Care Plan free essay sample

Impaired Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis, because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs, such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the client to become comfortable enough to rest in addition to other factors that affect sleep patterns. The pain caused by the client’s chest pain also makes it difficult to for her to take deep, adequate breathes and to assess her lung sounds. 2. Ineffective Breathing Pattern related to acute chest syndrome secondary to sickle cell anemia as evidenced by alterations in depth of breathing. Breathing should be prioritized as the secondary nursing diagnosis, because the patient’s sickle cell anemia is presenting her with diminished lung sounds in the lower right lung. We will write a custom essay sample on Care Plan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not getting proper oxygenation to parts of their body, and interventions may include administering analgesics to treat the discomfort, of which an adverse effect may include an altered breathing pattern, it is especially important to pay attention to and assess respiratory functioning in order to treat the effects of smoking and administration of analgesics on respiratory function and assure adequate oxygenation. 3. Disturbed Sleep Pattern related to excessive noise as evidenced by reports of being awakened all night. Disturbed sleep pattern should be prioritized third, because lack of adequate rest can cause fatigue, further discomfort, and decreased ability to function and perform ADL’s which is important to a client’s self-esteem and independence. Nursing Care Plan Nursing Diagnosis: Acute Pain related to vaso-occlusive crisis secondary to sickle cell anemia as manifested by grimacing and verbalization of pain Outcome/Short Term Patient Centered GoalsPlanning/Interventions ImplementationRationale for interventionsEvaluation Short-Term Desired Outcomes The client will â€Å"perform appropriate interventions, with or without significant others, to improve and/or maintain acceptable comfort level,† a 5 or less on a 0-10 pain scale, by the end of the day (Ackley Ladwig, 2013). Long-Term Desired Outcomes The client will â€Å"identify strategies, with or without significant others, to improve and/or maintain comfort level† by the time of discharge (Ackley Ladwig, 2013). 1. â€Å"Assess pain intensity level in a client† every hour utilizing a 0-10 pain scale (Ackley Ladwig, 2013). 2. Describe the adverse effects of unrelieved pain† every hour along with each pain assessment until patient verbalizes understanding (Ackley Ladwig, 2013). Teach the client about prescribed medications (oxycodone, for pain), such as how to use it, how often to take it, how much at once, and the desired and adverse effects of it. 4. â€Å"Ask the client to report side effects, such as nausea and pruritus, and to describe appetite, bowel elimination, and ability to rest and sleep† by performing an interview every hour while assessing pain level (Ackley Ladwig, 2013). 1. The first step in pain assessment is to determine if the client can provide self-report† (Ackley Ladwig, 2013). 2. â€Å"Ineffective management of acute pain has the potential for†¦neuronal remodelin, an impact on immune function, and long-lasting physiological, psychological, and emotional distress † (Ackley Ladwig, 2013). 3. â€Å"Instruct the client and family on prescribed medications and therapies that improve comfort† (Ackley Ladwig, 2013). 4. â€Å"Constipation is one of the most common side effects of opioid therapy and can beco me a significant problem in pain management† (Ackley Ladwig, 2013). Short-Term Desired Outcomes The client is able to properly utilize the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped patient understand the importance of reporting an accurate pain score whenever experiencing discomfort. Goal Met. Nursing interventions for this goal were effective to help the patient achieve a more comfortable state. Long-Term Desired Outcomes The client is able to identify and report the side effects of the oxycodone, so that they can report any nausea, constipation, or abnormal sleep patterns to a nurse or physician. Goal met. Care Plan free essay sample Comfort related to sickle cell anemia as evidenced by acute vaso-occlusive crisis. The patient’s pain should take precedence as the nursing diagnosis, because it is in all-encompassing factor that affects the client’s ability to function within the other areas of Maslow’s hierarchy of physiological needs, such as breathing and sleeping. The pain from the vaso-occlusion makes it difficult for the client to become comfortable enough to rest in addition to other factors that affect sleep patterns. The pain caused by the client’s chest pain also makes it difficult to for her to take deep, adequate breathes and to assess her lung sounds. 2. Ineffective Breathing Pattern related to acute chest syndrome secondary to sickle cell anemia as evidenced by alterations in depth of breathing. Breathing should be prioritized as the secondary nursing diagnosis, because the patient’s sickle cell anemia is presenting her with diminished lung sounds in the lower right lung. We will write a custom essay sample on Care Plan or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not getting proper oxygenation to parts of their body, and interventions may include administering analgesics to treat the discomfort, of which an adverse effect may include an altered breathing pattern, it is especially important to pay attention to and assess respiratory functioning in order to treat the effects of smoking and administration of analgesics on respiratory function and assure adequate oxygenation. 3. Disturbed Sleep Pattern related to excessive noise as evidenced by reports of being awakened all night. Disturbed sleep pattern should be prioritized third, because lack of adequate rest can cause fatigue, further discomfort, and decreased ability to function and perform ADL’s which is important to a client’s self-esteem and independence. Nursing Care Plan Nursing Diagnosis: Acute Pain related to vaso-occlusive crisis secondary to sickle cell anemia as manifested by grimacing and verbalization of pain Outcome/Short Term Patient Centered GoalsPlanning/Interventions ImplementationRationale for interventionsEvaluation Short-Term Desired Outcomes The client will â€Å"perform appropriate interventions, with or without significant others, to improve and/or maintain acceptable comfort level,† a 5 or less on a 0-10 pain scale, by the end of the day (Ackley Ladwig, 2013). Long-Term Desired Outcomes The client will â€Å"identify strategies, with or without significant others, to improve and/or maintain comfort level† by the time of discharge. â€Å"Describe the adverse effects of unrelieved pain† every hour along with each pain assessment until patient verbalizes understanding (Ackley Ladwig, 2013). 3. Teach the client about prescribed medications (oxycodone, for pain), such as how to use it, how often to take it, how much at once, and the desired and adverse effects of it. 4. â€Å"Ask the client to report side effects, such as nausea and pruritus, and to describe appetite, bowel elimination, and ability to rest and sleep† by performing an interview every hour while assessing pain level. †The first step in pain assessment is to determine if the client can provide self-report† (Ackley Ladwig, 2013). 2. â€Å"Ineffective management of acute pain has the potential for†¦neuronal remodelin, an impact on immune function, and long-lasting physiological, psychological, and emotional distress † (Ackley Ladwig, 2013). 3. â€Å"Instruct the client and family on prescribed medications and therapies that improve comfort† (Ackley Ladwig, 2013). 4. â€Å"Constipation is one of the most common side effects of opioid therapy and can become a significant problem in pain management† (Ackley Ladwig, 2013). Short-Term Desired Outcomes The client is able to properly utilize the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped patient understand the importance of reporting an accurate pain score whenever experiencing discomfort. Goal Met. Nursing interventions for this goal were effective to help the patient achieve a more comfortable state. Long-Term Desired Outcomes The client is able to identify and report the side effects of the oxycodone, so that they can report any nausea, constipation, or abnormal sleep patterns to a nurse or physician. Goal met.

Facebook Manic Essay Essay Example

Facebook Manic Essay Essay Example Facebook Manic Essay Essay Facebook Manic Essay Essay Facebook is a societal networking service launched in February 4. 2004. owned and operated by Facebook. Incorporated. The name of the service stems from the conversational name for the book given to pupils at the start of the academic twelvemonth by some university disposals in the United States to assist pupils acquire to cognize each other. Facebook was founded by Mark Zuckerberg with his college roomies and fellow Harvard University pupils Eduardo Saverin ( concern facets ) . Andrew McCollum. ( in writing creative person ) . Dustin Moskovitz ( coder ) . and Chris Hughes. Harmonizing to The Harvard Crimson. the site was comparable to â€Å"Hot or Not† and used exposures compiled from the on-line facebooks of nine houses. puting two following to each other at a clip and inquiring users to take the ‘hotter’ individual. The website’s rank was ab initio limited by the laminitiss to Harvard pupils. but was expanded to other colleges in the Boston country. the Ivy League. and Stanford University. It bit by bit added support for pupils at assorted other universities before opening to high school pupils. and finally to anyone aged 13 and over. Facebook has affected the societal life and activity of people in assorted ways. With its handiness on many nomadic devices. Facebook allows users to continuously remain in touch with friends. relations and other familiarities wherever they are in the universe. every bit long as there is entree to the Internet. It can besides unite people with common involvements and/or beliefs through groups and other pages. and has been known to reunite lost household members and friends because of the widespread range of its web. January 2009 Compete. com survey ranked Facebook as the most used societal networking service by world-wide monthly active users. Quantcast estimations Facebook has 138. 9 million monthly alone U. S. visitants in May 2011. Harmonizing to Social Media Today. in April 2010 an estimated 41. 6 % of the U. S. population had a Facebook history. Facebook has turned into a national compulsion in the United States. ensuing in huge sums of clip lost and encouraging self-love. Facebook being one of the most celebrated societal networking site comes with it’s ain pros and cons. There are many disadvantages of utilizing facebook. Many people believe that facebook has a batch of advantages and is convenient to utilize. But they ignore all the disadvantages that come with it. Excess of everything is bad and the statement is true for facebook.