nonfunctioning part; change in social involvement, change in ability to estimate spatial relationship of body to environment Subjective Change in lifestyle, fear of rejection or reaction by others,  focus on past strength, function, or appeara

Nursing Care Plans for Diarrhea

Nursing Diagnosis: Diarrhea Nursing care plans for Diarrhea NANDA Definition: Passage of loose, unformed stools Defining Characteristics:  Hyperactive bowel sounds, at least three loose liquid stools per day, urgency, abdominal pain, cramping Related Factors: Psychological High stress levels and anxiety Situational Alcohol abuse,  toxins,  laxative abuse, radiation, tube feedings  , adverse effects of medications, contaminants, travel Physiological Inflammation, malabsorption, infectious processes, irritation, parasites NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels • Bowel Elimination • Electrolyte and Acid-Base Balance • Fluid Balance • Hydration • Treatment Behavior: Illness or Injury Client Outcomes • Defecates formed, soft stool every day to every third day • Maintains a rectal area free of irritation • States relief from cramping and less or no diarrhea • Explains cause of diarrhea and rationale for treatment • Maintains good skin turgor and weight

Nursing Care Plans for Deficient Knowledge

Nursing care plans with Nursing Diagnosis: Deficient Knowledge NANDA Diagnosis Definition: Absence or deficiency of cognitive information related to a specific topic Defining Characteristics: Verbalization of the problem; inaccurate follow-through of instruction; inaccurate performance of test; inappropriate or exaggerated behaviors (e.g., hysterical, hostile, agitated, apathetic) Related Factors: Lack of exposure; lack of recall; information misinterpretation; cognitive limitation; lack of interest in learning; unfamiliarity with information resources NOC Outcomes (Nursing Outcomes Classification) Suggested NOC Labels · Knowledge of: Diet · Disease Process · Energy Conservation · Health Behaviors · Health Resources · Infection Control · Medication · Personal Safety · Prescribed Activity · Substance Use Control · Treatment Procedures · Treatment Regimen Client Outcomes · Explains disease state, recognizes need for medications, understands treatments · Explains how to in