Nursing Diagnosis Ineffective Coping related to psychosocial and economic consequences of epilepsy Nursing Goal: Exercise prevents venous stasis and further circulatory compromise. These reduce risk of seizure which may result from cerebral edema or ischemia.
Blood clotting studies are being used to conclude or make sure that clotting factors stay within therapeutic levels. A nursing diagnosis statement translated into regular English goes something like this: Gastrointestinal Examine GI function, noting anorexia, decreased or absent bowel sounds, nausea or vomiting, abdominal distension, and constipation.
Check dorsalis pedis and posterior tibial pulses bilaterally. This saturates circulating hemoglobin and increases the effectiveness of blood that is reaching the ischemic tissues. Take serial leg measurements of the thigh and leg circumferences.
Gauges of organ perfusion or function. Do not treat a patient based on this care plan. It gives a really good explanation of why the interventions are based on evidence, and every intervention is clearly defined and includes references if you would like to know or if you need to give the basis for the nursing as opposed to medical interventions you may prescribe.
Encourage a moderate lifestyle that includes exercise, mental activity, and nutritional diet Gingival hyperplasia Side Effect of antiepileptic drugsteach the patient regarding the need for maintaining oral hygiene.
Increased intracranial pressures will further reduce cerebral blood flow. Therefore, assessment is required for constant comparisons Note skin texture and the presence of hair, ulcers, or gangrenous areas on the legs or feet.
Monitor compliance in taking antiseizure medications to determine risk for seizure. If the skin in cool to the touch according to the NANDA defining characteristics then it may be venous. It should be removed as soon as therapeutically safe.
As my friend Esme points out, you are falling into the classic nursing student trap of trying desperately to find a nursing diagnosis for a medical diagnosis without really looking at your assignment as a nursing assignment. Malnutrition contributes to anemia, which further compounds the lack of oxygenation to tissues.
Increases negative pressure in thorax, which assists in emptying large veins.
Minimize fluctuations in vascular load, and intracranial pressure, fluid restriction, and fluid can reduce cerebral edema. He also states that they have started to swell.
If you do not have the NANDA-Iyou are cheating yourself out of the best reference for this you could have. Encourage diversional activities such as TV and socialization with others.
Refer to a dietitian if appropriate. Support may be required to facilitate peripheral circulation e. Based on data from 16 studies, fatal pulmonary embolisms have been reported in one third of trauma clients Agency for Healthcare Research and Quality, Stable BP is needed to keep sufficient tissue perfusion.
Evaluate circulatory and neurological studies of involved extremity, both sensory and motor. Palpate gently for local tissue tension, stretched skin, and knots or bumps along course of vein.Nursing care plan and nanda diagnosis for cellulitis. This nursing care plan includes nursing interventions and goals for the patient.
NCP for ineffective tissue perfusion related to inflammoratory response secondary to cellulitis. Care Plan - PAD, Ineffective Tissue Perfusion? - page 2 are not being asked to supplement the medical plan of care-- you are being asked to develop your skills to determine a nursing plan of care.
This is complementary but not dependent on the medical diagnosis or plan of care. Nursing Care Plan for Ineffective Tissue Perfusion - Free download as Word Doc .doc), PDF File .pdf), Text File .txt) or read online for free/5(3).
View Notes - Nursing-Care-Plan-for-Ineffective-Tissue-Perfusion from NURSING NU/NUR2 at Rasmussen College. STUDENT NAME CLINICAL DATE Section 1: Physical Assessment DATE/TIME INITIAL ASSESSMENT%(11).
Jan 12, · * Instruct the patient to inform the nurse immediately if symptoms of decreased perfusion persist, increase or return (see Defining Characteristics of this care plan).
* Provide information on normal tissue perfusion and possible causes for impairment. Jul 22, · Ineffective Tissue perfusion. Selasa, 23 Juli Ineffective Tissue perfusion (specify type): cerebral, renal, cardiopulmonary, GI, peripheral Identifies changes in lifestyle that are needed to increase tissue perfusion; NIC Interventions (Nursing Interventions Classification) see care plan for Impaired Tissue integrity.Download