Nursing Care Plans

Here are some examples of nursing care plans for COPD patients. Nursing Care Plan For COPD #1 Impaired Gas Exchange related to altered oxygen delivery and alveoli destruction Expected Outcome: After 8 hours of nursing intervention patient will demonstrate improved ventilation and oxygenation. Interventions: 1. Monitor vital signs. With initial hypoxia and hypercapnia, blood pressure [...]

Nursing Care Plan for Fluid Volume Deficit Fluid : The nursing diagnosis of Fluid Volume Deficit is also called hypovolemia, it  is the excessive loss of water and electrolytes in equal proportion; vascular, cellular or intracellular dehydration. NURSING CARE PLAN FOR FLUID VOLUME DEFICIT RELATEDFACTORS Inadequate fluid intake Active fluid loss (diuresis, abnormal drainage or [...]

The nursing diagnosis, Impaired verbal communication is defined as decreased, delayed, or absent ability to receive, process, transmit, and use a system of symbols. Impaired Verbal Communication Related To (Etiology) Physiologic conditions Alteration of central nervous system Impaired neurologic development or dysfunction Disturbance in attachment/bonding with the parent/caregiver As Evidenced By (Assessment Findings/Diagnostic Cues) * [...]

This nursing care plan for risk for injury is specific to situation where there is a risk for self mutilation in children. A risk for self mutilation nursing diagnosis is used when a patient/client is at risk for deliberate self-injurious behavior causing tissue damage with the intent of causing nonfatal injury to attain relief of [...]

Imbalanced Nutrition Less then Body Requirements nursing diagnosis is defined by NANDA as an intake of nutrients insufficient to meet metabolic needs. Imbalanced Nutrition Less than Body Requirements Related To (Etiology) Inability to ingest or digest food or to absorb nutrients because of biologic, psychologic, or economic factors Excessive fear of weight gain Restricting caloric intake [...]

The nursing care plan for Self Care Deficit is used when there is impaired ability to perform or complete bathing/hygiene,dressing/grooming,feeding,or toileting activities for oneself. Nursing Care Plan for Self Care Deficit Related To (Etiology) Perceptual or cognitive impairment Decreased or lack of motivation (anergia) Severe anxiety Severe preoccupation As Evidenced By (Assessment Findings/Diagnostic Cues) Consuming [...]

The nursing diagnosis Disturbed Personal Identity is defined by NANDA as the inability to distinguish between self and nonself. Disturbed Personal Identity Related To (Etiology) Biochemical imbalance Impaired neurologic development or dsyfunction Failure to develop attachment behaviors resulting in fixation at autistic phase of development Interrupted or uncompleted seperation/individuation process resulting in extreme seperation anxiety [...]

NANDA defines Ineffective Coping nursing diagnosis as the inability to form a valid appraisal of the stressors; inadequate choices of practical responses; and/or inability to use available resources. Ineffective Coping Related To (Etiology) Severe to panic levels of anxiety –panic attack, GAD Excessive negative beliefs about self– GAD, OCD, other Hyper vigilance after a traumatic event–PTSD, [...]

Nursing Care Plan for Sleep Pattern Disturbance.  Nanda defines the nursing diagnosis of sleep pattern disturbance as time limited disruption of sleep (natural,periodic suspension of consciousness), amount, and quality Sleep Pattern Disturbance Related To (Etiology) Depression Fear Anxiety Fear of insomnia Fatigue Inadequate sleep hygiene Biochemical agents Nightmares Obsession thoughts Fears (e.g., dark, intrusion,death) Adrenaline [...]

A client with anorexia can have a nursing diagnosis of Disturbed Body Image. Disturbed Body Image nursing diagnosis is defined by NANDA as confusion in mental picture of one’s physical self. Disturbed B0dy Image Related To (Etiology) Cognitive/perceptual factors Pyschosocial factors Morbid fear of obesity Low self-esteem Feelings of helplessness Chemical/biologic imbalances As Evidenced By [...]

IMPAIRED SOCIAL INTERACTION Insufficient or excessive quantity or ineffective quality of social exchange Related To (Etiology) Impaired neurologic development or dsyfunction Disturbance in the development of impulse control, frustration tolerance, or empathy for others Disturbed relationship with parents/caregiver (lack of trust, abuse, neglect, conflicts, disorganized family system) Lack of appropriate role models and/or identification with [...]

NANDA defines the nursing diagnosis of Ineffective Breathing Pattern as inspiration and/or expiration that does not provide adequate ventilation. Ineffective Breathing Pattern Nursing Care Plan Ineffective Breathing Pattern RELATED TO Allergic response Decreased energy and fatigue Neuromuscular impairment (e.g., Multiple Sclerosis, Guillain-Barre) Anesthesia History of smoking Pain Aspiration Immobility Tracheobronchial Obstruction COPD Medications (narcotics, sedatives, [...]

Nursing Care Plan for Hypertension: The effective treatment of hypertension requires the patient to make a commitment to lifelong therapy and lifestyle modification. Nursing care plan for hypertension interventions should  focus on teaching the patient and the family about the disease, its associated risk factors, and the importance of the adherence to the medical regimen. [...]

Nursing care plans for Impaired Gas Exchange is used when there is an excess or deficit in oxygenation and/or carbon dioxide elimination at the alveolar-capillary membrane to a patient. By the process of diffusion the exchange of oxygen and carbon dioxide occurs in the alveolar-capillary membrane area. The relationship between ventilation (airflow) and perfusion (blood [...]

Nursing Care Plans for pain can be used for patients having unpleasant sensory and emotional experience arising from actual or potential tissue damage or described in terms of such damage (International Association for the Study of Pain). Pain is a highly subjective state in which a variety of unpleasant sensations and a wide range of [...]

Hypothermia is a condition in which core temperature drops below the required temperature for normal metabolism and body functions which is defined as 35.0 °C (95.0 °F). Nursing Care Plan: Hypothermia RELATED TO Exposure to cold environment Inadequate clothing Decreased metabolic rate Illness or trauma Alcohol consumption Inability to shiver Medications: vasodilators Poor nutrition Excessive evaporative heat [...]

Nursing care plan for hyperthermia is used when a patient has an elevated body temperature due to failed thermoregulation. Hyperthermia occurs when the body produces or absorbs more heat than it can dissipate. When the elevated body temperatures are sufficiently high, hyperthermia is a medical emergency and requires immediate treatment to prevent disability or death. [...]

Nursing Care Plan for Risk for Infection is used when a patient is at increased risk for being invaded by pathogenic organisms. Persons at risk for infection are those whose natural defense mechanisms are inadequate to protect them from the inevitable injuries and exposures that occur throughout the course of living. Infections occur when an [...]

A nursing care plan for Activity Intolerance is used when a patient has insufficient physiological or psychological energy to endure or complete required or desired daily activities Most activity intolerance is related to generalized weakness and debilitation secondary to acute or chronic illness and disease.  Activity intolerance may also be related to factors such as [...]

Ineffective Airway Clearance nursing care plans are used when there is an inability to clear secretions or obstructions from the respiratory tract to maintain airway patency. Related to: Artificial airway Impaired respiratory muscle function Excessive or thick secretions Obstruction/restriction Trauma Inability to cough effectively Pain Decreased energy and fatigue Ineffective Airway Clearance Nursing Care Plans- [...]

A Nursing care plan of Knowledge Deficit is used when there is a lack of cognitive information or psychomotor skills required for health recovery, maintenance, or health promotion. Teaching may take place in a hospital, ambulatory care, or home setting. The learner may be the patient, a family member, a significant other, or a caregiver [...]

A nursing care plan for Anxiety is used when a patient feels a vague,  uneasy or discomfort or dread accompanied by an autonomic response (the source often nonspecific or unknown to the individual), a feeling of apprehension caused by anticipation of danger. It is an alerting signal that warns of impending danger and enables the [...]

Nursing Care Plan definition: A nursing care plan outlines the nursing care to be provided to an individual/family/community. It is a set of actions the nurse will implement to resolve/support nursing diagnoses identified by nursing assessment. The creation of the plan is an intermediate stage of the nursing process. It guides in the ongoing provision [...]