Postingan

Menampilkan postingan dengan label NURSING CARE PLANS

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 ski...

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...

Nursing Care Plans With Nursing Diagnosis: Deficient Fluid volume

Nursing Diagnosis : Deficient Fluid volume NANDA Definition for Deficient Fluid volume: Decreased intravascular, interstitial, and or intracellular fluid Defining Characteristics Deficient Fluid volume : Decreased urine output, increased urine concentration, weakness, sudden weight loss,  decreased venous filling,  increased body temperature,  decreased pulse volume or pressure, change in mental state,  elevated hematocrit, decreased skin or tongue turgor; dry skin/mucous membranes,  thirst,  increased pulse rate,  decreased blood pressure. Related Factors: Active fluid volume loss; failure of regulatory mechanisms NOC Outcomes (Nursing Outcomes Classification) : Suggested NOC Labels · Fluid Balance · Hydration · Nutritional Status: Food and Fluid Intake Client Outcomes · Maintains urine output more than 1300 ml/day (or at least 30 ml/hr) · Maintains normal blood pressure, pulse, and body temperature · Maintains elastic skin turgor; moist tongue...

Nursing Care Plans for Decreased Cardiac output

Nursing Diagnosis: Decreased Cardiac output Nursing Care Plans for Decreased Cardiac output NANDA Definition : Inadequate blood pumped by the heart to meet metabolic demands of the body Defining Characteristics : Altered heart rate/rhythm: arrhythmias (tachycardia, bradycardia); palpitations; EKG changes; altered preload: jugular vein distention; fatigue; edema; murmurs; increased/decreased central venous pressure (CVP); increased/decreased pulmonary artery wedge pressure (PAWP); weight gain; altered afterload: cold/clammy skin; shortness of breath/dyspnea; oliguria; prolonged capillary refill; decreased peripheral pulses; variations in blood pressure readings; increased/decreased systemic vascular resistance (SVR); increased/decreased pulmonary vascular resistance (PVR); skin color changes; altered contractility: crackles; cough; orthopnea/paroxysmal nocturnal dyspnea; cardiac output less than 4 L/min; cardiac index less than 2.5 L/min; decreased ejection frac...

Nursing care plans For Constipation

Nursing Diagnosis : Constipation Nursing care plans For Diagnosis Constipation NANDA Definition: A decrease in a person's normal frequency of defecation, accompanied by difficult or incomplete passage of stool and/or passage of excessively hard, dry stool Defining Characteristics: Change in bowel pattern; bright red blood with stool; presence of soft paste-like stool in rectum; distended abdomen; dark, black, or tarry stool; increased abdominal pressure; percussed abdominal dullness; pain with defecation; decreased volume of stool; straining with defecation; decreased frequency; dry, hard, formed stool; palpable rectal mass; feeling of rectal fullness or pressure; abdominal pain; unable to pass stool; anorexia; headache; change in abdominal growing (borborygmi); indigestion; atypical presentation in older adults (e.g., change in mental status, urinary incontinence, unexplained falls, elevated body temperature); severe flatus; generalized fatigue; hypoactive or hyperactive bowel s...

Nursing Care Plans For Chronic Pain

Nursing Diagnosis: Chronic Pain Nursing Care Plans For Chronic Pain NANDA  Definition: Pain is whatever the experiencing person says it is, existing whenever the person says it does,  an unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage; sudden or slow onset of any intensity from mild to severe, constant or recurring, without an anticipated or predictable end and a duration >6 months; a state in which an individual experiences pain that persists for a month beyond the usual course of an acute illness or a reasonable duration for an injury to heal, is associated with a chronic pathologic process, or recurs at intervals for months or years. Defining Characteristics: Subjective Pain is always subjective and cannot be proved or disproved. The client's report of pain is the most reliable indicator of pain. Clients with cognitive abilities who can speak or point should use a pain rating scale (eg 0 to ...