Deficient Knowledge - Rheumatoid Arthritis Nursing Care Plan

Nursing Care Plan for Rheumatoid Arthritis

Deficient Knowledge (about the disease, prognosis, and treatment needs) related to the lack of exposure / recall, misinterpretation of information.

Evidenced by:

• Questions / requests for information, statements misconceptions.
• Not exactly follow the instruction / complications can be prevented.

Expected outcomes: The patient will be:

• Demonstrate an understanding of the condition / prognosis, treatment.
• Develop a plan for self-care, including lifestyle modifications consistent with mobility or activity restrictions.

Intervention and Rationale

1. Review the process of the disease, prognosis, and future expectations.
R /: Provide knowledge of where patients can make informed choices.

2. Discuss the habits of the patients in the management of the hospital, through; diet, medication, and a balanced diet, exercise and rest.
R /: The purpose of disease control is to suppress the inflammatory own / other tissue to maintain joint function and prevent deformity.

3. Assist in planning integrated realistic schedule of activities, rest, personal care, administering medications, physical therapy, and stress management.
R /: Provide structure and reduce anxiety during the handling of complex chronic disease processes.

4. Emphasize the importance of continuing management pharmacotherapeutics.
R /: Advantages of drug therapy depends on the accuracy of the dose.

5. Encourage digest medication with food, milk, or an antacid at bedtime.
R /: Limiting irrigation gastric, pain reduction will improve sleep and reduce stiffness in the morning.

6. Identification of the side effects of drugs that harm, eg tinnitus, gastrointestinal bleeding, and purpuric rash.

7. Emphasize the importance of reading product labels and reduce drug use-the-counter medicines without a doctor's approval.
R /: Many products contain salicylic hidden that can increase the risk of servings worth of drugs / dangerous side effects.

8. Review the importance of a balanced diet with foods rich in vitamins, protein and iron.
R /: Increase the general healthy feeling and tissue repair.

9. Encourage obese patients to lose weight and provide information about weight loss as needed.
R /: Weight reduction will reduce the pressure on the joints, especially the hips, knees, ankles, feet.

10. Provide information about the tools.
R /: Reduce compulsion to use the joints and allows individuals to participate more comfortably in activities that are necessary.

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Bladder Cancer - Nursing Diagnosis : Imbalanced Nutrition and Deficient Knowledge

Nursing Care Plan for Bladder Cancer

1. Imbalanced Nutrition: Less Than Body Requirements
related to:

hyper-metabolic-related cancer, the consequences of chemotherapy, radiation, surgery (anorexia, gastric irritation, lack of sense of taste, nausea), emotional distress, fatigue, inability to control pain


characterized by:

• inadequate intake,
• loss of sense of taste,
• loss of appetite,
• weight down to 20% or more below the ideal,
• decreased muscle mass and subcutaneous fat,
• constipation,
• abdominal cramping.

Goal:

• Showed a stable weight, normal laboratory results and no sign of malnutrition.
• Stated understanding of the need for adequate intake.
• Participate in the management of diet-related illness.

Interventions :

• Monitor food intake every day, whether eating in accordance with the needs of the client.
• Measure weight, triceps size and observed weight loss.
• Assess pale, slow wound healing and parotid gland enlargement.
• Encourage clients to consume high-calorie foods with adequate fluid intake. Instruct too little food to clients.
• Control of environmental factors such as foul odors or noise. Avoid foods that are too sweet, fatty and spicy.
• Create a pleasant dining atmosphere for example, a meal with friends or family.
• Encourage relaxation techniques, visualization, moderate exercise before eating.
• Encourage open communication about anorexia problems experienced by clients.

Collaboration:

• Observe laboratory studies such as total lymphocytes, serum transferrin and albumin.
• Give treatment as indicated.
• Attach a nasogastric tube for enteral feeding, balanced with infusion.

Rational:

• Provide information about nutritional status.
• Provides information about the addition and weight loss.
• Showed very poor nutritional state.
• Calories are energy sources.
• Prevent nausea and vomiting, excessive distension, dyspepsia which causes a decrease in appetite and reduce harmful stimulus which can increase anxiety.
• In order for the client to feel like being at home alone.
• To induce a feeling of wanting to eat / arouse appetite.
• In order to overcome together (with a dietitian, nurse and client).
• To determine / establish the occurrence of nutritional deficiencies as a result of the course of disease, treatment and care of the client.
• Facilitate the intake of food and beverages with maximum results and right as needed.

2. Deficient Knowledge about the disease, prognosis and treatment
related to:

• lack of information,
• misinterpretation,
• cognitive limitations.

characterized by:

• often asked,
• stating the problem,
• statement misconceptions, is not accurate in mengikiuti instruction / prevention of complications.

Goal:

• Can accurately say about diagnosis and treatment at the level of proximity ready.
• Following the procedure well and explain the reasons to follow those procedures.
• Having the initiative of changing lifestyles and participate in treatment.
• In cooperation with the furnisher.

Interventions:

• Review understanding of the client and family about the diagnosis, treatment and consequences.
• Determine the client's perception about cancer and its treatment, tell the client about the experience of other clients who have cancer.
• Give accurate and factual information. Answer the questions specifically, avoid unnecessary information.
• Provide guidance to client / family before following the treatment procedure, the old therapy, complications. Be honest with the client.
• Encourage clients to provide verbal feedback and correct misconceptions about the disease.
• Review client / family about the importance of optimal nutrition status.
• Encourage clients to assess the oral mucous membranes regularly, note the presence of erythema, ulceration.
• Encourage clients to maintain the cleanliness of the skin and hair.

Rational:

• Avoid duplication and repetition of the client's knowledge.
• Lets do justification to errors as well as errors of perception and conception of understanding.
• Assist the client in understanding the disease process.
• Assist clients and families in making treatment decisions.
• Knowing the extent of understanding the client and client's family about the disease.
• Increasing knowledge of the client and family regarding adequate nutrition.
• Reviewing the development of the processes of healing and signs of infection and problems with oral health can affect the intake of food and beverages.
• Improving the integrity of the skin and head.

Source : http://nursing-care-plan.blogspot.com/2014/01/imbalanced-nutrition-and-knowledge.html

Imbalanced Nutrition Less Than Body Requirements - NCP for Typhoid Fever

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2 Nursing Interventions for Malaria

1. Ineffective Tissue perfusion related to a decrease in the cellular components needed for the delivery of oxygen and nutrients in the body.

Nursing Intervention:

1. Maintain bed rest to help with maintenance activities.
Rational: reduce myocardial workload and oxygen consumption, maximizing the effectiveness of tissue perfusion.

2. Monitor the blood pressure trend, noting the development of hypotension and changes in pulse pressure.
Rational: hypotension will develop along with the germs that invade the blood.

3. Monitor the quality, the strength of peripheral pulses.
Rational: at the beginning of a strong rapid pulse due to an increase in cardiac output, pulse weak or slow due to ongoing hypotension, decreased cardiac output and peripheral vaso constriction.

4. Assess respiratory rate and depth of quality. Note the severe dyspnea.
Rationale: increased respiration occurs in response to the direct effects of the bacteria on the respiratory center. Breathing becomes shallow in the event of respiratory insufficiency, raises the risk of acute respiratory failure.

5. Give parenteral fluids.
Rational: to maintain tissue perfusion, a large amount of fluid may be required to support the circulation volume.

2. Deficient Knowledge: about the disease, prognosis and treatment needs related to lack of exposure / recall errors of interpretation of information, cognitive limitations.

Nursing Intervention:

1. Review the disease process and future expectations.
Rational: provides basic knowledge of where the patient can make a choice.

2. Provide information on the administration of drugs, drug interactions, side effects, and adherence to the program.
Rational: to increase understanding and enhance cooperation in healing and reducing recurrence of complications.

3. Discuss the need for proper nutritional intake and balanced.
Rationale: The need for optimal healing and general wellbeing.

4. Encourage periods of rest and activity scheduled.
Rational: energy savings and improve healing.

5. Review the need for personal hygiene and environmental cleanliness.
Rationale: Exposure control helps the environment by reducing the amount of the existing causes of disease.

6. Identify the signs and symptoms that require medical evaluation.
Rational: early recognition of progression / recurrence of infection.

7. Emphasize the importance of antibiotic treatment as needed.
Rational: the use of the prevention of infection.

Read More : http://screware.blogspot.com/2013/06/malaria-5-nursing-interventions.html

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Deficient Knowledge Nursing Care Plan for Stroke

Deficient Knowledge Definition :
Absence or deficiency of cognitive information related to a specific topic

Defining Characteristics: Verbalization of the problem; inaccurate follow-through of instruction; inaccurate performance of test; inappropriate or exaggerated behaviors (e.g., hysterical, hostile, agitated, apathetic) Knowledge deficient related to less access to health information.

Stroke is a medical emergency that occurs when the blood flow to the brain is interrupted. This typically occurs when a blood clot blocks the flow of blood, thereby preventing the brain from getting the oxygen that it needs. Without oxygen, the brain cannot function properly and could be permanently damaged.


Nursing Diagnosis for Stroke Deficient Knowledge

Goal:
Increased knowledge of clients

Expected Outcomes:

Clients and families understand about the disease Stroke, care and treatment


Nursing Interventions Nursing Care Plan for Stroke :

1. Assessing the client's readiness and ability to learn

2. Assessing knowledge and skills of previous clients about the disease and its impact on the desire to learn.

3. Give the most important material on the client

4. Identify the main source of support and note the client's ability to learn and support the necessary behavior changes.

5. Assess the family desires to support the client's behavior change.

6. Evaluation of learning outcomes through demonstration and mentions again the material being taught.


Rational:

The learning process depends on the particular situation, social interaction, cultural and environmental values

New information is absorbed and the fact meallui previous assumptions and biases influence the transformation process

Information will be more striking if the concept is explained from the simple to the complex

Family support is needed to support changes in patient.

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