Tag Archives: ncp

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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Nursing care plan hysterectomy

I. Indications—surgical removal of the uterus a. Malignancies: 11% of hysterectomies b. Nonmalignant conditions, such as endometriosis, fibroid tumors; pelvic relaxation with uterine prolapse that leads to disabling levels of pain, discomfort, uterine bleeding, emotional stress c. Life-threatening bleeding or … Continue reading

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Nursing care plan urolithiasis renal calculi

I. Pathophysiology a. Presence of stones anywhere in the urinary tract i. Most commonly found in the renal pelvis and calyces 1. Stones forming in the kidney—nephrolithiasis 2. Stones formed in the ureters—ureterolithiasis ii. May be single or multiple calculi, … Continue reading

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Nursing care plan prostatectomy

I. Indications a. Benign prostatic hyperplasia (BPH)-related complications i. Urinary retention ii. Frequent urinary tract infections iii. Bladder stones iv. Recurrent gross hematuria v. Kidney damage from long-standing blockage vi. Failure to respond to medical or minimally invasive treatments b. … Continue reading

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Nursing care plan benign prostatic hyperplasia BPH

I. Pathophysiology a. Overgrowth of normal, nonmalignant cells that cause progressive enlargement of the prostate gland, resulting in bladder outlet obstruction with urinary retention, leakage, and frequency (Shiller, 2007) b. Additional complications: bladder wall trabeculation, detrusor muscle enlargement, narrowing of … Continue reading

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Nursing care plan urinary diversions urostomy post operative care

I. Procedure a. Diversion of urine out of the body through an opening in the abdominal wall bypassing the bladder, which requires a pouch to be worn outside the body; or, a continent diversion involving the creation of a pouch … Continue reading

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Nursing care plan hemodialysis HD

I. Procedure a. Removal of urea and other toxic products and correction of fluid and electrolyte imbalances b. Blood is shunted through an artificial kidney or membrane (dialyzer) for removal of toxins and excess fluid and then returned to the … Continue reading

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Nursing care plan peritoneal dialysis PD

I. Procedure a. Requires a surgically placed abdominal catheter and uses the peritoneum to filter toxins and excess fluid from the body b. Fluid removal is controlled by adjusting the dextrose concentration in the dialysate (e.g., 1.5%, 2.5%, 4.25%) to … Continue reading

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Nursing care plan renal dialysis general considerations

I. Procedure a. Process that substitutes for kidney function by removing excess fluid and accumulated endogenous or exogenous toxins b. Type of fluid and solute removal depends on the client’s underlying pathophysiology, current hemodynamic status, vascular access, availability of equipment … Continue reading

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Nursing care plan renal failure chronic

I. Pathophysiology a. End result of the gradual, progressive destruction of nephrons and decrease in glomerular filtration rate (GFR), resulting in loss of kidney function that produces major changes in all body systems b. Chronic kidney disease (CKD), although ultimately … Continue reading

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