Cellulitis is a common, potentially serious bacterial skin infection. Cellulitis appears as a swollen, red area of skin that feels hot and tender, and it may spread rapidly. Skin on lower le…Full description
Nursing Care Plan for ESRD
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.,this is a sample nursing care plan for patients with cerebral infarction (stroke). I have used this is our case study presentation (individual). It consist of 3 nursing care plan. Check it…Full description
Nursing Care Plan forFull description
CUES (defining characteristics of Nrsg Dx)
Nursing Diagnosis Problem & Etiology S/Sx)
Background Knowledge (pathophysiologic/psychosocial Explanation/consequences of Nrsg. Dx)
Goals and Objectives
Nursing Interventions
Subjective: “Masakit yung tahi ko lalo na kapag gumagalaw ako”
Acute pain Pain Stimulus→visceral and After 2 hours >Provide related to Cutaneous of Nursing Comfort surgical Fibers:Nociceptor(skin Fibers:Nociceptor(skin and Interventions Measures such incision due internal organ)→Dorsal the patient’s as repositioning to cesarean Horn→reticular pain scale will or quiet birth as Formation(sleep decrease from environment Objective: evidenced center)→Thalumus→Limbic 4 to 2 >Facial by facial Cortex→Cerebral >Instruct the Grimace with grimace Cortex→Perception of patient to use pain scale of 4 with a pain Noxious stimuli relaxation >Protective scale of 4 techniques and Gesture to The harmful effects of encourage avoid pain in unrelieved acute pain can diversional incision site affect the pulmonary, activity such as >Expressive carrdiovascular,GIT,Endocrine listening to Behavior such system and can cause severe music,watching as sighing pain and it may increase the television and >Limited risk of developing physiologic socialization movement disorders. with others >Instruct patient to us supportive materials such
Rati Ration onal alee
Eval Evalua uati tion on
>To alleviate After 2 hours pain by of Nursing promoting non- Interventions pharmacological the patient’s pain pain scale management decreased from 4 to 2 >To distract attention and reduce tension Goal is met
>To reduce pain especially when moving
as binder >Encourage patient to do Deep Breathing Exercise by demonstrating how to do it(every 4 hour daily with 5-10 breaths during exercise