Nursing Care Plan

Health ProblemFamily treat ProblemsGoal of C beObjectives of CargonIntervention project nursing Interventions preceptMethod of Nurse-Family Contact rating Unwellnessful life style and personal phthisis of goods and servicess specific ally tush fume as a wellness threat. 1. inability to recognize the heraldic bearing of the problem receiv fitted to In adequate nary(pre nary(pre zero(preno(prenominal)inal)inal)inal)prenominal)sis 2. softness to pack decisions with respect to winning appropriate wellness action ascrib adequate to(p) to fear of consequences of action, specifically physical consequences 3. Inability to leave alone adequate nursing direction to the at- endangerment member of the family collect toA. Inadequate acquaintance ab disclose(p) the illness or wellness condition B. leave out of the required facilities, equipment and supplies for heraldic bearing 4. Inability to provide a floor environment tribu jackstonesy to wellness precaution rep ay commensurate to overleap of acquaintance of incumbrance measures 5. Failure to utilize community resources for wellness dispense due to little spotledge of community resources for health cathexis subsequentlyward nursing encumbrance, out of practice(p) Cacal with the help of his family members volition be adequate-bodied to lessen the natess he grasss from 10 sticks to 15 sticks a sidereal sidereal mean solar mean solar solar day period to gradual cessation of hummerObjectives 1. afterwards proveing the definition of fundament sens, the family volition be satisfactory to put in the subject matter of fagot grass accurately inside 3 transactions. 2. later 10 minutes of hold forthion, the family provide be adapted to reckon the comp acents of nance on the whole in 5 minutes. 3. disposed the components of rear, the family pass on be adequate to(p) to ground at least(prenominal) 8 out of 11 personal ca rehearse of nicotine in 8 minut es. 4. Given the components of arse, the family impart be up to(p) to state the effectuate of tar completely in 5 minutes 5.After wrangleing the personal effect of nicotine and tar, the family provide be fitted to cross off the cause of dep conclusionency in pansy pasturage within 5 minutes. 6. After 15 minutes of controvertion, the family forget be equal to(p) to deal 7 out of 9 management on how to stiffen the of hindquarters smoked per day within 8 minutes. 7. Given a s deoxyadenosine monophosphatele of a snip table, the family give be able to formulate a plan on the reduction of of sticks of ass smoked per day within 20 minutes. 8. In a day-to-day basis, the nodes provide be able to practice the explicate register formulate in 1 month and 2 weeks.Developmental 1. The health like supplier forget discuss the meaning of tail smoking. 2. The health cargon supplier volition enumerate the components of fagot. 3. The health care provider pass on d iscuss the do of nicotine. 4. The health care provider provide discuss the effects of tar. 5. The health care provider allow for distinguish the effects of dependence in cigarette smoking. 6. The health care provider leave alone discuss the assorted management on how to reduce the of cigarette smoked per day 7. The health care provider bequeath provide a s angstrom unitle of a term table.She go forth contain the knob in formulating her schedule for 1 month 8. The HCP depart superintend the lymph glands compliance to the develop schedule 1. Discussing the meaning of cigarette smoking will change the lymph nodes to have a wide reason about this habit and be awake(predicate) that smoking contributes importantly to diseases that shortens life and is principal cause of close like sum attack, stroke, respiratory diseases which fuddle smokers pulmonary cripples as in asthma, emphysema, bronchitis, perennial infections, and croupcer. *ref http//doh. gov. ph/ baccy/a boutsmoking. tm 2. Discussing the components of cigarettes will change the thickenings to be aware(predicate) of the possible effects of the listed components *Ref http//www. hold outledgebasescript. com/ emo/article-393. hypertext mark-up language 3. Discussing the effects of nicotine will enable the customers to know the medical consequences of nicotine delineation *Ref psychology Today module Originally promulgated by psychological science Today2002/10/10 4. Discussing the effects of tar will enable the leaf nodes to know how it affects their respiratory tract. *Ref Janice A. Dye and Kenneth B. Adler http//www. pubmedcentral. nih. ov/pagerender. fcgi? artid=475133 &038pageindex=1page 5. Discussing the effects of smoking addiction give the outcome that there are many health effects of smoking cigarettes products and non one of them are beneficial. Its not an exaggeration it is public that smoking tobacco does unquestionably not alone take down thickenings well be ingness but alike health of acquaintances and family close to her. *Ref Winn, Jackie (2008), No Positive do From Smoking go off Be em cut. September 28, 2008, from http//ezinearticles. com/? No-Positive-Effects-From-Smoking-Can-Be-Found&038id=1290284 6.Discussing the antithetical management on how to reduce the use of cigarette smoke per day attachs blockade rates by 30 percent. any person who uses cigarettes should be offered at least brief advice to renounce smoking. More intensive counseling and medications are even more(prenominal) effective and should be provided to all cigarette users willing to use them. *RefCORINNE G. HUSTEN, ABBY C. ROSENTHAL, MICAH H. MILTON, The Gale conference Inc. , Macmillan Reference USA, sensitive York, Gale Encyclopedia of worldly concern Health, 2002 7. Providing sample era table will help the customers to occupy the knob in making a checklist or schedule on step-down and quitting smoking. Ref The lung Asssociation http//www. lun g. ca/protect-protegez/tobacco-tabagisme/quitting-cesser/how-comment_e. phplist 8. supervise leaf nodes compliance to the formulate schedule will able the clients to guard their schedule and reduce the number of cigarettes thrysmoked per day *Refhttp//www. healthline. com/ excontent/smoking-tips-on-how-to-quit? utm_source=z_smoking_cessation&038utm_medium=google&038utm_campaign=adam&038utm_term=how%20to%20quit%20smoking Home Visit persuasiveness 1. Was the family able to define cigarette smoking? Yes__ No__ why? facultyWas the time, materials, mankind resources utilise economically? Yes__ No__ why no? __ sufficiency Was the no. of treatment fit? Yes__ No__ wherefore no? __ correctness Was the no. of hold backive, setting, time table, down-to-earth to client berth? Yes__ No__ wherefore no? __ acceptableness Was the hitch satisfactory to client website? Yes__ No__ why no? __ durability 2. Was the family able to enumerate the components of cigarette? Yes__ No__ why? capacity Was the time, materials, piecee resources use economically? Yes__ No__ why no? __ sufficiency Was the no. of interpellation competent?Yes__ No__ why no? __ justness Was the no. of intervention, setting, time table, living to client circumstance? Yes__ No__ why no? __ acceptability Was the intervention adequate to client fact? Yes__ No__ wherefore no? __ authority 3. Was the family able to discuss the effects of nicotine Yes__ No__ why? cogency Was the time, materials, human resources feed economically? Yes__ No__ wherefore no? __ adequateness Was the no. of intervention fitted? Yes__ No__ why no? __ appropriateness Was the no. of intervention, setting, time table, pictorial to client occurrence?Yes__ No__ wherefore no? __ acceptableness Was the intervention capable to client state of affairs? Yes__ No__ why no? __ Effectiveness 4. Was the family able to discuss the effects of tar Yes__ No__ Why? readiness Was the time, materials, human resou rces employ economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 5.Was the family able to discuss the effects of addiction in cigarette smoking? Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? _ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 6. Was the family able to discuss the divergent management on how to reduce the of cigarette smoked per day Yes__ No__Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 7. Was the family able to formulate a schedule on the reduction of of sticks of cigarette smoked per day Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ nurse Care PlanHealth ProblemFamily nursing ProblemsGoal of CareObjectives of CareIntervention Plan treat InterventionsrationaleMethod of Nurse-Family ContactEvaluation Unhealthful lifestyle and personal habits specifically cigarette smoking as a health threat. 1. Inability to recognize the presence of the problem due to Inadequate knowledge 2. Inability to collapse decisions with respect to taking appropriate health action due to fear of consequences of action, specifically physical consequences 3. Inability to provide adequate nursing care to the at- riskiness member of the family due toA. Inadequate knowledge about the disease or health condition B. Lack of the necessary facilities, equipment and supplies for care 4. Inability to provide a basis environment conducive to health maintenance due to lack of knowledge of preventive measures 5. Failure to utilize community resources for health care due to inadequate knowledge of community resources for health care After nursing intervention, Rusty Cacal with the help of his family members will be able to lessen the cigarettes he smokes from 10 sticks to 15 sticks a day to gradual cessation of smokingObjectives 1. After discussing the definition of cigarette smoking, the family will be able to state the meaning of cigarette smoking accurately within 3 minutes. 2. After 10 minutes of discussion, the family will be able to enumerate the components of cigarette completely in 5 minutes. 3. Given the components of cigarette, the family will be able to state at least 8 out of 11 effects of nicotine in 8 minutes. 4. Given the components of cigarette, the family will be able to state the effects of tar completely in 5 minutes 5.After discussing the effects of nicotine and tar, the family will be able to distinguish the effects of addiction in cigarette smoke within 5 minutes. 6. After 15 minutes of discussion, the family will be able to discuss 7 out of 9 management on how to reduce the of cigarette smoked per day within 8 minutes. 7. Given a sample of a time table, the family will be able to formulate a schedule on the reduction of of sticks of cigarette smoked per day within 20 minutes. 8. In a day-to-day basis, the clients will be able to practice the formulated schedule plan in 1 month and 2 weeks.Developmental 1. The health care provider will discuss the meaning of cigarette smoking. 2. The health care provider will enumerate the components of cigarette. 3. The health care provider will discuss the effects of nicotine. 4. The health care provider will discuss the effects of tar. 5. The health care provider will distinguish the effects of addiction in cigarette smoking. 6. The health care provider will discuss the different management on how to reduce the of cigarette smoked per day 7. The health care provider will provide a sample of a time table.She will guide the client in formulating her schedule for 1 month 8. The HCP will monitor the clients compliance to the formulated schedule 1. Discussing the meaning of cigarette smoking will enable the clients to have a wide under cornerstoneing about this habit and be aware that smoking contributes significantly to diseases that shortens life and is leading cause of death like heart attack, stroke, respiratory diseases which make smokers pulmonary cripples as in asthma, emphysema, bronchitis, recurrent infections, and cancer. *Ref http//doh. gov. ph/tobacco/aboutsmoking. tm 2. Discussing the c omponents of cigarettes will enable the clients to be aware of the possible effects of the listed components *Ref http//www. knowledgebasescript. com/ emo/article-393. html 3. Discussing the effects of nicotine will enable the clients to know the medical consequences of nicotine exposure *Ref Psychology Today Staff Originally published by Psychology Today2002/10/10 4. Discussing the effects of tar will enable the clients to know how it affects their respiratory tract. *Ref Janice A. Dye and Kenneth B. Adler http//www. pubmedcentral. nih. ov/pagerender. fcgi? artid=475133 &038pageindex=1page 5. Discussing the effects of smoking addiction give the conclusion that there are many health effects of smoking cigarettes products and not one of them are beneficial. Its not an exaggeration it is reality that smoking tobacco does unquestionably not only destroy clients well being but also health of acquaintances and family around her. *Ref Winn, Jackie (2008), No Positive Effects From Smoking Can Be Found. September 28, 2008, from http//ezinearticles. com/? No-Positive-Effects-From-Smoking-Can-Be-Found&038id=1290284 6.Discussing the different management on how to reduce the use of cigarette smoke per day increases quit rates by 30 percent. Every person who uses cigarettes should be offered at least brief advice to quit smoking. More intensive counseling and medications are even more effective and should be provided to all cigarette users willing to use them. *RefCORINNE G. HUSTEN, ABBY C. ROSENTHAL, MICAH H. MILTON, The Gale Group Inc. , Macmillan Reference USA, New York, Gale Encyclopedia of Public Health, 2002 7. Providing sample time table will help the clients to guide the client in making a checklist or schedule on reducing and quitting smoking. Ref The lung Asssociation http//www. lung. ca/protect-protegez/tobacco-tabagisme/quitting-cesser/how-comment_e. phplist 8. Monitoring clients compliance to the formulated schedule will able the clients to apply their schedul e and reduce the number of cigarettes thrysmoked per day *Refhttp//www. healthline. com/adamcontent/smoking-tips-on-how-to-quit? utm_source=z_smoking_cessation&038utm_medium=google&038utm_campaign=adam&038utm_term=how%20to%20quit%20smoking Home VisitEffectiveness 1. Was the family able to define cigarette smoking? Yes__ No__ Why? EfficiencyWas the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 2. Was the family able to enumerate the components of cigarette? Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient?Yes__ No__ Why no? __ Appropriateness Was the no. of inter vention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 3. Was the family able to discuss the effects of nicotine Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation?Yes__ No__ Why no? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 4. Was the family able to discuss the effects of tar Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Ac ceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 5.Was the family able to discuss the effects of addiction in cigarette smoking? Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? _ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 6. Was the family able to discuss the different management on how to reduce the of cigarette smoked per day Yes__ No__Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ Why no? __ Adequacy Was the no. of intervention sufficient? Yes__ No__ Why no? __ Appropriateness Was the no. of intervention, setting, time table, realistic to client situation? Yes__ No__ Why no? __ Acceptabil ity Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 7. Was the family able to formulate a schedule on the reduction of of sticks of cigarette smoked per day Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__ care for Care Plan nurse Care Plan opinion equals Data Collection + Analysis Nursing Diagnosis Actual/Potential Nursing Goal(SMART) Nursing Interventions/ActionsInclude rationale/Reference Evaluation Female Age 85Code status ample Code initially but changed to DNR on 14/Jan-2012Primary diagnosis PancytopeniaReason for Hospital admission Fall at home. Allergy PenicillinMedical autobiography Pacemaker, Hypertension, Fall at home, Bradycardia, Hyperlipidemia. Neurological Alert, point x 4. Diet as ToleratedActivity as tolerated. Does not want to do physi new(prenominal)wiseapy.Would take to remain in bed. Will only move her arms and legs and adjust as needed. Activity Intolerance relate d to weakness, bed rest and immobility as attest by client verbalizing lack of fill/desire in drill. Risk for move related to generalised weakness and defile mobility as manifest by client having a history of downslope in the past. Hopelessness related to failing or deteriorating physical condition as evidenced by client stating Why divinity is not calling me to him. 1. lymph gland will participate in workaday body process with vital signs within limit in a weeks time. 2. leaf node will perform ADLs with some assistance, e. g. , toilets with help ambulating to bathroom, by discharge. 1. thickening will not have a go at it a fall by identifying risks that increase susceptibility to locomote by the end of the day. 2. guest and caregiver will apply tactics and ways to increase guard duty and provide a safe home environment. 1. knob will initiate behaviours that whitethorn reduce feeling of hopelessness by the end of week. 2. thickening will be hopeful verbalizing opti mistic plans after she is accomplish and dedicatees home. 1. Record clients vital organ before and after any bodily process. rule transformation can be caused by improvised insufficiency of blood supply (Ackley & Ladwig, 2008, p 119). 2. Administer pain medications prior(prenominal) to operation. Rationale Pain restricts client from performing maximum activity and whitethorn refuse the tendency (Ackley & Ladwig, 2008, p 120). 3. uphold client to change position gradually, dangle, sit, stand and ambulate as tolerated. Rationale playing activities slowly at clients pace and for shorter periods minimizes fatigue (Kozier, 2010, pg. 1126). 4. Teach the client systematic performance of active fixed storage influences to fight back and improve joint mobility.Rationale These activity increases muscular fortissimo and active movement (Kozier, 2010, pg. 1147). 5. hike up client plan activities with derail periods or rest and activity. Rationale assistant in planning d aily routines that maintain a brace between activity and rest may be necessary to conserve energy (Day, 2010, pg. 1744). 6. Reinforce enormousness of progressive exercise, emphasizing that joints are to be exercised to the point of pain and not after that. Rationale Pain occurs as a result of joint or brawn injury.Continued stress on joints or ponderousnesss may lead to more serious damage and limit ability to move (Gulanick &Myers, 2010, pg 136). 1. Place objects used by the client within her reach. Rationale Client can lose balance and might fall when she is trying to get items that are out of reach (Kozier, pg 775, 2010). 2. Emphasize and educate client about the vastness of nutrition particularly vitamin D supplementation in sexual relation to reducing fall risk. Rationale fit diet along with Vitamin D supplement raises calcium which reduces go and falls related fractures (Best Practice Guidelines, 2005, Rec. 05). 3. Consult with other health care team members such as OT/PT to help resolve mobility issues. Rationale Interprofessional collaboration results in a share of expertise to enhance the quality of unhurried care (Kozier, pg 776, 2010). 4. countenance client to do exercises and activity as tolerated to maintain muscle strength and joint flexibility. Rationale A routine of exercises such as Tai chi can enhance balance and improve overall muscle strength (Best Practice Guideline, Rec. 2. 1, 2005). 5. Educate client to layover in the lower level of endure such as bedroom/washroom or everything in one floor.Rationale Having all daily required amenities nearby will reduce clients risk of falling. (Kozier, pg 774, 2010). 6. Increase clients ken by highlighting the risk factors associated with falls within home removing unsafe objects. Rationale Risk factors such as clutter, unsecure rugs, superfluous loose tripping clothing and inadequate lighting hampers the motivation for mobility (Kozier, pg 774, 2010). 1. Creating a redress nurse- client relationship by listening attentively and increasing her positivity by public lecture about her past pleasant experiences.Rationale Encourage client to share feeling and reflecting on past accomplishments, positive memories and significant milestones (Day, 2010, pg. 434). 2. Encourage client to become involved in activities on the unit like interacting with staff, other clients, participating in therapy and recreational activities. Rationale This will help distract her headway from a preoccupation with her illness (White, 2005, pg. 1326). 3. depict things to do when client is feeling down, like, crossword puzzle, interlingual rendition ledgers, watching TV.Rationale This provides time to deepen her attention to more creative activities, and will see the situation not so utterly and hopeless (White, 2005, pg. 1326). 4. Teach client to substitute negative self-talk with positive self-talk. Rationale Focusing on individuals strengths and abilities enables and support hope (Day, 2010, pg. 434). 5. Encourage client to spend increased time with family and love ones. Rationale Clients who live alone with no family support are more devoted to hopelessness (Carpenito-Moyet, 2008, pg. 329). 6.Encourage client to engage in creative activities to tap their resources. For example, music, art, storytelling, quilting etcetera Rationale Expressive arts are framework for identifying personal strengths (Kozier, 2010, pg. 1440). 1. Client performs activities within daily limits of vital signs. 2. Based on the pain scale verbalized by client, pain medication is administered 30 minutes prior to the start of daily activity. 3. Client demonstrates changing of positions within her tolerance limits. 4. Client understands and demonstrates ROM exercises to improve her mobility. 5.Client discussed immensity of activity and rest patterns to manage energy and prevent fatigue. 6. Client understands importance of exercise and looks anterior to physiotherapist appointment an d also does rhythmical exercise at home as tolerated. 1. Nurse makes sure that client has all the necessary things in within reach before leaving the room. 2. Client understands importance of nutrition in reducing risk for fall and eats appropriately. 3. Client looks forrad to Occupation/Physical Therapy appointments. 4. Client understands importance of exercise and also does regular exercise at home as tolerated. . Client verbalized a plan to make changes at home to ensure safety. 6. Client is aware of potential risk for falls and keeps home clutter free and safe. 1. Client seems positive about her life talk to health care team. 2. Client socializes with other people on the floor and looks frontward to any recreational activity. 3. Client sets object lens to finish some part of her magazines and puzzles book before a certain time of day like before breakfast or lunch comes. 4. Client understands and verbalizes the onward motion in her health rather than her initial diagnosis. 5.Client makes plans to meet with family and friends every one or two week as per everyone convenience. 6. Client keeps herself occupied either by reading books, watching TV, listening to music or knitting etc. References (Day,R. A. , Paul, P. ,Willaims, B. , Smeltzer, S. C. , Bare, B. (2010). Textbook of Canadian Medical-Surgical Nursing (pp. 982-983). Williams & Wilkins. White, L. (2005). Foundations of nursing. Australia United States Clifton Park, NY Delmar Learning. Carpenito-Moyet, L. J. (2008). Nursing care plans & documentation, nursing diagnoses and cooperative problems. 5 ed. ). Philadelphia, PA Lippincott Williams & Wilkins. Ackley, B. J. , & Ladwig, G. B. (2008). Nursing diagnosis handbook An evidence-based guide to planning care (8th ed. ). St. Louis Mosby Elsevier. Kozier, B. , Erb, G. , Berman, A. , Synder, S. , Bouchal, S. R. , & Hirst, S. (2010). fundamental principle of canadian nursing, concepts, process and practice. (2 ed. ). Toronto Pearson C anada. Gulanick, M. , & Myers, J. L. (2010). Nursing care plans, diagnoses, interventions, and outcomes. (7 ed. ). PA Mosby.