List of Nursing Diagnosis

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 coping with negative self- perception.

Interventions :

1. Discuss feelings about the patient's diagnostic, self-perception of the treatment used.
Rationale : Reactions have varied between individuals and knowledge / experience with the disease early will affect reception.

2. Suggest to reveal / feelings.
Rationale : The complaint was afraid , angry , and very attentive to the implications in the future could affect the patient to accept the situation.

3. Identify / anticipate possible reactions of people on the state of the disease. Encourage clients to not conceal the problem.
rationale : Provide an opportunity to respond to the problem-solving process and provide measures to control the situation.

4. Assess with the patient about the results that have been obtained or will be achieved more and strengths.
Rationale : Focusing on the positive aspects can help to relieve feelings of failure or self -consciousness and shape of the patient from receiving handler to illness.

5. Determine the attitude / skills of people nearby. Help realize these feelings are normal, while feeling guilty and blaming of itself is useless.
Rationale : Negative view of people nearby can affect the sense of ability / self-worth clients and reduce the support received from the closest people who have a risk limit optimal handling.

6. Emphasize the importance of the course to remain calm during a seizure.
Rationale : Anxiety of caregivers is creeping up on the patient and when to increase the negative perception of the state of the environment / themselves.

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 : To find out how much the level of seizures experienced by patients that provide interventions work better.

2. Keep away from sharp objects / harm for the patient.
Rationale : Sharps can injure and physically injure the patient.

3. Enter the tongue spatula / artificial airway or soft object rolls as indicated.
Rationale : With a spatula put the tongue between the upper jaw and lower jaw, then the risk of the patient biting his tongue does not occur and the patient's airway becomes smoother.

4. Collaboration in the provision of anti-seizure medications.
Rationale : Anti- seizure drugs can reduce the degree of strain experienced patients, so the risk for injury was reduced.


Nursing Diagnosis for Epilepsy (Seizures) : Knowledge Deficit : family on the course of disease processes related to the lack of information.

Goal : Increased knowledge of the family , the family understand the disease process of epilepsy, family, clients do not ask more about the disease, treatment and condition of the client.

Interventions

1. Assess client's level of family education.
Rationale : Education is one of the determinants of a person's level of knowledge/

2. Assess knowledge level of client family.
Rationale : To find out how much information they already know, so that knowledge will be given in accordance with the needs of the family.

3. Explain to the client's family about the disease through counseling febrile seizures.
Rationale : To increase knowledge.

4. Give a chance to ask the family not yet understood.
Rationale : To find out how much information is already understood.

5. Involve the family in every action on the client.
rationale : Family in order to provide proper treatment if a client had a seizure the next time.

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 specified / dentures or other devices if the aura phase occurs and to avoid jaw shut if seizures occur without marked symptoms of early.
Rationale : Lowering the risk of aspiration or the entry of foreign objects into the pharynx.

2. Place the client in a position incline, flat surface, tilt the head during a seizure attack.
Rationale : Increase the flow (drainage) secret, preventing the tongue falls to clog the airway.

3. Remove clothing in the area of the neck, chest, and abdomen.
Rationale : To facilitate the effort to breathe.

4. Enter the tongue spatula / artificial airway or soft object rolls as indicated.
Rationale : Prevent being bitten tongue and facilitate during a suction mucus. Artificial airway may be indicated after the easing of seizure activity if the patient is unconscious and can not maintain a safe position of the tongue.

5. Do suction mucus as indicated.
Rationale : Lowering the risk of aspiration or asphyxia.

6. Give supplemental oxygen / ventilation manually as needed on postictal phase.
Rationale : Cerebral hypoxia may decrease as a result of decreased circulation or oxygen secondary to vascular spasm during seizures.

7. Prepare / aids to intubation if indicated.
Rationale : The emergence of prolonged apnea in postictal phase requiring mechanical ventilator support.