attention plan essay
Medical Diagnosis: sickle cell anemia with vaso-occlusive crisis
Breastfeeding Diagnosis List
1 . Impaired Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take priority as the nursing medical diagnosis, because it is in all-encompassing element that affects the customer’s ability to function within the other locations of Maslow’s hierarchy of physiological demands, such as deep breathing and sleeping. The pain from the vaso-occlusion makes it tough for the consumer to become cozy enough unwind in addition to other factors that affect sleep patterns.
The pain brought on by the customer’s chest pain as well makes it difficult to for her to adopt deep, enough breathes and to assess her lung seems. 2 . Ineffective Breathing Design related to acute chest affliction secondary to sickle cellular anemia as evidenced simply by alterations thorough of inhaling and exhaling. Breathing ought to be prioritized while the extra nursing diagnosis, because the person’s sickle cell anemia can be presenting her with decreased lung sounds in the reduced right chest.
Considering that the primary nursing jobs diagnosis is associated with vaso-occlusion, the client is usually not getting right oxygenation to parts of their very own body, and interventions might include administering analgesics to treat the discomfort, which an adverse impact may include an altered inhaling pattern, it is especially important to focus on and examine respiratory functioning in order to treat the effects of smoking cigarettes and administration of analgesics on breathing function and assure satisfactory oxygenation. 3. Disturbed Sleeping Pattern linked to excessive sound as confirmed by reviews of being awakened all night. Disturbed sleep design should be prioritized third, because lack of adequate rest can cause fatigue, even more discomfort, and decreased capability to function and perform ADL’s which is important to a client’s self-esteem and independence.
Breastfeeding Diagnosis: Acute Pain related to vaso-occlusive turmoil secondary to sickle cellular anemia because manifested by simply grimacing and verbalization of pain Outcome/Short Term Individual Centered GoalsPlanning/Interventions ImplementationRationale to get interventions/Evaluation
The client will “perform ideal interventions, with or without significant other folks, to improve and maintain appropriate comfort level, a a few or fewer on a 0-10 pain scale, by the end through the day (Ackley & Ladwig, 2013).
Your customer will “identify strategies, with or devoid of significant other folks, to improve and/or maintain ease and comfort level when of launch (Ackley & Ladwig, 2013). 1 . “Assess pain strength level within a client every single hour employing a 0-10 pain scale (Ackley & Ladwig, 2013). 2 . “Describe the adverse effects of unrelieved pain every hour along with each discomfort assessment right up until patient verbalizes understanding (Ackley & Ladwig, 2013). three or more. Teach your customer about prescribed medications (oxycodone, for pain), such as using it, how often to take it, how much at once, and the desired and adverse effects of it. four. “Ask the consumer to report side effects, including nausea and pruritus, and describe appetite, bowel removal, and capability to rest and sleep simply by performing an interview every hour while evaluating pain level (Ackley & Ladwig, 2013).
1 . The first step in pain examination is to determine if the client can offer self-report (Ackley & Ladwig, 2013). installment payments on your “Ineffective supervision of serious pain has got the potential for¦neuronal remodelin, an impact on immune system function, and long-lasting physical, psychological, and emotional distress¦ (Ackley & Ladwig, 2013). 3. “Instruct the client and family about prescribed prescription drugs and remedies that improve comfort (Ackley & Ladwig, 2013). four. “Constipation is one of the most common side effects of opioid therapy and can become a significant problem in discomfort management (Ackley & Ladwig, 2013). Short-Term Desired Effects
The client has the capacity to properly use the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped individual understand the need for reporting an exact pain report wheneverexperiencing discomfort. Goal Attained. Nursing concours for this goal were effective to help the person achieve a much more comfortable state. Long term Desired
The client is able to discover and report the side effects of the oxycodone, so that they can report any nausea, constipation, or perhaps abnormal sleeping patterns into a nurse or physician. Goal met.