Author Archives: ncp nursing care plan

NCP Elective Termination

Elective Termination Therapeutic abortion may be done to safeguard the woman’s health, or a voluntary abortion may be a woman’s reproductive decision. CLIENT ASSESSMENT DATA BASE Circulation Preexisting maternal health problems placing client at risk Ego Integrity Pregnancy often unplanned; … Continue reading

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NCP Dysfunctional Labor Dystocia

Dysfunctional Labor/Dystocia Dystocia refers to difficult labor which is usually due to uterine dysfunction, fetal malpresentation/abnormality, or pelvic abnormality. (Refer to CPs: Labor: Stage I—Latent Phase; Labor: Stage I—Active Phase.) CLIENT ASSESSMENT DATA BASE Activity/Rest Report of fatigue, lack of … Continue reading

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NCP Diabetes Mellitus Pre-pregnancy Gestational

Diabetes Mellitus Prepregnancy/Gestational This disorder of carbohydrate metabolism of variable severity may be preexisting (pregestational insulin-dependent diabetes mellitus [IDDM] or non–insulin-dependent diabetes mellitus [NIDDM]), or may develop during pregnancy (gestational diabetes mellitus [GDM]). (This plan of care is to be … Continue reading

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NCP Deviations in Growth Pattern

Deviations in Growth Patterns Deviations in intrauterine growth patterns not only increase the risk of morbidity and mortality in the early newborn period, but may also have long-term implications for altered growth and development and for altered CNS function and … Continue reading

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NCP Circumsicion

Circumcision Circumcision is a surgical procedure in which the prepuce (foreskin) of the penis is separated from the glans, and a portion is excised. This elective procedure is performed in the United States based on parental choice for reasons related … Continue reading

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NCP Cesarean Birth

Cesarean Birth Cesarean birth is an alternative to vaginal birth only when the safety of the mother and/or fetus is compromised. CLIENT ASSESSMENT DATA BASE Activity/Rest Fatigue may be present. Circulation Hypertension (escalating PIH) Hypotension, ashen color, cool/clammy skin (uterine … Continue reading

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NCP Care Following Cesarean Birth 4 hours to 3 days post partum

CARE FOLLOWING CESAREAN BIRTH (4 HOURS TO 3 DAYS POSTPARTUM) CLIENT ASSESSMENT DATA BASE Review prenatal and intraoperative record, and the indication(s) for cesarean delivery. Circulation Blood loss during surgical procedure approximately 600–800 ml Ego Integrity May display emotional lability, … Continue reading

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NCP Cardiac Conditions

Cardiac Conditions During pregnancy blood volume increases as much as 50% above the nonpregnant level and is accompanied by increases in maternal heart rate and stroke volume necessitating a drop in systemic and pulmonary vascular resistance. The client with heart … Continue reading

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Nursing care plan DEMENTIA OF THE ALZHEIMER’S TYPE / VASCULAR DEMENTIA

DEMENTIA OF THE ALZHEIMER’S TYPE/VASCULAR DEMENTIA I. Pathophysiology a. Cognitive disorder characterized by impaired memory, language, thinking, and perception b. Dementia of the Alzheimer’s type (DAT) (Hausman, 2006; Nelson-Marsh, 2005) i. Characterized by structural and chemical changes in the brain, … Continue reading

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Nursing care plan Psychosocial aspects of Care

PSYCHOSOCIAL ASPECTS OF CARE I. Mind-Body-Spirit Connection a. When a physiological response occurs, there is a corresponding psychological response (Anandarajah & Hight, 2001). i. Emotional instability associated with steroid therapy or Cushing’s syndrome ii. Irritability of hypoglycemia iii. Anxiety associated … Continue reading

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Nursing care plan TRANSPLANTATION CONSIDERATIONS POSTOPERATIVE AND LIFELONG

I. Procedure a. Transfer of whole or partial organs—including heart, lung, kidney, liver, pancreas, and intestines—and tissues or cells from one location to another b. Long considered experimental, heart and other transplant procedures are successfully moving to domain of conventional … Continue reading

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Nursing care plan Rheumatoid Arthritis RA

I. Pathophysiology a. Systemic inflammatory process originating in the synovium or synovial fluid involving connective tissue and characterized by destruction and proliferation of the synovial membrane b. Phagocytosis produces enzymes within the joint, causing inflammation c. Collagen is destroyed over … Continue reading

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Nursing care plan Acquired immunodeficiency syndrome aids

I. Pathophysiology a. End result of infection with a retrovirus—the human immunodeficiency virus (HIV) b. Progression from HIV infection to AIDS is highly variable: It may take weeks to years, with median rate of 9 to 11 years after infection … Continue reading

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Nursing care plan HIV positive client

I. Pathophysiology a. Infection by a subgroup of retroviruses with a high affinity for CD4 T-lymphocytes and monocytes, with viral DNA incorporating itself into host DNA (Dubin, 2008) b. Following successful transmission of HIV, the course of subsequent infection is … Continue reading

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Nursing care plan sepsis septicemia

I. Pathophysiology (Cunha, 2008; Kleinpell, 2006; Sharma & Mink, 2007; Wood & Lavieri, 2007) a. Presence of a systemic inflammatory response to documented or presumed infection, which may progress along a continuum i. Systemic inflammatory response syndrome (SIRS) 1. Infection … Continue reading

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Nursing care plan burns

I. Pathophysiology—Local and systemic response affecting skin and/or other tissues depending on cause of burn injury and physiological response (Hettiaratchy, 2004) a. Local responses i. Coagulation: Occurs at the point of maximum damage, causing irreversible tissue loss due to coagulation … Continue reading

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Nursing care plan total joint replacement

I. Purpose a. Definitive treatment for advanced, irreversibly damaged joints with loss of function and unremitting pain b. Commom conditions: degenerative and rheumatoid arthritis (RA); selected fractures, such as with hip and femoral neck; joint instability; congenital hip disorders; avascular … Continue reading

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Nursing care plan amputation

I. Pathophysiology—Partial or complete detachment of body part with residual extremity covered with well-vascularized muscle and skin, although reattachment surgery may be possible for fingers, hands, and arms a. Primarily two types of amputations i. Open or provisional: requires subsequent … Continue reading

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Nursing care plan fractures

I. Pathophysiology a. Discontinuity or break in a bone b. May be associated with serious injury to nerves, blood vessels, muscles, and/or organs c. More than 150 fracture classifications with five major types: incomplete, complete, closed, open, and pathologic II. … Continue reading

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Nursing care plan mastectomy

I. Purpose a. Removal of breast tissue due to presence of malignant or cancerous tumor changes b. Surgical procedures: dependent on tumor type, size, and location as well as clinical characteristics or staging i. Breast-conserving therapy ii. Lumpectomy iii. Partial … Continue reading

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