Wednesday, December 10, 2014

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Acute Pain - Nursing Care Plan for Acute Coronary Syndrome

Acute coronary syndrome (ACS) refers to a group of conditions due to decreased blood flow in the coronary arteries such that part of the heart muscle is unable to function properly or dies. The most common symptom is chest pain, often radiating to the left arm or angle of the jaw, pressure-like in character, and associated...

Saturday, December 6, 2014

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Activity Intolerance and Altered Tissue Perfusion r/t Leukemia

Nursing Care Plan for Leukemia Nursing Diagnosis for Leukemia : Activity Intolerance related to general weakness, increased metabolic rate. Goal: The client is able to tolerate the activity. Expected outcomes: Increased tolerance activity can be measured. Participate in activities that can be measured. Shows signs...
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Pain (acute / chronic) related to Leukemia

Nursing Diagnosis for Leukemia: Pain (acute / chronic) related to physical agents such as enlargement of organs / lymph nodes, bone marrow which is packed with leukemia cells: anti-leukemic treatment chemical agents. Goal: Pain resolved. Expected outcomes: Assess pain. Monitor vital signs, notice of non-verbal instructions...
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Risk for Fluid Volume Deficit related to Leukemia

Nursing Care Plan for Leukemia Nursing Diagnosis : Risk for Fluid Volume Deficit related to excessive loss: vomiting, bleeding, diarrhea. Decreased fluid intake: nausea, anorexia. Increased fluid requirements: fever, hypermetabolic. Goal: Fluid volume are met. Expected outcomes: Adequate fluid volume. Mucosa moist. Stable...

Friday, December 5, 2014

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Risk for Infection Nursing Care Plan for Leukemia

Nursing Diagnosis for Leukemia: Risk for infection related to the decline in the body's defense system, the secondary; white blood cell maturation disorders, increased number of immature lymphocytes, imonosupresi, bone marrow suppression. Goal: The patient is free from infection. Expected outcomes: Normotermia. Culture...

Monday, December 1, 2014

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Ineffective Breathing Pattern and Altered Urinary Elimination r/t Glomerulonephritis

Nursing Care Plan for Glomerulonephritis Nursing Diagnosis : Ineffective breathing pattern related to the inflammatory process. characterized by : the patient complained of shortness of breath. Expected outcomes : Demonstrate effective breathing patterns, shortness of reduced or lost. Intervention and Rationale : 1....

Sunday, November 30, 2014

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Impaired Gas Exchange - Nursing Care Plan for Anaphylactic Shock

Nursing Diagnosis for Anaphylactic Shock : Impaired Gas Exchange Anaphylactic shock is a hypersensitivity response mediated by immunoglobulin E (hypersensitivity type I) is characterized by cardiac output and arterial pressure decreased great. This is caused by the presence of an antigen-antibody reaction which arises...

Friday, October 10, 2014

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Acute Pain and Risk for Injury related to Encephalitis

Nursing Diagnosis for Encephalitis : Acute Pain related to irritation of the brain lining. Goal : Patients seen decreases pain / pain control. Outcomes : Patients can sleep. Saying decrease pain. Interventions : 1. Try to create a safe and quiet environment. Rationale : Lowering the reaction to external stimuli or...
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Ineffective Cerebral Tissue Perfusion related to Encephalitis

Nursing Care Plan for Encephalitis Nursing Diagnosis : Ineffective Cerebral Tissue Perfusion related to increased intracranial pressure. Goal : Neurologic status returned to the state before the illness. Increased awareness and sensory function. Outcomes : Vital signs within normal limits. Headache is reduced. Increased...
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Imbalanced Nutrition and Knowledge Deficit related to Malaria

Nursing Care Plan for Malaria Imbalanced Nutrition Less Than Body Requirements related to inadequate food intake ; anorexia ; nausea / vomiting. Goal : Nutrients are met. Outcomes : Increased nutrient intake. Intervention : 1. Assess the nutritional history, including the preferred food . Observation and record food...

Wednesday, October 8, 2014

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Disturbed Sleep Pattern related to Osteoarthritis

Nursing Diagnosis for Osteoarthritis : Disturbed Sleep Pattern related to pain Outcomes : Clients can meet the needs of rest or sleep. Independent: Determine the normal and usual sleep habits and the changes that occur. Provide a comfortable bed. Create a new bedtime routine that is included in the old patterns and...
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Disturbed Body Image related to Osteoarthritis

Nursing Care Plan for Osteoarthritis Disturbed Body Image related to changes in the ability to perform common tasks. Outcomes : Expressing increased confidence in ability to cope with illness, lifestyle changes and possible limitations. Interventions : Independent: Encourage disclosure about problems regarding the...
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Activity Intolerance and Risk for Injury related to Osteoarthritis

Nursing Care Plan for Osteoarthritis Nursing Diagnosis for Osteoarthritis : Activity Intolerance related to changes in muscle. Outcomes : Clients are able to participate in the desired activity. Interventions : Maintain bed rest / sit down if necessary. Help move with minimal assistance. Encourage clients maintain...
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Pain (acute / chronic) related to Osteoarthritis

Nursing Care Plan for Osteoarthritis Pain (acute / chronic) related to tissue distension by accumulation of fluid / inflammation, joint destruction. Outocomes : Showed pain control. The client looks relaxed, can sleep / rest and participate in activities. Following therapy program. Combining the skills of relaxation...

Monday, October 6, 2014

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Acute Pain related to Hypertensive Heart Disease

Nursing Care plan for Hypertensive Heart Disease Nursing Diagnosis : Acute Pain : headache related to an increase in cerebral vascular pressure. Goal : Pain is reduced Outcomes : Client reported pain / discomfort disappeared / controlled. Interventions : Maintaining bed rest during the acute phase. Give non-pharmacological...
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Activity Intolerance related to Hypertensive Heart Disease

Nursing Diagnosis for Hypertensive Heart Disease : Activity Intolerance related to general weakness, imbalance between supply and demand of oxygen. Goal : The client is able to perform the activity is tolerated. Outcomes : Participate in activities desired / required. Reported an increase in tolerance activity can...
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Risk for Decrease Cardiac Output related to Hypertensive Heart Disease

Nursing Care Plan for Hypertensive Heart Disease Nursing Diagnosis : Risk for Decrease Cardiac Output related to increased afterload, vasoconstriction, myocardial ischemia, ventricular hypertrophy. Goal : Want to participate in activities that lower blood pressure / cardiac workload. Outcomes : Blood pressure within...

Sunday, October 5, 2014

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Low Self-Esteem related to Epilepsy (Seizures)

Nursing Care Plan for Epilepsy (Seizures) Nursing Diagnosis : Low Self-Esteem / personal identity related to stigma in terms of conditions, perceptions about uncontrolled. characterized by expression of a lifestyle change, fear of rejection ; negative feelings about the body. Goal : Identify feelings and methods for...
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Risk for Injury and Knowledge Deficit related to Epilepsy (Seizures)

Nursing Care Plan for Epilepsy (Seizures) Nursing Diagnosis for Epilepsy (Seizures) : Risk for Injury related to changes in consciousness, cognitive damage, seizures or damages for personal protection. Goal : Reduce the risk of injury to patients. Interventions : 1. Assess the characteristics of seizures. Rationale...
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Ineffective Breathing Pattern related to Epilepsy (Seizures)

Nursing Care Plan for Epilepsy (Seizures) Nursing Diagnosis for Epilepsy (Seizures) : Ineffective breathing pattern related to neuromuscular damage, increased mucus secretion Goal : Maintain effective breathing pattern with a patent airway. Interventions : 1. Encourage clients to vacate the mouth of objects / substances...

Friday, October 3, 2014

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Hyperthermia and Imbalanced Nutrition related to Hyperthyroidism

Assessment 1. Activity / Rest Symptoms : Insomnia, increased sensitivity ; muscle weakness, impaired coordination ; Severe fatigue. Signs : muscle atrophy. 2. Circulation Symptoms : Palpitations, chest pain (angina). Signs : dysrhythmias (atrial fibrillation), gallop rhythm, murmurs ; Increased blood pressure with a...
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Nursing Care Plan for Hyperthyroidism

Hyperthyroidism is a condition in which an overactive thyroid gland produces an excessive amount of thyroid hormones that circulate in the blood . Thyrotoxicosis is a toxic condition caused by an excess of thyroid hormones from any cause. Thyrotoxicosis can be caused by an excessive intake of thyroid hormones or by the...

Sunday, September 28, 2014

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6 Nursing Diagnosis for Pleural Effusion

Pleural Effusion Definition Pleural effusion is a condition where there is a buildup of fluid in the pleural cavity between the parietal pleura and visceral pleura can be fluid transudate or exudate fluid. Etiology Based on the type of fluid that is formed, divided into the pleural fluid transudate, exudate and...
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Activity Intolerance - Nursing Care Plan for Pleural Effusion

Nursing Diagnosis for for Pleural Effusion : Activity Intolerance related to fatigue ( poor physical state ) . Goal : Patient is able to carry out activities as optimal as possible . Outcomes : Fulfillment optimal activity , the patient looks fresh and vibrant , personal hygiene patient enough . Interventionas : 1...
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Disturbed Sleep Pattern - NCP for Pleural Effusion

Nursing Care Plan for Pleural Effusion The gravity of the pleural effusion is determined by the amount of fluid, the rate of formation fluids and pressure levels in the lungs. If large effusion, lung expansion will be disrupted and the patient will experience shortness of breath, chest pain, non- productive cough even...
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Fear / Anxiety - Nursing Care Plan for Pleural Effusion

Pleural effusion is a clinical manifestation that can be found in approximately 50-60 % of patients with primary pleural malignancies. While 95 % of cases of mesothelioma ( pleural primary malignancies) can be accompanied by pleural effusion and approximately 50 % of breast cancer patients will eventually experience pleural...

Tuesday, September 23, 2014

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Risk for Infection - NCP for Anemia

Nursing Care Plan for Anemia Nursing Diagnosis : Risk for Infection Definition : Increased risk of entry of pathogenic organisms. Risk factors : Invasive procedures. Insufficient awareness to avoid exposure to pathogens. Trauma. Tissue damage and increased environmental exposure. Rupture of amniotic membranes. Pharmaceutical...

Monday, September 22, 2014

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Anemia - Nursing Care Plan

Anemia Definition Anemia is characterized by levels of hemoglobin (Hb) and red blood cells (erythrocytes) is lower than normal. If the hemoglobin level is less than 14 g / dl and erythrocyte less than 41 % in men, then a man is said to be anemic. Similarly in women, women with hemoglobin levels less than 12 g / dl and...
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Disturbed Sleep Pattern - NCP for Lower Back Pain

Nursing Care Plan for Lower Back Pain (LBP) Low Back Pain is chronic pain in the lumbar, usually caused by a recessive the vertebral muscles, herniation and regeneration of the nucleus pulposus, osteoarthritis of the lumbar sacral spine (Brunner, 1999). Causes Changes in posture usually because primary and secondary...

Saturday, September 20, 2014

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Impaired Gas Exchange - Asthma Nursing Diagnosis and Interventions

Nursing Care Plan for Asthma Nursing Diagnosis : Impaired Gas Exchange related to changes in capillary membrane - alveolar Goal : Clients are able to : Respiratory Status: Ventilation. Respiratory status : Airway patency. Vital sign status. Outcomes : Demonstrate effective cough and breath sounds were clean, no cyanosis...
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7 Nursing Diagnosis for Dementia

The most frequent cause of dementia is Alzheimer's disease. The cause of Alzheimer's disease is unknown , but is thought to involve genetic factors, because the disease seems to be found in some families and is caused or influenced by some specific gene abnormality. In Alzheimer's disease, some parts of the brain decline,...
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Disturbed Thought Process - NCP for Dementia

Nursing Care Plan for Dementia One of the degenerative disease is dementia, ie which have insidious onset and progressive in general, be getting worse. Overview of various aspects of specialty include loss of intellectual abilities such as memory, judgment, abstract thought, and other higher cortical functions , as well...

Friday, September 19, 2014

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Nursing Interventions for Imbalanced Nutrition Less Than Body Requirements

Imbalanced Nutrition Less Than Body Requirements related to : Decreased oral intake, discomfort in the mouth, nausea, vomiting. Decreased absorption of nutrients. Vomiting, anorexia, impaired digestion. Depression, stress, social isolation. Outcomes : The client will : consume the daily nutritional needs in accordance...
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Constipation Causes Symptoms and Treatment

Constipation is a common digestive problem. Usually characterized by constipation bear or irregular bowel movements. In addition to people who suffer from constipation often experience bowel movement, and a knotted stomach ache. People who experience constipation defecate normally only 3 times a week or even less. Usually...
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Causes of Constipation In Pregnancy

Causes of Constipation In Pregnancy 1. Increased Progesterone. Progesterone plays a role in the process of relaxation of the smooth muscle work. Increased hormone (progesterone), resulting in movement or mobility of the digestive organs become relaxed or be slow. As a result, the process so much longer gastric emptying...
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