NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs May be related to Lack of exposure/recall Information misinterpretation 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 Knowledge: Illness Care (NOC) Verbalize understanding of disease process and potential complications. Identify relationship ...
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Knowledge Deficit — Ileostomy & Colostomy Nursing Care Plan (NCP)
NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, prognosis, treatment, self-care, and discharge needs May be related to Lack of exposure/recall information misinterpretation Unfamiliarity with information resources Possibly evidenced by Questions; statement of misconception/misinformation Inaccurate follow-through of instruction/performance of ostomy care Inappropriate or exaggerated behaviors (e.g., hostile, agitated, apathetic, withdrawal) Desired Outcomes Knowledge: Disease Process (NOC) Verbalize understanding of condition/disease ...
Read More »Sexual Dysfunction — Ileostomy & Colostomy Nursing Care Plan (NCP)
NURSING DIAGNOSIS: Sexual Dysfunction, risk for Risk factors may include Altered body structure/function; radical resection/treatment procedures Vulnerability/psychological concern about response of SO Disruption of sexual response pattern, e.g., erectile difficulty Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] DESIRED OUTCOMES/EVALUATION CRITERIA—PATIENT WILL: Sexual Functioning (NOC) Verbalize understanding of relationship of physical condition to sexual problems. Identify ...
Read More »Disturbed Body Image — Ileostomy & Colostomy Nursing Care Plan (NCP)
NURSING DIAGNOSIS: Body Image, disturbed May be related to Biophysical: presence of stoma; loss of control of bowel elimination Psychosocial: altered body structure Disease process and associated treatment regimen, e.g., cancer, colitis Possibly evidenced by Verbalization of change in body image, fear of rejection/reaction of others, and negative feelings about body Actual change in structure and/or function (ostomy) Not touching/looking ...
Read More »Risk for Impaired Skin Integrity — Ileostomy & Colostomy Nursing Care Plan (NCP)
NURSING DIAGNOSIS: Skin Integrity, risk for impaired Risk factors may include Absence of sphincter at stoma Character/flow of effluent and flatus from stoma Reaction to product/chemicals; improper fitting/care of appliance/skin Possibly evidenced by [Not applicable; presence of signs and symptoms establishes an actual diagnosis.] Desired Outcomes Bowel Elimination (NOC) Maintain skin integrity around stoma. Identify individual risk factors. Demonstrate behaviors/techniques to promote ...
Read More »Nursing Care Plan – 6 Heart Failure Nursing Care Plan (NCP)
This post contains 6 Heart Failure Nursing Care Plan (NCP) (NCPs). These Nursing Care Plan (NCP) are free to use and are suited for patients with Heart Failure. Failure of the left and/or right chambers of the heart results in insufficient output to meet tissue needs and causes pulmonary and systemic vascular congestion. This disease condition is termedheart failure (HF). Despite ...
Read More »Knowledge Deficit — Heart Failure (CHF) Nursing Care Plan (NCP)
NURSING DIAGNOSIS: Knowledge, deficient [Learning Need] regarding condition, treatment regimen, self care, and discharge needs May be related to Lack of understanding/misconceptions about interrelatedness of cardiac function/disease/failure Possibly evidenced by Questioning Statements of concern/misconceptions Recurrent, preventable episodes of HF Desired Outcomes Knowledge: Disease Process (NOC) Identify relationship of ongoing therapies (treatment program) to reduction of recurrent episodes and prevention of ...
Read More »Activity Intolerance — Heart Failure (CHF) Nursing Care Plan (NCP)
Check vital signs before and immediately after activity, especially if patient is receiving vasodilators, diuretics, or beta-blockers. Orthostatic hypotension can occur with activity because of medication effect (vasodilation), fluid shifts (diuresis), or compromised cardiac pumping function.
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