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Nursing Diagnosis: Deficient Knowledge regarding disease, prognosis, current therapies, and self-care needs
May be related to
- Lack of exposure/recall; information misinterpretation
- Cognitive limitation
- Unfamiliarity with information resources
Possibly evidenced by
- Questions/request for information; statement of misconception
- Inaccurate follow-through of instructions, development of preventable complications
Desired Outcomes
- Verbalize understanding of condition/disease process and potential complications.
- Identify relationship of signs/symptoms to the disease process and correlate symptoms with causative factors.
- Verbalize understanding of therapeutic needs.
- Correctly perform necessary procedures and explain reasons for actions.
- Initiate necessary lifestyle changes and participate in treatment regimen.
13 Acquired Immunodeficiency Syndrome (AIDS) Nursing Care Plan (NCP)
- Imbalanced Nutrition: Less Than Body Requirements — AIDS Nursing Care Plan (NCP)
- Acute/Chronic Pain — AIDS Nursing Care Plan (NCP)
- Impaired Skin Integrity — AIDS Nursing Care Plan (NCP)
- Impaired Oral Mucous Membrane — AIDS Nursing Care Plan (NCP)
- Fatigue — AIDS Nursing Care Plan (NCP)
- Disturbed Thought Process — AIDS Nursing Care Plan (NCP)
- Anxiety/Fear — AIDS Nursing Care Plan (NCP)
- Social Isolation — AIDS Nursing Care Plan (NCP)
- Powerlessness — AIDS Nursing Care Plan (NCP)
- Deficient Knowledge — AIDS Nursing Care Plan (NCP)
- Risk for Injury — AIDS Nursing Care Plan (NCP)
- Risk for Deficient Fluid Volume — AIDS Nursing Care Plan (NCP)
- Risk for Infection — AIDS Nursing Care Plan (NCP)
Deficient Knowledge — AIDS (HIV Positive) Nursing Care Plan (NCP)
| Nursing Interventions | Rationale |
| Review disease process and future expectations. | Provides knowledge base from which patient can make informed choices. |
| Determine level of independence/dependence and physical condition. Note extent of care and support available from family/SO and need for other caregivers. | Helps plan amount of care and symptom management required and need for additional resources. |
| Review modes of transmission of disease, especially if newly diagnosed. | Corrects myths and misconceptions; promotes safety for patient/others. Accurate epidemiological data are important in targeting prevention interventions. |
| Instruct patient and caregivers concerning infection control, e.g.: using good handwashing techniques for everyone (patient, family, caregivers); using gloves when handling bedpans, dressings/soiled linens; wearing mask if patient has productive cough; placing soiled/wet linens in plastic bag and separating from family laundry, washing with detergent and hot water; cleaning surfaces with bleach/water solution of 1:10 ratio, disinfecting toilet bowl/bedpan with full-strength bleach; preparing patient’s food in clean area; washing dishes/utensils in hot soapy water (can be washed with the family dishes). | Reduces risk of transmission of diseases; promotes wellness in presence of reduced ability of immune system to control level of flora. |
| Stress necessity of daily skin care, including inspecting skin folds, pressure points, and perineum, and of providing adequate cleansing and protective measures, e.g., ointments, padding. | Healthy skin provides barrier to infection. Measures to prevent skin disruption and associated complications are critical. |
| Ascertain that patient/SO can perform necessary oral and dental care. Review procedures as indicated. Encourage regular dental care. | The oral mucosa can quickly exhibit severe, progressive complications. Studies indicate that 65% of AIDS patients have some oral symptoms. Therefore, prevention and early intervention are critical. |
| Review dietary needs (high-protein and high-calorie) and ways to improve intake when anorexia, diarrhea, weakness, depression interfere with intake. | Promotes adequate nutrition necessary for healing and support of immune system; enhances feeling of well-being. |
| Discuss medication regimen, interactions, and side effects | Enhances cooperation with/increases probability of success with therapeutic regimen. |
| Provide information about symptom management that complements medical regimen; e.g., with intermittent diarrhea, take diphenoxylate (Lomotil) before going to social event. | Provides patient with increased sense of control, reduces risk of enbarrassment, and promotes comfort. |
| Stress importance of adequate rest. | Helps manage fatigue; enhances coping abilities and energy level. |
| Encourage activity/exercise at level that patient can tolerate. | Stimulates release of endorphins in the brain, enhancing sense of well-being. |
| Stress necessity of continued healthcare and follow-up. | Provides opportunity for altering regimen to meet individual/changing needs. |
| Recommend cessation of smoking. | Smoking increases risk of respiratory infections and can further impair immune system. |
| Identify signs/symptoms requiring medical evaluation, e.g., persistent fever/night sweats, swollen glands, continued weight loss, diarrhea, skin blotches/lesions, headache, chest pain/dyspnea. | Early recognition of developing complications and timely interventions may prevent progression to life-threatening situation. |
| Identify community resources, e.g., hospice/residential care centers, visiting nurse, home care services, Meals on Wheels, peer group support. | Facilitates transfer from acute care setting for recovery/independence or end-of-life care. |
Found through:
anorexia soap note, knowledge deficit as evidenced by ? aids patients, deficient knowledge related to smoking cessation, importance of bag technique, nursing intervention for deficient knowledge related to disease process
