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 Prostate Cancer -  Assessment and 6 Nursing Diagnosis Definition Prostate cancer is the development of cancer in the prostate, a gland in the male reproductive system. Etiology As with other malignant tumors, the etiology of prostate cancer is not known precisely. There is a link with inflammation or hormones. Nearly 75% of prostate cancers are found in the posterior part of the medial lobe, and almost entirely from parts close to the hoop. There is the opinion noted that there are three times more likely the case because there is a history of the father or grandfather of prostate cancer. Prostate carcinoma is a malignant tumor that is often found in older men (50% of all malignant tumors of men) aged over 50 years and will rise sharply at the age of 80 years. Signs and Symptoms The onset of signs and symptoms usually after an advanced stage that is the enlargement of the prostate, because at the beginning of a difficult palpable in touche rectal examination. ...

At this stage the nurse explore the factors that exist below, namely: 1. Predisposing Factors Are risk factors that affect the type and amount of resources that can be generated by individuals to cope with stress. Obtained either from the patient or his family, the cultural factors of social development, biochemical, psychological and genetic risk factors that affect the type and amount of resources that can be generated by individuals to cope with stress. Development factors: If the developmental tasks encountered resistance, and impaired interpersonal relationships then the individual will experience stress and anxiety . Sociocultural factors: A variety of factors can lead to a society ruled by a lonely feeling to the environment in which the client was raised. Biochemical factors: Having an influence on the occurrence of mental disorders. With the excessive stress experienced by a person inside the body will then produce a hallucinogenic substance that can be Neurochemistry. Psychol...

Appendectomy is the removal of the inflamed appendix with procedures or endoscopic approach. Complaints that often arise in post appendectomy is the verbal communication of pain that is felt, behavior too cautious, behavioral aberrations, (moaning, crying, restlessness), the face shows pain (eyes gloomy, sullen, restricting movement). Nursing Assessment for Appendicitis Assessment is the process whereby data relating to clients systematically collected. This process is dynamic and organized process that involves three basic activities, ie systematically collect, sort and organize the collected data and document data in a format that can be opened again. Assessment is used to recognize and identify health problems and needs of the client and the client's nursing physical, mental, social and environmental. This Assessment contains: 1) Identity. The identity of the client Appendicitis Post Operative on which to base the assessment, include: name, age, gender, education, occupation, r...

Dengue Haemorrhagic Fever (DHF) is a disease caused by the dengue virus which is transmitted through the bite of Aedes aegypti and Aedes albopictus which causes disturbances in capillary blood vessels and the blood clotting system, resulting in bleeding. Dengue hemorrhagic fever (DHF) is a specific syndrome that tends to affect children under 10 years of age. It causes abdominal pain, hemorrhage (bleeding), and circulatory collapse (shock). Symptoms such as headache, fever, exhaustion, severe joint and muscle pain, swollen glands (lymphadenopathy), and rash. The presence (the "dengue triad") of fever, rash, and headache (and other pains) is particularly characteristic of dengue fever. Nursing Assessment for Dengue Hemorrhagic Fever. Assessment a. Subjective data Weak. Heat or fever. Headache. Anorexia, nausea, thirst, painful swallowing. Heartburn. Pain in the muscles and joints. Stiffness throughout the body. Constipation. b. Objective data High body temperature, shivering, ...

Nursing Care Plan for Hyperemesis Gravidarum : Nursing Assessment for Hyperemesis Gravidarum 1. Main complaint: Severe vomiting Nausea, vomiting in the morning and after meals Epigastric pain Feeling thirsty No appetite Vomiting of food / liquid acid 2. Predisposing factors Maternal age <20 years Multiple gestation Obesity Trophoblastic Disease 3. Physical Examination Metabolic acidosis is characterized by headache, disorientation Tachycardia, hypotension, vertigo Conjunctival jaundice Impaired consciousness, delirium Signs of dehydration: Dry skin, mucous membranes dry lips Slow return of skin turgor Sunken eyelids Weight loss Increase in body temperature Oliguria, ketonuria Concentrated urine Laboratory data: Proteinuria Ketonuria Urobilinogen Decreased levels of potassium, sodium, chloride, and protein Decreased levels of vitamin Increased Hb and Ht Nursing Diagnosis for Hyperemesis Gravidarum

Nursing Assessment for Epilepsy - ABCDE Airway In the ictal phase, the client usually found clenched his teeth so that obstruct the airway, the client bite the tongue, mouth foaming, and the postictal phase, usually found injury to the tongue and gums due to the bite. Breathing In the ictal phase, the client breathing down / speed, increased mucus secretion, and skin was pale even cyanosis. In phase posiktal, clients have apnea. Circulation In the ictal phase pulse and cyanosis increase, the client usually unconscious. Disability Clients can be realized or not depends on the type of attacks or characteristics of epilepsy suffered. Usually the patient was confused, and do not remember the incident when the seizures. Exposure Client's clothing was opened to thoracic examination, whether there are additional injuries due to seizures. Nursing Diagnosis for Epilepsy Nursing Diagnosis and Interventions Risk for Injury - Seizures

Nursing Assessment for Congestive Heart Failure 1. Activity / rest Symptoms: fatigue / tiredness throughout the day, insomnia, chest pain with activity, dyspnea at rest. Symptoms: Anxiety, mental status changes such as lethargy, changes in vital signs of activity. 2. Circulation Symptoms: history of hypertension, acute myocardial infak, previous episodes of Chronic Heart Failure , heart disease, cardiac surgery, endocarditis, anemia, septic shock, swelling in the legs, feet, abdomen. Signs: blood pressure; may be low (pump failure), pulse pressure; may be narrow, heart rhythm; dysrhythmias, cardiac frequency; Tachycardia, apical pulse; PMI may spread and change in an inferior position to the left, heart murmurs; S3 (gallops) is diagnostic, S4 may, occur, S1 and S2 may be weakened, systolic and diastolic murmur, Color: blue, pale gray, cyanotic, nail backs; pale or cyanotic with a filling, capillary slow, Liver; enlargement / can be palpated, breath sounds ; crackles, rhonchi, edema; ma...

Schizophrenia is a mental disorder characterized by a disintegration of thought processes and of emotional responsiveness. It most commonly manifests as auditory hallucinations, paranoid or bizarre delusions, or disorganized speech and thinking, and it is accompanied by significant social or occupational dysfunction. The onset of symptoms typically occurs in young adulthood, with a global lifetime prevalence of about 0.3–0.7%. Diagnosis is based on observed behavior and the patient's reported experiences. Schizophrenia is associated with a wide variety of abnormal behaviors; therefore, assessment findings vary greatly, depending on both the type and phase of the illness. The individual may exhibit a decreased emotional expression, impaired concentration, and decreased social functioning, loss of function, or anhedonia. Individuals with these particular symptoms (present in one-third of the schizophrenic population) are associated with poor response to drug treatment a...

Nursing Care Plan for Obesity Nursing Assessment for Obesity Physical Examination 1. Activity / Rest symptoms: - Weakness, drowsiness trended - Inability / lack of desire to be active or exercise regularly - Dyspnea with work signs: - Increased heart rate / breathing with activity 2. circulation symptoms: - History of cultural factors / lifestyle affects food choices - Weight loss can / can not be accepted as a problem - Eating may relieve feelings of pleasure, such as loneliness, frustration, boredom - Prisoners of the closest people to lose weight 3. Food / fluid symptoms: - Digesting food with excess / normal - Experiment with different types of diet with little results - History repeated and decreased weight gain signs: - Weight loss is not right with height - Endormofik body type (soft / about) - Failed to determine the input of food to reduce demand (eg, changes in lifestyle from active to not exercise, aging) 4. Pain / Comfort Symptoms: Pain / discomfort in the joints that suppo...

Nursing Assessment for Appendicitis - Nursing Care Plan (NCP) for Appendicitis Assessment according to Wong (2003), Doenges (1999), Catzel (1995), Betz (2002), among others: A. Interview Get a thorough medical history, especially regarding: The main complaint: the client will get a pain around the epigastrium radiating to the lower right abdomen. Complaints arising under the right abdominal pain may be a few hours later after the pain in the center or in the epigastrium felt in some time ago. Nature of the complaints of persistent pain is felt, may be lost or there is pain in a long time. Complaints which usually accompanies a client complaining of nausea and vomiting, loss of heat. Past medical history: usually associated with health problems the client is now asked of the parents. Diet, eating foods low in fiber. Elimination habits. 2. Physical examination General condition: the client looks sick mild / moderate / severe. Circulation: tachycardia. Respiratory: Tachypnea, shallow brea...