Nanda Nursing Diagnosis

Nursing Care Plan for Cesarean Section Nursing Diagnosis : Risk for Injury related to biochemical function or regulation, the effects of anesthesia, tissue trauma. Goal: Demonstrate behaviors to reduce risk factors and / or self-protection. Free from complications. Itervention: 1. Review the prenatal and intra prenatal record, the factors of clients in complications. Rationale: The presence of risk factors such as fatigue miometrial, excessive uterine distension, slow oxytocin stimulation, or thrombophlebitis a prenatal, allowing clients more susceptible to post-operative complications. 2. Monitor blood pressure, pulse and temperature. Note the skin is cold, wet, weak pulse and subtle, changes in behavior, delayed capillary refill, or cyanosis. Rationale: High blood pressure can indicate the occurrence or continuation of hypertension. Hypotension and tachycardia may indicate dehydration and hypovolemia but may not occur until the circulating blood volume has been decreased to 35% - 50...

Nursing Care Plan : Risk for Injury related to Alzheimer's Disease Risk for Injury Definition: At risk of injury as a result of the interaction of environmental conditions interacting with the individual's adaptive and defensive resources NOTE: This nursing diagnosis overlaps with other diagnoses such as Risk for Falls, Risk for Trauma, Risk for Poisoning, Risk for Suffocation, Risk for Aspiration and, if the client is at risk of bleeding, Ineffective Protection. See care plans for these diagnoses if appropriate. Alzheimer's disease is the most common form of dementia. There is no cure for the disease, which worsens as it progresses, and eventually leads to death. Signs and symptoms of Alzheimer’s disease Alzheimer’s disease is a progressive condition, which means that it will continue to get worse as it develops. Early symptoms include: minor memory problems difficulty saying the right words These symptoms change as Alzheimer’s disease develops, and it may lead to: disorie...

Nursing Diagnosis : Risk for Injury related to weakness of the defense secondary to hemophilia characterized by frequent injuries Objectives / Expected outcomes: injury and complications can be avoided / did not happen. Nursing Interventions Maintain security of client's bed, put a safety on the bed Avoid injury, light - weight Keep an eye on every move that allows the occurrence of injury Encourage the parents to bring children to the hospital immediately in case of injury Explain to parents the importance of avoiding injury. Rational Fragile tissue and impaired clotting mechanisms boost the risk of bleeding despite the injury / mild trauma Patients with hemophilia are at risk of spontaneous bleeding was controlled so that the required monitoring every move that allows the occurrence of injury Early identification and treatment can limit the severity of complications Parents can find out mamfaat of injury prevention / risk of bleeding and avoid injury and complications. Lower t...