Wednesday, January 2, 2019
Nursing Theorist Essay
reflect 3 nurse diagnoses using the Problem, Etiology, and Signs and Symptoms (PES) set and the taxonomy of NANDA. The diagnoses essential be based on the case study, be appropriate, be prioritized, and be formatted correctly.For each breast feeding diagnosis, state 2 desire outcomes using NOC criteria. want outcomes must be uncomplaining-centered and measurable within an identify metreframe.For each outcome, state 2 nursing interventions using NIC criteria as well as 1 evaluation order. interpositions and the evaluation method must be appropriate to the desired outcomes.Provide rationale for each nursing diagnosis, and explain how PES, NANDA, NOC, and NIC apply to each diagnosis. workout a minimum of 3 peer-reviewed imaginativenesss, and take a shit an APA formatted reference page. nursing diagnosis 1 Urinary Retention R/T Anesthesia treat InterventionsDesired aftermath 1Desired endpoint 2Nursing Intervention Visually chatter and palpate lower abdomen for dilation ( Mosby 2012). longanimous ofs abdominal girth entrust non increase and dilatation go forth decrease. Patient will roost throw in the towel of abdominal annoyance r/t urinary retention. Nursing Intervention 2 Urinary Catheterization (Mosby 2012) Patient will empty bladder >30ml an hourPatient will demonstrate foot technique if performing self-catheterization. Evaluation method neb input and output periodical to begin accurate measurements. Make sure catheter is free of kinks to suffer for suitable drainage principle guardianship accurate records of I/O will procure that the forbearing of is evacuating properly. Ensuring patient is free of pain will gain less anxiety and admit life-sustaining signs within range. Educating patient on novel technique will assist an environs with less bacteria and keep peril of transmission system lower.Nursing Diagnosis 2 Risk for Infection/RT Urinary CatheterDesired resolution 1Desired Outcome 2Nursing Intervention 1 Infecti on ControlPatient mud free of transmittance, as evidenced by normal vital signs, and absence of infected drainage from wounds, pussys, and tubes (Mosby 2012). Infection is recognized betimes to get out for prompt treatment (Mosby 2012). Nursing Intervention 2 Infection justificationTeach patient to wash manpower often, especially after toileting, originally meals, and in the beginning and after administering self-cargon (Mosby 2012). Teach patient splendor of eating well balanced meals to promote healthy keepal status. Evaluation methodEvaluate patient perform self-cargon as to promote further education. Allow patient to verbalize and demonstrate understanding of proper nutrition andsigns of infection. RationalePatients with indwelling catheters deficiency to be shown clean techniques when being pink-slipped home. Educating patient on proper apply washing will promote clean environment and keep patients risk of infection lower. Educating patient on the early signs of i nfection will promote prompt aesculapian intervention. Educating patient on proper nutrition and importance of well balanced meals will promote faster healing of incision and lower patients risk of infection.Nursing Diagnosis 3 Pain R/T Postoperative painDesired Outcome 1Desired Outcome 2Nursing Intervention 1 regard need for pain relief (Mosby 2012)Anticipating pain may result in medicating at a lower dose to keep patient nurseable. Maintaining a level of comfort where the patient is not begging for relief. Keeping vital signs stable while maintaining the patient booming. Nursing Intervention 2 reply immediately to complaint of pain (Mosby 2011)Creates a rely kinship with patient to ensure establish lines of communication. Allows the patient to know that you are empathetic to their discomfort and that they are not alone. Evaluation methodEvaluate plan times of medicament administration. Round hourly on the patient as to tranquillise the patient that their needs will be met . Educate patient on medication administration time so they are not waiting until their pain is at a level 8 before they ask for relief. Evaluate the responses from the patient as to ensure that they are feeling comfortable with the palm. RationaleAnticipating pain will allow the nurse to be on time for the patient in pain. Creating that trusting relationship with the patient will allow open lines of communication with the patient which will in turn allow for better thrill and outcome. Educating a patient on when to ask for medication will ensure that the patient never reaches a level of total pain. Treating your patient with compassion and empathy will allow for the patient to feel satisfied with the care they are receiving and create a trusting relationship.ReferenceSwearingen, P. L. (2012). All-in-one care planning resource medical-surgical, pediatric,maternity, psychiatric nursing care plans (3rd ed.). Philadelphia, PAElsevier/Mosby.Gulanick, M. (2011). Nursing care plans dia gnoses, interventions, and outcomes (7thed.). St. Louis, Mo. Elsevier Mosby.Doenges, M. E., & Moorhouse, M. F. (2002). Nursing care plans guidelines forindividualizing patient care (6th ed.). Philadelphia F.A. Davis.
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