Nanda Nursing Diagnosis

Nursing Assessment for Schizophrenia Symptomatology (Subjective and Objective Data) in clients with schizophrenia, delusions and disorders associated with psychosis obtained (Townsend, 1998; 148): Autism Is a situation which focuses on the inner (inner side). Someone may have created his own world. Words and certain events may have special meaning for the psychosis, the meaning of a symbolic nature that only understood by the individual. Emotional ambivalence The power of emotions, love, hate and fear produced many conflicts in a person. Every time there is a tendency to compensate for other people to emotional neutralization occurs and consequently the individual will experience a sense of apathy or indifference. Affect is not appropriate Affect flat, blunt and often not appropriate (eg patient laughed when told of the death of a parent). Losing associative This term describes the profound disorganization of thought and verbal language of the people who psychosis. Mind very quickly, a

Nursing Care Plan for Schizophrenia Nursing Diagnosis : Ineffective Individual Coping related to: Inability to trust others. Freaking Out. Sensitivity (vulnerability) someone. Low self-esteem. Examples of negative feelings. Pressing fear. Inadequate support systems. Ego less developed. Possibility heriditer factor. Family system dysfunction. Defining characteristics: Abnormalities in social participation. Inability to fulfill basic needs. The use of self-defense mechanism is not appropriate. Planning General purpose: The patient can use adaptive coping, as evidenced by a lack of compatibility between the interaction and the desire to participate in society. Specific purpose: The patient will develop a sense of trust in others, The patient is not easy to panic. The patient can control the fear and low self-esteem. Expected outcomes: The patient can assess the situation realistically passage and no action projection feelings in that environment. The patient can recognize and clarify the

There are several factors that affect the elimination of feces and urine. These factors, among others: 1. Age Age not only affect the elimination of feces and urine, but also affect the elimination of control itself. Children are still not able to control bowel movements or urination due to neuromuscular system is not well developed. The elderly will also experience a change in the elimination. Usually there is a decrease muscle torus, so peristaltic be slow. This causes difficulties in controlling the elimination of feces, so that the elderly are at risk of constipation. Similarly, the elimination of urine, decreased sphincter muscle control resulting in incontinence. 2 Diet Food is the main factor that affects the elimination of fecal and urine. Fiber foods are necessary for the formation of feces. Low-fiber foods cause a slow movement of the rest of the digestive be reached rectum, thereby increasing water absorption. This results in constipation. Eating regularly is very influentia

Maslow's hierarchy of needs can be the basis for the nurse to make a priority nursing diagnosis. Maslow's hierarchy of five levels are: Biological and Physiological needs. Safety needs. Love and belongingness needs. Esteem needs. Self-Actualization needs. Physiological needs is a top priority and must be met before the needs of the higher level. Example of Maslow's hierarchy of needs : 1. Biological and Physiological needs : Respiration (circulation, temperature),  Hydration (avoiding pain, break or mobilization),  Nutrition (elimination, skin care),  Sey. 2. Safety needs. Environment free from danger. Stable living conditions. Regulations and laws in society. Free from threats. Clothes. Protection of the. Free from infection. Free from fear. 3. Love and belongingness needs. Affection. Seyyuality. Affiliates in the group. Relationship friends, family, community. 4. Esteem needs. Get respect from colleagues. The development of a sense of competence. Feelings of self-respect

Nursing Interventions in Accordance with The Type of Nursing Diagnosis 1. Actual Nursing Diagnosis: Reduce or eliminate the factors that cause or are associated with the problem. Improving well-being for the better. Monitor the status. 2. Risk Nursing Diagnosis Reduce or eliminate the risk factors. Prevent the problem. Monitor events. 3. Possible Nursing Diagnosis: Collect additional data to confirm the diagnosis. Collaborative problem: Monitor the status change. Managing change in status with the provision of nursing and medical interventions. Evaluating the response. Nursing diagnosis can be solved or prevented by primary nursing intervention. Collaborative problem solved with nursing and medical interventions. For interventions nursing diagnoses, labels or related factors can use the diagnosis given to the client. Example: anxiety related to cancer diagnosis. Nursing interventions, the client will: Reduce anxiety: improved disclosure of feelings about cancer, cancer in the family du

Functional Urinary Incontinence (1986, 1998) according to Diagnosis NANDA, NIC NOC Interventions, Nursing A. Definition The inability of individuals who typically continent to reach the toilet in time to avoid unintentional urine output. B. Defining characteristics Being able to empty the bladder completely. The length of time needed to reach the toilet longer than the time between the felt urge to urinate and urinate uncontrollably. Passing urine before reaching the toilet. Possibility incontinence only in the morning. Feeling the urge to urinate. C. Related factors Changes in environmental factors. Impaired cognition. Visual impairment. Neuromuscular limitations. Psychological factors. Weakness. D. Suggestions Usage Nothing E. Alternative diagnoses suggested Urinary incontinence: overflow. Urinary incontinence: reflex. Urinary incontinence: stress. Urinary incontinence: the total. Urinary incontinence: urgency. Self-care deficit, elimination. Urinary elimination, interruption. Urina

Congenital heart disease is a heart defect or malformation that appears at birth, in addition, congenital heart disease is a disorder of the heart anatomy brought from conception until birth. The cause of congenital heart disease can not be known with certainty, but there are several factors that allegedly have an influence on CHD. These factors are: 1. Prenatal factors: Mothers suffering from infectious diseases: rubella. Mother's alcoholism. Maternal age over 40 years. Mothers suffering from diabetes mellitus who require insulin. Mothers taking sedative drugs or herbs. 2. Genetic factors Children born before suffering from CHD. Father / mother suffering from CHD. Chromosomal abnormalities eg Down syndrome. Born with other congenital abnormalities. Congenital heart disease can be divided into 2 major categories, namely: Group 1. acyanotic congenital heart disease, include: Atrial septal defect (ASD) Ventricular septal defect (VSD) Patent ductus arteriosus (PDA) Pulmonary stenosis

Adolescence is a developmental phase between childhood and adulthood, between the ages of 10 to 19 years. Adolescence is composed of early adolescence (10-14 years), middle adolescence (14-17 years) and late adolescence (17-19 years). In adolescence, a lot of good changes in the biological, psychological and social. But generally the physical maturation process occurs faster than the process of psychological maturation. A teenager can no longer be referred to as a child, but had not yet considered an adult, on the one hand want to be free and independent, free from the influence of parents, on the other hand is basically still need help support parents. Parents do not know or understand the changes that are not aware that their child has grown into a teenager. Parents become confused adolescent behavioral and emotional lability, so it is not uncommon conflict between them. Conditions is a stressor for adolescents, among others arise various physical complaints is not clear why, as well

Nursing Care Plan for Anthrax Anthrax is an infectious disease caused by Bacillus anthracis. The disease is a zoonosis particularly grazing animals such as sheep, goats, and cattle. Humans infected with this disease when endospores enter the body through skin abrasions or wounds, inhalation or contaminated food. Naturally humans can become infected if it comes in contact with anthrax-infected animals or animal products contaminated with anthrax germs. Although rare, transmission through insect bites can also occur. Aerosol spore dispersal through potential use in warfare and bioterrorism. Cutaneous anthrax is the most common infection, and is characterized by skin lesions localized with eschar (necrotic ulcers) non-pitting edema central surrounded. Inhalation anthrax is characterized by hemorrhagic mediastinitis, progressive systemic infection, and resulted in a high mortality rate. Gastrointestinal anthrax is rare and is associated with high mortality. 8 Nursing Diagnosis for Anthrax

Nursing Care Plan for Syncope Nursing Diagnosis : Ineffective Tissue Perfusion Syncope is one of the causes of loss of consciousness that are found in the emergency room (ER). Syncope is a transient loss of consciousness with acute onset followed by a fall, and with spontaneous recovery and perfect without any intervention. Syncope is a symptom of a disease that must be sought etiology. Definition of syncope (according to the European Society of Cardiology: ESC), is a characteristic clinical symptoms with loss of consciousness sudden and temporary, and usually lead to falls. Relatively rapid onset and recovery occurs spontaneously. The loss of consciousness caused by cerebral hypoperfusion. Activities before syncope can provide clues about the cause of the symptoms. Syncope can occur at rest, with changes in posture, the power, after a workout, or with certain situations such as coughing, or standing for long. Syncope occurs within 2 minutes of standing shows orthostatic hypotension. T

Nursing Care Plan for Dementia Dementia is a decline in intellectual functioning which leads to loss of social independence. (William F. Ganong, 2010) Nursing Diagnosis for Dementia : Altered Thought Processes related to physiological changes (irreversible neuronal degeneration), characterized by: loss of memory, loss of concentration, not able to interpret the stimulation and assess reality accurately. Goal: The client is able to recognize a change in thinking. with outcomes: Able to demonstrate the cognitive ability to undergo the consequences of stressful events on the emotions and thoughts of suicide. Able to develop strategies to overcome negative self assumption. Being able to recognize behavior and the causes. Interventions : Develop a supportive environment and client-nurse relationships are therapeutic. Maintain a pleasant and quiet environment. Face-to-face when talking to clients. Call the client with the name. Use a rather low voice and speak slowly on the client. Rationa

Nursing Care Plan for Cellulitis Cellulitis is an infection streptococcal , staphylococcal acute, of the skin and subcutaneous tissue is usually caused by bacterial invasion through a tear in the skin area, however this can occur without evidence of side entry and this usually occurs in the lower extremities. (Tucker, 1998: 633). The aetiology is derived from the bacterium Streptococcus sp . Other negative anaerobic microorganisms such as Prevotella, Porphyromona, and Fusobacterium (Berini, et al, 1999). Odontogenic infections are generally a mixed infection of a variety of bacteria, both aerobic and anaerobic bacteria has a synergistic function. (Peterson, 2003). According Mansjoer (2000: 82) the clinical manifestations of chronic cellulitis is damage to the skin venous and lymphatic systems at both extremities, skin disorders such as diffuse infiltrates subcutaneous, local erythema, pain quickly spread and infitratif to the underlying tissue, swelling, red and warm tenderness , supp