NURSING DIAGNOSIS | RATIONALE | NURSING INTERVENTIONS | RATIONALE | EVALUATION | February 21‚ 20132pm-10pmImpaired skin integrity related to vehicular accident as evidenced by abrasions.Objective:-abrasions on face‚ both arms‚ and left legGoal:After 6 hours of nursing intervention‚ patient will be able to display timely healing of skin lesions without complication. | Altered epidermis or dermis.Vehicular Accident direct trauma to the skinabrasions of extremities and swelling of the skin in upper
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Cues | Nursing Diagnosis | Scientific Explanation | Objectives/Plan of Care | Nursing Interventions | Rationale | Evaluation | S> “ Hindi pa masyado magaling ang sugat ko” as verbalized by the patientO> S/P Appendectomy>with surgical incision at right lower abdominal area>with dry intact dressing on the surgical site | Impaired Skin Integrity related to skin/tissue trauma | Inflammation of the appendix↓Acute Appendicitis↓Appendectomy↓Dissection if right lower abdominal tissues↓Disruption
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Nursing Diagnosis: Excess fluid volume related to inactivity‚ secondary to congestive heart failure‚ as manifested by rapid weight gain‚ pitting edema in extremities‚ elevated blood pressure‚ bilateral crackle lung sounds‚ bradypnea‚ and dyspnea. Goal: Absence of fluid retention by discharge Desired Outcomes: 1. Blood pressure within regular limits by discharge 2. Absence of edema by discharge 3. Slow progression of weight gain by day 2 of admission 4. Ease of respirations
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The Complete list of NANDA Nursing Diagnosis for 2012-2014‚ with 16 new diagnoses. Below is the list of the 16 new NANDA Nursing Diagnoses 1. Risk for Ineffective Activity Planning 2. Risk for Adverse Reaction to Iodinated Contrast Media 3. Risk for Allergy Response 4. Insufficient Breast Milk 5. Ineffective Childbearing Process 6. Risk for Ineffective Child Bearing Process 7. Risk for Dry Eye 8. Deficient Community Health 9. Ineffective Impulse Control 10. Risk for Neonatal Jaundice
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International(Professional Assosiation of Nurses) Nursing Diagnosis is a clinical judgment about individual ‚ family or society responses to real or possible health problems or life process.Nursing diagnosis are developed based on the data obtained during the nursing assessment. A nursing diagnosis identifies problems that result from that disorder. An actual nursing diagnosis presents a problem response present at the time of assessment. Application To Personal Life Nursing diagnosis plays a vital role in the plan
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The goal of this nursing diagnosis is make sure patient understand the importance of cataract treatment. The nursing intervention including assess motivation and willingness of patient to learn as patients must know need or purpose for learning‚ observe existing misconceptions regarding material to be taught as assessment is important starting point in education and assess barriers to learning as social interaction patterns‚ cultural norms and environmental can influence one’s learning. Next is
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was later modified to A.S.P.I.R.E resulting in the systematic nursing diagnosis stage being brought in; By completing the initial assessment stage‚ it will help to establish the nursing diagnosis which involves making a decisive statement concerning the client’s needs (George 1995). This is often referred to as a Systematic Nursing Diagnosis; which involves identifying the patient needs from a nursing perspective. This nursing diagnosis differs greatly from that of a medical as it emphasises the holistic
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Patient Y adjusted well on the postpartum unit with the help of the nursing interventions mentioned above. Patient Y’s pain score continued to decrease throughout her stay. She started taking medication for severe pain and by the third day she was only requiring mild medication to alleviate her pain. Patient Y’s following was discontinued the following day and she remained free from any urinary infections. In regards to reducing the risk of infection for the incision‚ the healthcare team performed
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organs. However‚ the right lower quadrant is the location of the Cecum‚ Appendix‚ Ascending Colon‚ Right ovary‚ Fallopian tube‚ and the Right ureter. This paper will address the affliction(s) that may occur in the right lower quadrant‚ possible diagnosis a patient could be given due to the pain‚ and how they are treated. As you may know‚ pain can vary from acute‚ subacute‚ to chronic given the frequency of the pain. Affliction may also be categorized as dull or sharp given its’ severity. “The
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Nursing diagnosis for patient with AIDS (in the movie Philadelphia) Imbalanced Nutrition: Less than body requirements R/T inability to ingest nutrients (Gulanick & Myers‚ 2007) AEB vomiting three times per day after each meal‚ 35lb weight loss in past 60 days‚ height of patient is 5’8” weight of 110lbs (Demme‚ 1993). Impaired Skin Integrity – AIDS‚ R/T immune deficiency; AIDS related dermatitis (Gulanick & Myers‚ 2007) AEB Approximately 10‚ 3 x 2 cm reddened lesions to face and torso‚ lesions
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