List of Nursing Diagnosis

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 sensitivity to light and encourage patients to rest.

2. Cold compress to the head and a cool cloth on the eye.
Rationale : Can cause vasoconstriction of blood vessels of the brain.

3. Perform active or passive motion exercise in accordance with the conditions of tender and careful.
Rationale : Can help to relax tense muscles and may decrease pain / disconfort.

collaboration :
4. Give analgesics.
Rationale : It may be necessary to decrease pain.


Nursing Diagnosis for Encephalitis : Risk for Injury related to the presence of seizures, altered mental status and decreased level of consciousness.

Goal :
Patients free from injury caused by seizures and loss of consciousness.

1. Monitor spasms in hands, feet, mouth and other facial muscles.
Rationale : Require evaluation in accordance with the appropriate interventions to prevent complications.

2. Prepare a safe environment such as bed boundaries, safety boards, and suction devices have always been close to the patient.
Rationale : Protecting patients when seizures occur.

3. Maintain total bedrest during the acute phase.
Rationale : Reduce the risk of falls / injured if vertigo, sincope, and ataxia occurred.

4. Give appropriate therapy doctors advice.
Rationale : To prevent or reduce seizures.

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 an upright posture, sitting height, standing and walking.
• Provide a safe environment and recommends to use a walker.
• Give as indicated drugs such as steroids.

Rationale :

• To prevent fatigue and maintains strength.
• Improve joint function, muscle strength and general stamina.
• Maximizing the function of joints and maintain mobility.
• Avoiding injuries caused by accidents such as falls.
• To suppress acute systemic inflammation.

Nursing Diagnosis for Osteoarthritis : Risk for Injury related to decrease in bone function.

Outcomes :
Clients can maintain physical safety.

Interventions :

• Control of the patient's environment : Getting rid of the obvious dangers, reducing potential injury from falling while sleeping for example using a buffer bed, try to position the lower bed, night lighting ready to use call lights.
• Allow maximum independence and freedom to provide freedom in a safe environment, avoid the use of restrain, when patients daydreaming distract rather than startled.

Rationale :

• Hazard-free environment that will reduce the risk of injury and relieve families of the constant concerns.
• This will give the patient autonomy, can restrain the increase of agitation, if the shock will increase anxiety.

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.