NCP Surgical Intervention

Surgery may be needed to diagnose or cure a specific disease process, correct a structural deformity, restore a functional process, or reduce the level of dysfunction/pain. Although surgery is generally elective or preplanned, potentially life-threatening conditions can arise, requiring emergency intervention. Absence or limitation of preoperative preparation and teaching increases the need for

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Risk for Self or Other- Directed Violence - Schizophrenia Care Plan

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Gastroesophageal Reflux Disease (GERD) - Assessment and Physical Examination

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Gastroesophageal Reflux Disease (GERD) - Assessment 1. General condition Covering conditions such as the level of tension / fatigue, qualitative level of consciousness or GCS and client verbal response. 2. Vital signs Includes examining: Blood pressure: should be examined in a different position, assess the pulse pressure, and pathological conditions. Pulse rate. Respiratory rate. Temperature. 3. Main complaint Assessed onset, duration, quality and characteristics, severity. Location, precipitating factors, related manifestations: Typical complaints (esophagus): heartburn, regurgitation, and dysphagia. Atypical Complaints (extra esophagus): chronic cough, hoarseness, pneumonia, pulmonary fibrosis, bronchiectasis, and non-cardiac chest pain. Another complaint: weight loss, anemia, hematemesis or melena, odynophagia. 4. Past medical history/Previous health Other gastrointestinal diseases. Drugs that affect gastric acid. Allergy / immune response reaction. 5. Family medical history Physi...
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Risk for Decreased Cardiac Output - NCP Acute Myocardial Infarction (STEMI)

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Nursing Care Plan for AMI with ST elevation (STEMI) Definition Acute myocardial infarction is the destruction of tissue due to inadequate blood supply so that coronary blood flow is reduced. (Brunner & Suddath, 2002) Acute myocardial infarction is the death of myocardial tissue caused by myocardial coronary blood damage, due to the inadequate blood flow. (Carpenito, 2000) Acute myocardial infarction is ischemia or necrosis of the heart muscle caused by decreased blood flow through one or more coronary arteries. (Doengos, 2000) Etiology According to Noer, 1999; 103 caused by a. Causal factors: 1. Oxygen supply to the heart is reduced due to: a. Vascular factors: Atherosclerosis, spasm, arteritis. b. Circulation Factor: hypotension, aortic stenosis, insufficiency. c. Blood factors: anemia, hypoxemia, polycythemia. 2 Cardiac output increased For example: Activity, emotional, eating too much, anemia, hyperthyroidism. 3. Increased myocardial oxygen demand at: Myocardial damage, myocardi...
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