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Archive for November, 2009 ↓

Altered Growth and Development Care Plan

Altered Growth and Development Published on Saturday March 10th , 2007 Altered Growth and Development (_)Actual (_) Potential Related To: [Check those that apply] (_) Acute illness (_) Prolonged pain (_) Chronic illness (_) Prolonged bedrest (_) Neglect/isolation (_) Traction or casts (_) Separation from significant other (_) Parental knowledge deficit (_) Other:_____________________________ ____________________________________ ____________________________________ […]

Altered Oral Mucous Membranes: Stomatitis

Altered Oral Mucous Membranes: Stomatitis (_)Actual (_) Potential Related To: [Check those that apply] (_) Immunosupression from chemotherapy (_) Nutritional depletion (_) Radiation to head and neck (_) Improper fitting dentures (_) Excessive dry mouth (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) Disruption of mucous […]

Altered Sexuality Patterns Care Plan

Altered Sexuality Patterns (_)Actual (_) Potential Related To: [Check those that apply] (_) Cardiac disease (_) Chronich respiratory disease (_) Medication (_) Metabolic disease (_) Neurological disease (_) Penile prosthesis (_) Prostatectomy (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) Identification of sexual difficulties, limitations, or […]

Anxiety Care Plan

Anxiety (_)Actual (_) Potential Related To: [Check those that apply] (_) Anesthesia (_) Anticipated/actual pain (_) Disease (_) Invasive/noninvasive procedure:_________ _____________________________________ (_) Loss of significant other (_) Threat to self-concept (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) [Physiological] (_) Elevated BP, P, R (_) Insomnia (_) […]

Comfort: Chest Pain Care Plan

Comfort: Chest Pain Related To: [Check those that apply] (_) Myocardial Infarction (_) Unstable Angina (_) Coronary Artery Disease (_) Chest Trauma (_) Stress Anxiety (_) Musculoskeletal Disorders (_) Pulmonary, Myocardial contusion (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) Person reports or demonstrates a discomfort. […]

Discharge Care Plan

Discharge Care Plan Date & Sign. Plan and Outcome [Check those that apply] Target Date: Nursing Interventions [Check those that apply] Date Achieved: (_) The patient/family’s discharge planning will begin on day of admission including preparation for education and/or equipment.(_) On the day of discharge, patient/family will receive verbal and written instructions concerning: Medications diet […]

Disuse Syndrome Care Plan

Disuse Syndrome (_)Actual (_) Potential Related To: [Check those that apply] (_) Unconciousness (_) Neuromuscular Impairment (_) Musculoskeletal condition (_) Immobility (_) Traction/casts/splints (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) Presence of risk factors. (See above “Related To”).   Date & Sign. Plan and Outcome […]

Diversional Activity Deficit Care Plan

Diversional Activity Deficit (_)Actual (_) Potential Related To: [Check those that apply] (_) Monotonous environment (_) Long-term hospitalization (_) Lack of motivation with signs of depression (_) Skeletal-muscular impairments (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must be present) (_) Observed statement of boredom/depression fro inactivity. Minor: (May be […]

Fluid Volume Deficit Care Plan

Fluid Volume Deficit (_)Actual (_) Potential Related To: [Check those that apply] (_) Excessive urinary output. (_) Inadequate fluid intake. (_) Abnormal drainage. (_) Excessive emesis. (_) Difficulty in swallowing. (_) Medication:________________________ (_) Diarrhea (_) Shock (_) Hemorrhage (_) Fever (_) Burns (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: […]

Fluid Volume Excess Care Plan

Fluid Volume Excess (_)Actual (_) Potential Related To: [Check those that apply] (_) Decreased cardiac output (_) Low protein intake (_) Liver disease (_) Inflammatory process (_) Steroid therapy (_) Medications:_______________________ (_) Excess fluid intake (_) Sodium intake more than adequate (_) Other:_____________________________ ____________________________________ ____________________________________   As evidenced by: [Check those that apply] Major: (Must […]

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