Search This Blog

Nursing Diagnosis and Nursing Intervention for Cystitis

Nursing Diagnosis for Cystitis

Acute pain related to bladder infections

Goal : There is no pain and burning sensation during urination

Expected outcomes : The client says the pain is reduced


Nursing Intervention for Cystitis

  1. Monitor:
    • The bow of the urine to change color, odor and urine patterns
    • Input and output every 8 hours
    • The results re urinalis
    Rational: To identify the indications, the progress or the storage of the expected results.

  2. Give analgesics as needed and evaluate its success
    Rational: Analgesics block the path of pain, thereby reducing the pain

  3. Consul doctor if:
    • Previous amber-yellow urine, dark orange, hazy or cloudy
    • Micturition pattern changes, as an example of heat such as burning during urination, a sense of urgency when urinating
    • Persistent pain or increasing pain
    Rational: These findings may indicate further tissue damage and need more extensive checks, such as radiology examination if not previously done

  4. If the frequency becomes a problem, assure access to the bathroom, bedpan under the bed. Instruct the patient to urinate whenever there is a desire.
    Rational: frequent urination, reduce static urine in the bladder and prevent bacterial growth.

Nursing Diagnosis for Cystitis

Risk for infection related to the risk factors of nosocomial

Goal : There is no infection in the bladder

Expected outcomes : Clients can urinate without the inconvenience of clear urine, urinalysis within normal limits, urine culture showed no bacteria.

Nursing Intervention for Cystitis
  1. Provide perineal care with soapy water every shift. If the patient's incontinence, perineal wash as soon as possible
    Rational: To prevent contamination of the urethra

  2. If placed indwelling catheter, catheter care given 2 times per day (part of the shower in the morning and at bedtime) and after defecation
    Rational: Catheter give way on the bacteria to enter the bladder and up into the urinary tract

  3. Reposition the patient every 2 hours and encourage fluid intake of at least 2400 ml / day (unless contraindicated). Help make ambulation as needed
    Rational: To prevent static urine

  4. Take action to maintain the acid urina
    Rational: urina acid prevents the growth of germs.

Nursing Diagnosis and Nursing Intervention for Cystitis

Nursing Care Plan : Nursing Assessment for Cystitis
READ MORE - Nursing Diagnosis and Nursing Intervention for Cystitis

Nursing Care Plan for Cystitis

NCP - Nursing Care Plan for Cystitis


Cystitis

Cystitis is a term that refers to bladder inflammation that results from any one of a number of distinct syndromes. It is most commonly caused by a bacterial infection in which case it is referred to as a urinary tract infection.

Symptoms

The symptoms of a bladder infection include:
  • Cloudy or bloody urine, which may have a foul or strong odor
  • Low fever (not everyone will have a fever)
  • Pain or burning with urination
  • Pressure or cramping in the lower abdomen (usually middle) or back
  • Strong need to urinate often, even right after the bladder has been emptied
Often in an elderly person, mental changes or confusion are the only signs of a possible urinary tract infection.

Nursing Assessment for Cystitis

Identity
  • Age: occurs in all age
  • Sex: more common in women and increased incidence according to age and sexual activity
  • Place of residence: whether or not a predisposing factor
Main complaint
  • Pain or burning in the urethra when urinating
  • urine slightly
  • Discomfort in the supra pubic region
Disease history
  • History of UTI
  • Obstruction of the urinary tract
  • Other health problems, such as diabetes mellitus, history of sexual
Physical examination
  • Abdominal infection, and palpation of the lower urinary bledder: no maximum discharge
  • Inflammation and lesions in the urethral meatus and vaginal introitus
  • Assess urination: the urge, frequency, dysuria, the stinging smell of urine, pain in the supra pubic.

Nursing Care Plan for Cystitis

Nursing Diagnosis and Nursing Intervention for Cystitis
READ MORE - Nursing Care Plan for Cystitis

Nursing Diagnosis and Nursing Intervention for Brain Tumor

Nursing Diagnosis for Brain Tumor

Impaired Gas Exchange related to neuromuscular dysfunction (loss of control of respiratory muscles)

Characterized by: changes in depth of breath, dyspnea, airway obstruction, aspiration.

Goal : Impaired gas exchange can be resolved

Nursing Intervention for Brain Tumor
  • Clear the airway
  • Monitor vital signs
  • Monitor the breathing pattern, breath sounds
  • Monitor blood gases penururnan
  • Blood gas analysis
  • Collaboration Oxygenation

Nursing Diagnosis for Brain Tumor

Acute Pain : the head related to increased intra-cranial pressure

Characterized by : headache, especially early morning, the client moaning in pain, the pain increased when the client coughing, straining, bending.

Goal : reduced pain

Nursing Intervention for Brain Tumor
  • Monitor the pain scale
  • Give compress on the area where the sick
  • Monitor vital signs
  • Give a comfortable position
  • Perform Massage
  • Observation of non-verbal signs of pain
  • Assess defisid factors, emotional state of someone
  • Note the influence of pain
  • Cold compresses on the head
  • Use of therapeutic touch technique
  • Observation of nausea, vomiting
  • Collaboration administration of drugs: analgesic, relaxant, prednisone, anti-emetics

Nursing Diagnosis and Nursing Intervention for Brain Tumor

Nursing Assessment Nursing Care Plan for Brain Tumor
READ MORE - Nursing Diagnosis and Nursing Intervention for Brain Tumor

Nursing Care Plan for Brain Tumor

NCP - Nursing Care Plan for Brain Tumor


A brain tumor (or brain tumor) is an intracranial solid neoplasm, a tumor (defined as an abnormal growth of cells) within the brain or the central spinal canal.

Brain tumors include all tumors inside the skull or in the central spinal canal. They are created by an abnormal and Uncontrolled cell division, normally either in the brain Itself (neurons, glial cells (astrocytes, oligodendrocytes, ependymal cells, myelin-producing Schwann cells), lymphatic tissue, blood vessels), in the cranial nervous, in the brain envelopes (meninges), skull, pituitary and pineal gland, or spread from cancers primarily located in other organs (metastatic tumors).(wikipedia)

Signs and Symptoms:
  1. Severe headache in the morning, increased when coughing, bending
  2. Convulsions
  3. Signs of increased intra-cranial pressure: blurred vision, nausea, vomiting, decreased auditory function, changes in vital signs, aphasia.
  4. Changes in personality
  5. Impaired memory
  6. Natural disturbance of taste
Classic triad:
  1. Headache
  2. Papilledema
  3. Vomiting
Diagnostic Examination:
  1. Rontgent anterior-posterior skull
  2. EEG
  3. CT Scan
  4. MRI
  5. Angioserebral

Nursing Assessment for Brain Tumor
  1. Client data: name, age, sex, religion, ethnicity, marital status, education, occupation, blood type, address, etc..

  2. Medical history:
    • Main Complaints
    • Medical history Now
    • Previous Health History
    • Family Health History

  3. Physical Examination
    • Nerves: seizures, bizarre behavior, disorientation, aphasia, decreased / loss of memory, inappropriate affect, hissing
    • Vision: decreased field of vision, blurred vision
    • Hearing: tinnitus, hearing loss, hallucinations
    • Cardiac: bradycardia, hypertension
    • Respiratory system: respiratory rhythm increased, dyspnea, potential airway obstruction, neuromuscular dysfunction
    • Hormonal System: amenorrhoea, hair loss, diabetes mellitus
    • Motor: hyperextension, joints weakness

Nursing Care Plan for Brain Tumor

Nursing Diagnosis anda Nursing Intervention for Brain Tumor
READ MORE - Nursing Care Plan for Brain Tumor

Nursing Diagnosis and Nursing Intervention for Bronchopneumonia

Nursing Diagnosis for Bronchopneumonia

Ineffective Airway Clearance related to the buildup of secretions

Goal : return effective airway clearance.

Expected outcomes : discharge to exit.

Nursing Intervention for Bronchopneumonia
  • Monitor respiratory status every 2 hours, examine an increase in breathing and abnormal breath sounds.
  • Apply suction as indicated.
  • Give oxygen therapy every 6 hours.
  • Create an environment / so patients can sleep comfortably.
  • Give a comfortable position for the patient.
  • Monitor blood gas analysis to assess respiratory status.
  • Perform chest percussion.
  • Provide sputum for culture / sensitivity test.

Nursing Diagnosis for Bronchopneumonia - Imbalanced Nutrition: Less than Body Requirements related to inadequate intake of nutrients

Goal : Kebuituhan nutrients are met.

Expected outcomes : The client can maintain / improve nutritional intake ..

Nursing Intervention for Bronchopneumonia
  • Assess client's nutritional status.
  • Perform a physical examination the abdomen client (auscultation, percussion, palpation, and inspection).
  • Measure the client's body weight per day.
  • Assess the presence of nausea and vomiting.
  • Give diet a little but often.
  • Provide food in a warm state.
  • Collaboration with a dietitian.
NANDA Pneumonia

Nursing Care Plan for Bronchopneumonia

Nursing Assessment for Bronchopneumonia

Nursing Diagnosis and Nursing Intervention for Bronchopneumonia
 
Ineffective Airway Clearance related to Bronchopneumonia
READ MORE - Nursing Diagnosis and Nursing Intervention for Bronchopneumonia

Nursing Care Plan for Bronchopneumonia

NCP - Nursing Care Plan for Bronchopneumonia


Bronchopneumonia BrPn Nursing Care Plan
Bronchopneumonia Definition

Bronchopneumonia is a common inflammation of the lung, also referred to as bronchial pneumonia, or lobular pneumonia. Inflammation starts in the small bronchial tubes - bronchioles, and irregularly spreads to the peribronchiolar alveoli and alveolar ducts. The result is that the inflammatory changes lead to the localized inflammatory consolidation in bronchioles and their surrounding alveoli of the lungs.

Bronchopneumonia Causes

Most of the time, broncho- pneumonia is caused by bacterial infection, especially the pyogenic bacteria to form the suppurative pneumonia. Adenovirus, influenza virus, Mycoplasma pneumoniae also plays a role.

Bronchopneumonia often occurs in human due to the lower body resistance and the impaired defense function of the respiratory tract. So, children, elderly persons and the sickly or weak persons are the main susceptible population.

Bronchopneumonia is the most common pneumonia in children.


Nursing Care Plan for Bronchopneumonia


Nursing Assessment for Bronchopneumonia
  1. Medical History
    • History of respiratory tract infection: cough, runny nose, fever.
    • Anorexia, difficulty swallowing, nausea and vomiting.
    • History of immunity-related diseases such as malnutrition.
    • Other family members have respiratory tract illness.
    • Productive cough, breathing nostrils, rapid and shallow breathing, restlessness, cyanosis.

  2. Physical Examination
    • Fever, tachypnea, cyanosis, respiratory nostril.
    • Auscultation of lung wet Ronchi
    • Laboratory of leukocytosis, increased erythrocyte sedimentation rate or normal.
    • Abnormal chest X-ray (spotting, consolidating scattered in both lungs).

  3. Psychological factors / developments to understand the action
    • Age level of development.
    • Tolerance / ability to understand the action.
    • Coping.
    • Experience separated from family / parents.
    • The experience of previous respiratory tract infections.

  4. Knowledge of family / parents.
    • The family of knowledge about respiratory diseases.
    • The experience of the family of respiratory tract disease.
    • Readiness / willingness of families caring for a child to learn.

Nursing Care Plan for Bronchopneumonia

Nursing Assessment for Bronchopneumonia


Nursing Diagnosis for Bronchopneumonia

Nursing Intervention for Bronchopneumonia
READ MORE - Nursing Care Plan for Bronchopneumonia

Followers

 
 
 

Nanda Books

Label

Label

Labels