Nursing Diagnosis and Intervention for Scoliosis

Nursing Diagnosis and Intervention for Scoliosis

Scoliosis Causes a sideways curve of your backbone, or spine. Often these curves are S-or C-shaped. Scoliosis is most common in late childhood and the early teens, when children grow fast. Girls are more Likely to have it than boys. It can run in families. Symptoms include Leaning to one side and having uneven shoulders and hips.

Sometimes the curve is temporary. It Might be due to muscle spasms, inflammation or having different leg lengths. A birth defect, tumor or another disease, Might cause the spine to have a curve That is not temporary. People with mild scoliosis Might only need checkups to see if the curve is getting worse. Others Might need to wear a brace or have surgery.

NIH: National Institute of Arthritis and Musculoskeletal and Skin Diseases
(www.nlm.nih.gov)


Nursing Diagnosis and Intervention for Scoliosis

1. Ineffective Breathing Pattern related to the suppression of pain.

Purpose: The pattern of breathing Effectively.

Plan of action:
  • Assess respiratory status every 4 hours.
  • Help and teach the patient to breath in any one hour. Rationale: Increasing the maximum ventilation and oxygenation.
  • Adjust bed semi-Fowler position to improv lung expansion. Rational: Sitting height allowing Easier breathing and lung expansion.
  • Monitor vital signs every 1 hour. Rational: general indicators, circulation status and adequacy of perfusion.

2. Acute Pain: back related to the position of lateral body tilt.

Purpose: Pain is reduced or lost

Plan of action:
  • Assess the type, intensity and location of pain. Rational: Influencing choice / control the effectiveness of Interventions can influence the level of anxiety to pain.
  • Teach relaxation and distraction techniques. Rational: To divert attention, thereby reducing pain.
  • Teach and Encourage use of the brace. Rational: To Reduced pain during activity
  • Collaboration in the provision of analgesia. Rational: To relieve pain.

Nursing Diagnosis and Nursing Interventions for Appendicitis

Nursing Diagnosis for Appendicitis

Nursing Diagnosis Nursing Care Plan for Appendicitis
The appendix is a small, tube-like organ attached to the first part of the large intestine, also called the colon. It is located in the lower right area of the abdomen. It has no known function. A blockage inside of the appendix causes appendicitis. The blockage leads to increased pressure, problems with blood flow and inflammation. If the blockage is not treated, the appendix can break open and leak infection into the body.

Symptoms may include

  • Pain and/or swelling in the abdomen
  • Loss of appetite
  • Nausea and vomiting
  • Constipation or diarrhea
  • Inability to pass gas
  • Low fever
Not everyone with appendicitis has all these symptoms.

Appendicitis is a medical emergency. Treatment almost always involves removing the appendix. Anyone can get appendicitis. It happens most often to people between the ages of 10 and 30.

National Institute of Diabetes and Digestive and Kidney Diseases

nlm.nih.gov

Nursing Diagnosis for Appendicitis
  1. Ineffective Breathing Pattern related to the act of anesthetics.

  2. Acute Pain related to the surgical incision.

  3. Risk for Fluid Volume Deficit associated with vomiting.

  4. Imbalanced Nutrition: Less than Body Requirements related to anorexia.

  5. Risk of Infection related to surgical incision.


Nursing Diagnosis for Appendicitis

High risk of infection related to an inadequate primary defenses, perforation, peritonitis secondary to inflammatory processes

Nursing Interventions for Appendicitis
  1. Assess and record the quality, location and duration of pain. Beware of the pain becomes severe.
  2. Monitor and record vital signs of the increase in temperature, pulse, breathing fast and shallow existence.
  3. Assess the abdomen against the rigidity and distention, decreased bowel sounds.
  4. Perform wound care with aseptic technique.
  5. See incision and bandage. Record the drainage characteristics of the wound / drain, erythema.
  6. Collaboration: antibiotics

Nursing Diagnosis for Appendicitis

Pain associated with distention of intestinal tissue by inflammation, a surgical incision

Nursing Interventions for Appendicitis
  1. Assess pain. Record the location, characteristics of pain.
  2. Keep the rest in semi-Fowler position.
  3. Suggest to early ambulation.
  4. Teach diaphragmatic breathing techniques to slow to help release muscle tension.
  5. Avoid pressure popliteal area.
  6. Give antiemetic, analgesic according to the program.

Source : http://nursinginterventions-diagnosis.blogspot.com

Nursing Diagnosis and Interventions for Depression

Depression is a condition that is more of a sad situation, when the depressed person's condition to cause the disruption of their daily social activities then it is called as a depression disorder. Some symptoms of depression disorders are feelings of sadness, excessive fatigue after usual routine activity, lost interest and enthusiasm, lazy bunch, and disruption of sleep patterns. Depression is one of the major causes of suicide.

Cause of a condition of depression include:
  • Organo-biological factors due to imbalances of neurotransmitters in the brain, especially serotonin
  • Psychological factors as psychological stress load, the impact of learning behavior of a social situation
  • Socio-environmental factors such as loss of spouse, loss of employment, post-disaster, the impact of everyday life situations other.
If at any time you feel any symptoms of depression, do not be silent. Act immediately to help yourself.

How do I? The following steps can hopefully help you.
  • Be realistic, do not be too idealist.
  • If you have a task or job to build up, divide the tasks and prioritize. Perform tasks that are able to do.
  • If you have a problem, do not be buried alone. Try the "story" to people you trust. Typically, this will create a feeling more comfortable and lightweight.
  • Try to take part in activities that can make your heart happy, such as exercising, watching movies, or participate in social activities.
  • Try to always think positive.
  • Do not hesitate, and embarrassed to seek help from family or friends.

Nursing Diagnosis for Depression

1. Risk for Self-Mutilation and Other

2. Depression

Nursing Interventions for Depression

  1. The general objective: There was no violence for Self-Directed or Other-Directed
  2. Specific objectives
    • Clients can build a trusting relationship

      Action:

      • Introduce yourself to the patient
      • Do interactions with patients as often as possible with empathy
      • Listen to the notice of the patient with empathy and patient attitude more use non-verbal language. For example: a touch, a nod.
      • Note the patient talks and give a response in accordance with her wishes
      • Speak with a low tone of voice, clear, concise, simple and easy to understand
      • Accept the patient is without comparing with others.
    • Clients can use adaptive coping

      Action:

      • Give encouragement to express feelings and say that nurses understand what patients perceived.
      • Ask the patient the usual way to overcome feeling sad / painful
      • Discuss with patients the benefits of commonly used coping
      • Together with patients looking for alternatives, coping.
      • Give encouragement to the patient to choose the most appropriate coping and acceptable
      • Give encouragement to patients to try coping that have been selected
      • Instruct the patient to try other alternatives in solving problems.
    • Clients are protected from violent behavior to self and others.

      Action:

      • Monitor carefully the risk of suicide / violence themselves.
      • Keep and store the tools that can be used by patients for violent behavior, self / others, in a safe place and locked.
      • Keep materials that endanger the patient's appliance.
      • Supervise and place the patient in the room that easily monitored by peramat / officer.
    • Clients can improve self-esteem
    • Action:
      • Help to understand that the client can overcome despair.
      • Assess and mobilize internal resources of individuals.
      • Help identify sources of hope (eg, peer relationships, beliefs, things to be resolved).
    • Clients can use the social support

      Action:

      • Review and make use of individual external sources (the people closest to, the health care team, support groups, religion).
      • Assess support system beliefs (values, past experiences, religious activities, religious beliefs).
      • Make referrals as indicated (eg, counseling, religious leaders).
    • Clients can use the drug correctly and precisely

      Action:

      • Discuss about the drug (name, dosage, frequency, effect and side effects of taking medication).
      • Help using the drug with the principle of 5 correct (right patient, medication, dose, manner, time).
      • Encourage talking about effects and side effects are felt.
      • Give positive reinforcement when using the drug properly.
Nursing Diagnosis and Interventions for Depression

Nursing Diagnosis and Interventions for ischemic Heart Disease

Nursing Diagnosis for Ischemic Heart Disease

1. Acute pain related to an imbalance of oxygen supply to myocardial demands.

2. Decreased cardiac output related to electrical factors (dysrhythmias), decrease in myocardial contraction, structural abnormalities (papillary muscular dysfunction and ventricular septal rupture)

3. Anxiety related to the needs of the body is threatened.

4. Activity intolerance related to insufficient oxygen for life activities secondary to cardiac ischemia.


Nursing Interventions for ischemic Heart Disease

1. Acute pain related to an imbalance of oxygen supply to myocardial demands.

Outcome: The patient will express pain decreased

Intervention:
• Assess pain location, duration, radiation, occurrence, a new phenomenon.
• Review of previous activities that cause chest pain.
• Create a 12 lead ECG during anginal pain episodes.
• Assess signs of hypoxemia, give oxygen therapy if necessary.
• Give analgesics as directed.
• Maintain a rest for 24-30 hours during episodes of illness
• Check vital signs, during periods of illness.

2. Decreased cardiac output related to electrical factors (dysrhythmias), Decrease in myocardial contraction, structural abnormalities (papillary muscular dysfunction and ventricular septal rupture)

Outcome: The patient will demonstrate a stable cardiac condition or better.

Intervention:
• Maintain bed rest with head elevation of 30 degrees during the first 24-48 hours
• Assess and monitor vital signs and hemodynamic per 1-2 hours
• Monitor and record ECG continue to assess the rate, rhythm, and order to each change per 2 or 4 hours.
• Review and report signs of CO reduction.

3. Anxiety related to the needs of the body is Threatened.

Objectives: The patient will demonstrate reduced anxiety after nursing actions.
Intervention:
• Assess signs and verbal expressions of anxiety
• Take action to reduce anxiety by creating a calm environment
• Accompany patient during periods of high anxiety
• Provide an explanation of procedures and treatments
• Encourage patients to express feelings
• Refer to the spiritual adviser if necessary

NANDA NURSING

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