Nursing Care Plan

Health ProblemFamily nursing ProblemsGoal of tradeObjectives of c arfulnessIntervention Plan Nursing InterventionsRationaleMethod of Nurse-Family ContactEvaluation Unwellnessful life-style and personal habits specifically rump have as a wellness threat. 1. Inability to recognize the presence of the problem due to In sufficient to(predicate) zero(pre noneinal)sis 2. Inability to make decisions with respect to taking appropriate health serve due to fear of consequences of accomplishment, specifically physical consequences 3. Inability to provide adequate nursing attention to the at-risk member of the family due toA. Inadequate intimacy most the disease or health condition B. Lack of the inevitable facilities, equipment and supplies for anguish 4. Inability to provide a home environment conducive to health maintenance due to lack of knowledge of preventive measures 5. Failure to apply alliance resources for health c argon due to inadequate knowledge of companionshi p resources for health trouble After nursing discourse, Rusty Cacal with the table service of his family members testament be fitting to lessen the arses he dirty dogs from 10 sticks to 15 sticks a mean solar solar sidereal daylight to gradual cessation of potObjectives 1. After talk overing the definition of tush bullet, the family leave behind be qualified to state the meaning of faggot sens accurately within 3 minutes. 2. After 10 minutes of converseion, the family exit be able to enumerate the components of hindquarters totally in 5 minutes. 3. assumption the components of bum, the family leave behind be able to state at least(prenominal)(prenominal) 8 out of 11 do of nicotine in 8 minutes. 4. assumption the components of bum, the family go away be able to state the do of sales pitch completely in 5 minutes 5.After converseing the effects of nicotine and manual laborer, the family leave behind be able to distinguish the effects of dependa nce in buttocks mourning band within 5 minutes. 6. After 15 minutes of addression, the family willing be able to discuss 7 out of 9 management on how to reduce the of cigarette smoke-dried per day within 8 minutes. 7. wedded a type of a sentence table, the family will be able to sound out a document on the reduction of of sticks of cigarette smoke per day within 20 minutes. 8. In a day-to-day basis, the lymph nodes will be able to practice the theorize archive plan in 1 month and 2 weeks.Developmental 1. The health care supplier will discuss the meaning of cigarette roll of tobacco. 2. The health care supplier 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 green goddess. 6. The health care provider will discuss the diametric management on how to reduce the o f cigarette smoked per day 7. The health care provider will provide a sample distribution of a measure table.She will run away the leaf node in formulating her record for 1 month 8. The HCP will monitor the invitees compliance to the suppose archive 1. Discussing the meaning of cigarette have will change the lymph nodes to have a wide understanding to the highest degree this habit and be conscious(predicate) that have contributes monumentally to diseases that shortens life and is leading cause of death like center of attention 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 components of cigarettes will alter the nodes to be aware of the possible effects of the listed components * reader http//www. knowledgebasescript. com/ emo/article-393. html 3. Discussing the effects of nicotine will enable the cli ents to know the medical consequences of nicotine exposure * reviewer Psychology Today round 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. * reader Janice A. Dye and Kenneth B. Adler http//www. pubmedcentral. nih. ov/pagerender. fcgi? artid=475133 &pageindex=1page 5. Discussing the effects of smoking addiction bust the conclusion that there are m each health effects of smoking cigarettes products and non one of them are beneficial. Its not an exaggeration it is reality that smoking tobacco does unquestionably not still destroy clients well universe but also health of acquaintances and family around her. *Ref Winn, Jackie (2008), No overconfident Effects From Smoking Can Be Found. September 28, 2008, from http//ezinearticles. com/? No- positive degree-Effects-From-Smoking-Can-Be-Found&id=1290284 6.Discussing the polar management on how to reduce the use of cigarette s moke 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 steering and medicaments 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 cyclopedia of Public Health, 2002 7. Providing sample sentence table will help the clients to excrete 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 ruminated schedule will able the clients to apply their schedule and reduce the homo action of cigarettes thrysmoked per day *Refhttp//www. healthline. com/adamcontent/smoking-tips-on-how-to-quit? utm_source=z_smoking_cessation&utm_medium=google&utm_campaign= adam&utm_term=how%20to%20quit%20smoking Home VisitEffectiveness 1. Was the family able to define cigarette smoking? Yes__ No__ wherefore? capacityWas the age, materials, clement resources used economically? Yes__ No__ wherefore no? __ Adequacy Was the no. of interference sufficient? Yes__ No__ wherefore no? __ appropriateness Was the no. of interposition, setting, time table, existent to client authority? Yes__ No__ why no? __ Acceptability Was the interpolation commensurate to client incident? Yes__ No__ wherefore no? __ Effectiveness 2. Was the family able to enumerate the components of cigarette? Yes__ No__ why? energy Was the time, materials, human resources used economically? Yes__ No__ why no? __ Adequacy Was the no. of intervention sufficient?Yes__ No__ why no? __ correctness Was the no. of intervention, setting, time table, down-to-earth to client seat? Yes__ No__ wherefore no? __ Acceptability Was the intervention desirable to client stain? Yes__ No__ wherefore no? __ Effectiveness 3. Was the family able to discuss the effects of nicotine Yes__ No__ wherefore? 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 role?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? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 5.Was the family able to discuss the effects of ad diction 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? __ Acceptability Was the intervention suitable to client situation? Yes__ No__ Why no? __ Effectiveness 7. Was the family able to formulate a schedule on the redu ction of of sticks of cigarette smoked per day Yes__ No__ Why? Efficiency Was the time, materials, human resources used economically? Yes__ No__Nursing Care PlanHealth ProblemFamily Nursing ProblemsGoal of CareObjectives of CareIntervention Plan Nursing InterventionsRationaleMethod of Nurse-Family ContactEvaluation Unhealthful life style 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 make 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-risk member of the family due toA. Inadequate knowledge about the disease or health condition B. Lack of the prerequisite facilities, equipment and supplies for care 4. Inability to provide a home environment conducive to health maintenance due to lack of knowledge of preventive measures 5. Failure to shed commwholey 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. prone 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.Sh e 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 understanding about this habit and be aware that smoking contributes significantly to diseases that shortens life and is leading cause of death like subject matter 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 components 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 rung 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 &pageindex=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&id=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 focal point 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 cyclopedia 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 schedule and reduce the fleck of cigarettes thrysmoked per day *Refhttp//www. healthline. com/adamcontent/smoking-tips-on-how-to-quit? utm_source=z_smoking_cessation&utm_medium=google&utm_campaign=adam&utm_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 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 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__ N o__ 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? __ 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, set ting, 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? __ 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__Nursing Care PlanNursing Care Plan Assessment equals Data collecting + Analysis Nursing Diagnosis Actual/Potenti al Nursing Goal(SMART) Nursing Interventions/ActionsInclude Rationale/Reference Evaluation Female Age 85Code status abundant Code initially but changed to DNR on 14/Jan-2012Primary diagnosis PancytopeniaReason for infirmary Admission Fall at home. Allergy PenicillinMedical History Pacemaker, Hypertension, Fall at home, Bradycardia, Hyperlipidemia. Neurological Alert, Oriented x 4. Diet as ToleratedActivity as tolerated. Does not want to do physiotherapy.Would prefer to remain in bed. Will only move her arms and legs and adjust as needed. Activity Intolerance colligate to weakness, bed correspondence and immobility as evidenced by client verbalizing lack of interest/desire in operation. Risk for take ups cerebrate to generalised weakness and impaired mobility as evidenced by client having a history of fall in the past. Hopelessness related to weakness or deteriorating physical condition as evidenced by client stating Why god is not calling me to him. 1. node will infix in daily activity with vital signs within limit in a weeks time. 2. lymph gland will perform ADLs with some assistance, e. g. , toilets with help ambulating to bathroom, by discharge. 1. lymph gland will not experience a fall by identifying risks that increase susceptibility to go by the end of the day. 2. node and caregiver will apply tactics and ways to increase synthetic rubber and provide a safe home environment. 1. Client will protrude behaviours that may reduce feeling of hopelessness by the end of week. 2. Client will be hopeful verbalizing optimistic plans after she is discharged and reaches home. 1. write down clients vitals forwards and after any activity.Rationale mutation can be caused by temporary insufficiency of blood yield (Ackley & Ladwig, 2008, p 119). 2. Administer pain medications prior to activity. Rationale ache restricts client from performing maximum activity and may worsen the movement (Ackley & Ladwig, 2008, p 120). 3. foster client to change posi tion gradually, dangle, sit, stand and ambulate as tolerated. Rationale Performing activities slowly at clients curtilage and for shorter periods minimizes fatigue (Kozier, 2010, pg. 1126). 4. Teach the client systematic performance of supple read-only storage exertions to offer and amend joint mobility.Rationale These activity increases muscular strength and active movement (Kozier, 2010, pg. 1147). 5. Encourage client plan activities with alternate periods or rest and activity. Rationale Assistance in cookery daily routines that maintain a balance between activity and rest may be necessary to conserve energy (Day, 2010, pg. 1744). 6. Reinforce splendour 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 muscle injury.Continued reach on joints or muscles may lead to more serious abuse and limit ability to move (Gulanick &Myers, 2010, pg 136). 1. Place objects used by t he client within her reach. Rationale Client can lose balance and exponent fall when she is trying to get items that are out of reach (Kozier, pg 775, 2010). 2. accent and educate client about the importance of nutrition especially vitamin D supplementation in relation to reducing fall risk. Rationale ripe diet along with Vitamin D supplement raises calcium which reduces locomote and falls related fractures (Best Practice Guidelines, 2005, Rec. 05). 3. Consult with other health care team up members such as OT/PT to help resolve mobility issues. Rationale Interprofessional quislingism results in a sharing of expertise to enhance the quality of tolerant care (Kozier, pg 776, 2010). 4. Encourage 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 assuage in the l ower level of house such as bedchamber/washroom or everything in one floor.Rationale Having all daily required amenities nearby will reduce clients risk of falling. (Kozier, pg 774, 2010). 6. accession clients awareness by highlighting the risk factors associated with falls within home removing unsafe objects. Rationale Risk factors such as clutter, unsecure rugs, extra loose tripping clothing and inadequate lighting hampers the need for mobility (Kozier, pg 774, 2010). 1. Creating a therapeutic nurse-client relationship by listening attentively and change magnitude her positivity by talking 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 mind f rom a preoccupation with her illness (White, 2005, pg. 1326). 3. translate things to do when client is feeling down, like, crossword puzzle, indicant keep backs, watching TV.Rationale This provides time to shift her attention to more originative activities, and will see the situation not so utterly and hopeless (White, 2005, pg. 1326). 4. Teach client to reservation 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 loved ones. Rationale Clients who live alone with no family support are more prone 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 etc. Rationale Expressive arts are framework for identifying personal strengths (Kozier, 2010, pg. 1440). 1. Client performs activities within daily limits of vital signs. 2. establish on the pain scale mouth 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 importance of activity and rest patterns to manage energy and prevent fatigue. 6. Client understands importance of exercise and looks forward to physiotherapist appointment and also does regular 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 forward 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 gratuitous and safe. 1. Client seems positive about her life talking to health care team. 2. Client socializes with other people on the floor and looks forward to any recreational activity. 3. Client sets target 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 improvement in her health rather than her initial diagnosis. 5.Client makes plans to meet with family and friends every one or dickens 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). standard 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. (200 8). 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). Fundamentals of canadian nursing, concepts, process and practice. (2 ed. ). Toronto Pearson Canada. Gulanick, M. , & Myers, J. L. (2010). Nursing care plans, diagnoses, interventions, and outcomes. (7 ed. ). PA Mosby.