Nursing Care Plan for Adjustment Disorders

The essential feature of adjustment disorders is a maladaptive reaction to an identifiable psychosocial stressor that occurs within 3 months of the onset of the stressor. (The reaction to the death of a loved one is not included here, as it is generally diagnosed as bereavement.) The stressor also does not meet the criteria for any specific Axis I disorder or represent an exacerbation of a preexisting Axis I or Axis II disorder. The response is considered maladaptive because social or occupational functioning is impaired or because the behaviors...

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Nursing Care Plan for Deviations in Growth Patterns

Deviations in intrauterine growth patterns not only increase the risk of morbidity and mortality in the early newborn period, but may also have long-term implications for altered growth and development and for altered CNS function and learning disabilities in childhood. This general plan of care is designed to facilitate optimal nursing management of the infant with deviations in intrauterine growth and is to be used in conjunction with the CPs: The Neonate at Two Hours to Two Days of Age, and The Preterm Infant, as appropriate. Growth deviations...

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Nursing Care Plan for Hysterectomy/TAHBSO

Hysterectomy is the surgical removal of the uterus through an abdominal incision. It may be a total hysterectomy (removal of the uterus and cervix) or panhysterectomy (removal of the uterus, cervix, fallopian tubes and ovaries). It is done to treat endometriosis, tumors (benign and malignant of the cervix, endometrium, or muscle of the uterus), severe abnormal bleeding, and prolapse of the uterus. Nursing diagnosis for hysterectomy: Body image disturbance related to biophysical factor of hormonal imbalance and loss of body part resulting in loss...

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Nursing Care Plan for Low Back Pain

Chronic pain in the lumbar region usually caused by the straining of paravertebral muscles, herniation, and degeneration of the nucleus pulposus, osteoarthritis of the lumbosacral spine. Nursing diagnosis for low back pain: Chronic pain relater to intermittent physical discomfort and disability caused by degenerative processes, strain, poor body mechanics. Expected Outcomes: Reduced or relief of pain for extended lengths of time evidenced by absence of muscle spasm and verbalizations that able to manage pain effectively. Nursing intervention...

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Nursing Care Plan for Pulmonary Embolus

Pulmonary embolism is a condition in which the pulmonary vasculature is blocked by foreign matter such as blood clot, air, tumor tissue, bone, or by needle or catheter. Usually the result of peripheral venous thrombosis, it may lead to pulmonary infarction and pulmonary hypertension. This plan, which includes intervention specific to this condition, may be used in association with thrombophlebitis/thrombosis. Nursing Diagnoses: Ineffective breathing pattern related to chest pain, decreased lung expansion caused by emboli with severity depending...

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