Nursing Care Plans: Nursing Diagnosis and Intervention

Front Cover
Mosby, Jan 1, 1994 - Nursing - 541 pages
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A comprehensive compilation of care plans specific to patient problems requiring hospitalization. Timely information assists the nurse in the development, deliverance, and documentation of patient care.

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Contents

Activity intolerance
2
Airway clearance ineffective
3
Anxiety
5
Aspiration high risk for
6
Body image disturbance
7
high risk for
8
Bowel incontinence
9
Breathing pattem ineffective
10
Alzheimers diseaseDementia
236
Amyotrophic lateral sclerosis ALS
241
preoperativeunclipped
245
Cerebrovascular accident CVA Hemiplegia stroke
248
Consciousness altered level of
252
Craniotomy
253
GuillainBarre syndrome
256
Head trauma
260

Cardiac output decreased
12
Care giver role strain
13
n Communication impaired verbal
14
Constipationimpaction
16
Coping impaired individual
18
Diarrhea
19
Diversional activity deficit
21
Family processes altered
23
Fluid volume deficit
25
Fluid volume excess
26
Gas exchange impaired
27
Grieving anticipatory
28
Grieving dysfunctional
30
Healthmaintenance altered
31
Healthseeking behaviors
33
Home maintenancemanagement impaired
34
Hopelessness
36
Hyperthermia
37
Hypothermia
38
Ineffective management of therapeutic regimen
39
Infection high risk for
40
Knowledge deficit
41
Noncompliance
42
less than body requirements
44
more than body requirements
45
Oral mucous membrane impaired
46
Physical mobility impaired
47
Pain
49
Powerlessness
52
Selfcare deficit
53
Selfesteem disturbance
55
visual
56
Sexuality pattems altered
58
high risk for
59
Sleep pattem disturbance
61
Spiritual distress
62
Swallowing impaired
63
Thought processes altered
66
Tissue integrity impaired
69
Urinary elimination altered pattems of incontinence
71
Urinary retention
74
CARDIAC AND VASCULAR CARE PLANS
76
Angina pectoris stable chest pain
77
acute phase
79
Aortic aneurysm
82
Cardiac catheterization
85
Cardiac rehabilitation
87
Cardiac transplantation
91
Cardioverterdefibrillator implantable
96
Carotid endarterectomy
101
Chronic heart failure
103
immediate postoperative care
108
Digitalis toxicity
113
Dysrhythmias
114
Endocarditis
118
Femoralpopliteal bypass
120
Hypertension
122
Hypertensive crisis
125
Intraaortic balloon pump IABP
127
Mitral valve prolapse
130
acute phase 13 days
132
Pacemaker extemal temporary
138
Pacemaker implantable permanent
141
Percutaneous balloon valvuloplasty
144
Percutaneous coronary intervention PTCA atherectomy laser stents
148
Peripheral chronic arterial occlusive disease
151
Pulmonary edema acute
153
Shock cardiogenic
159
Shock hypovolemic
161
Shock septic
163
Swan Ganz catheterization hemodynamic monitoring
167
Tamponade
169
Thrombolytic therapy in myocardial infarction
171
Thrombophlebitis
175
Ventricular assist device VAD
177
PULMONARY CARE PLANS
182
Adult respiratory distress syndrome ARDS
183
Bronchial asthma status asthmaticus
186
Chest trauma
188
Chronic obstructive pulmonary disease COPD
192
High frequency jet ventilation HFJV
195
Lung cancer
199
Mechanical ventilation
202
Near drowning
208
Pneumonia
211
Pneumothorax with chest tube
214
Pulmonary thromboembolism
216
Radical neck
220
Respiratory failure acute
223
Thoracotomy
225
Tracheostomy
229
Tuberculosis active TB
232
NEUROLOGIC CARE PLANS
235
Hydrocephalus
264
Increased intracranial pressure
266
Intracranial infection
268
Multiple sclerosis
271
acute phase
274
Parkinsonism
277
Seizure activitystatus epilepticus
281
Spinal cord injury
284
AND DIGESTIVE CARE PLANS
287
Abdominal surgery
288
Acute abdomen
293
Cirrhosis
295
Colon cancer
299
Enteral tube feeding
303
Enterocutaneous fistula
305
Fecal ostomy
308
Gastrointestinal bleeding
311
Hemorrhoidshemorrhoidectomy
314
Hepatitis
316
Inflammatory bowel disease
319
Laparoscopic surgery
321
Pancreatitis
323
Total parenteral nutrition TPN
324
MUSCULOSKELETAL CARE PLANS
329
Amputation of a lower extremity surgical
330
Arthritis rheumatoid
333
Extremity fracture
336
Low back painLumbar laminectomy
340
Osteoarthritis
343
Osteomyelitis
345
Osteoporosis
347
Partial anterior acromiectomy with or without rotator cuff repair
350
Pelvic fracture
352
Systemic lupus erythematosus SLE
357
Total hip arthroplastyreplacement
363
Total knee arthroplastyreplacement
368
Total shoulder arthroplastyreplacement
370
Traction
371
HEMATOLYMPHATIC AND ONCOLOGIC CARE PLANS
374
Acquired immune deficiency syndrome AIDS
375
Aplastic anemia
382
Blood and blood product transfusion therapy
384
Bone marrowperipheral blood stem cell transplantation
386
care of the bone marrow donor
396
Breast cancerMastectomy
399
Cancer chemotherapy
403
Central venous access devices
408
Disseminated intravascular coagulation DIC
410
risk for infection
413
Hemophilia
415
Lead poisoning
418
Leukemia
420
Multiple myeloma
424
Sickle cell pain crisis
427
Tumor lysis syndrome
429
Vulvectomy
431
RENAL CARE PLANS
435
Acute renal failure
436
Endstage renal disease ESRD
440
Glomerulonephritis
444
Nephrotic syndrome
447
Peritoneal dialysis
449
Renal transplant postoperative
453
Vascular access for hemodialysis
456
GENITOURINARYGYNECOLOGIC CARE PLANS
459
Benign prostatic hypertrophyprostate cancerprostatectomy
460
Hysterectomy
463
Ovarian cancer
466
Pelvic inflammatory disease
468
Penile prosthesis
470
Renal calculi urolithiasis
472
Urinary diversion
475
Urinary tract infectionpyelonephritis
480
ENDOCRINE AND METABOLIC CARE PLANS
482
Addisons disease
483
Cushings syndrome
485
Diabetes insipidus
488
Diabetes mellitus
490
Diabetic ketoacidosis DKA
494
Hyperglycemic hyperosmotic nonketotic syndrome
497
Syndrome of inappropriate antidiuretic hormone SIADH
499
Thyroidectomy
501
INTEGUMENTARY CARE PLANS
504
Bums
505
Plastic surgery for pressure sores
510
Pressure sores impaired skin integrity
513
Scleroderma
517
PSYHOSOCIAL CARE PLANS 1 Anorexia nervosa
523
Bulimia
525
Depression
527
Rape trauma syndrome
529
Substance abuse
532
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