NCP Nursing Diagnosis: Powerlessness

Nursing Diagnosis: PowerlessnessNOC Outcomes (Nursing Outcomes Classification)Suggested NOC Labels * Health Beliefs: Perceived Control * Participation: Health Care DecisionsNIC Interventions (Nursing Interventions Classification)Suggested NIC Labels * Self-Responsibility Facilitation * Self-Esteem EnhancementNANDA Definition: Perception that one’s own actions will not significantly

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Nursing Care Plan for Dehydration

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Dehydration Definition Dehydration is a condition in which a person who is not fasting experiencing or at risk of dehydration vascular, interstitial or intra-vascular (Sell Lynda Carpenito, 2000: 139). Classification Classification of dehydration by Donna D. Ignatavicus there are 3 types: a. Isotonic dehydration Isotonic dehydration is lost water followed by the electrolyte so that the density remained normal, then this type of dehydration is usually not result in ECF fluid move to the ICF. b. Hypotonic dehydration Hypotonic dehydration is the loss of solvent from the ECF exceeds fluid loss, resulting in blood vessels become more concentrated. ECF osmotic pressure decreases, resulting in fluid moves from the ECF to ICF. Vascular volume also decreased, as well as cell swelling occurs. c. Hypertonic dehydration Hypertonic dehydration is ECF fluid loss exceeds the solvent is non-osmotic dehydration ECF decreased, resulting in fluid moves from ICF to ECF. Etiology Various causes dehydratio...
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NCP Post Traumatic Stress Disorder

DSM-IV 309.81 Posttraumatic stress disorder (specify acute, chronic, or delayed onset) 308.3 Acute stress disorder An anxiety disorder resulting from exposure to a traumatic event in which the individual has experienced, witnessed, or been confronted with an event or events that involve actual or threatened death/serious injury or a threat to the physical integrity of the self or others. The
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Nursing Care Plan for Impaired Verbal Communication

Impaired verbal communication is defined as decreased, delayed, or absent ability to receive, process, transmit, and use a system of symbols. Related to : Physiologic conditions Alteration of central nervous system Impaired neurologic development or dysfunction Disturbance in attachment/bonding with the parent/caregiver Characterized by : Language delay or total absence of language Immature grammatic structure; pronoun reversal; inability to name objects Stereotyped or repetitive use of language (echolalia, idiosyncratic words, inappropriate high-pitched squealing/giggling, repetitive phrases, sing-song speech quality) Lack of response to communication attempts by others Outcome : Communicate in words/gestures that are understood by others Interventions and Rationales Use one-on-one interactions to engage the client in nonverbal play. R/: The nurse enters the client’s world in a nonthreatening interaction to form a trusting relationship. Recognize subtle cues indicating the client is ...
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