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INEFFECTIVE BREATHING PATTERN Nursing Care Plan

Stuart, 23 years old, diagnosed with pneumonia 3 months ago. Because of having not enough money for hospitalization. His state got worse day...

DEFICIENT FLUID VOLUME (hyper/hypotonic) Nursing Care Plan

Mr. Bryson, 32 years old, reporter. He always do jogging every morning together with his dog named Bark. Bark is a Alaskan Malamute who loves to go outside so he always exited about going out with Mr. Bryson to do jogging or shopping or visiting his colleagues. Mr. Bryson also loves to go out with his dog because he feels comfortable and he likes when people are looking at his dog saying good things. Below is a sample of nursing care plan about deficient fluid volume of Mr. Bryson.

ASSESSMENT

Subjective:
“I feel exhausted, I’m thirsty.” as verbalized by the patient.

FEAR Nursing Care Plan

Mr. Tepper is working as a janitor in a hospital and he have been fixed in graveyard schedule which he had decided long ago in order for him to get additional income in his paycheck. Because of his style of working hours, Mr. Tepper always get sick because of low immunization and lack of vitamins because of his tight budget. One day, he got chest pain and unable to breathe. He immediately delivered to emergency room at the hospital he is been working. This is a nursing care plan sample about fear of Mr. Tepper, 42 years old, low-income worker.

ASSESSMENT

Subjective:
"I'm afraid of what will be the result of my operation," as verbalized by the patient.

FATIGUE Nursing Care Plan

This is a nursing care plan sample about fatigue of Mr. Ong, 29 years old, civil engineer. Mr. Ong is very hardworking, he even work almost 18 hours straight without even napping. Just few eats and drinks and he will back to work again. For almost two weeks of doing this kind fo routine, Mr. Ong felt something different with him and it is not good. He immediately went to the hospital for check-up.

ASSESSMENT

Subjective:
“I’m so tired, I need some rest,” as verbalized by the patient.

ADULT FAILURE TO THRIVE Nursing Care Plan

Mr. Boibuyan is a 48 years old assistant nurse. He is very friendly and easy to talk with. He likes to go bonding with his colleagues after work and he is a kind of guy who you wouldn't imagine having enemy. Despite of his low income, he still love his work and for him, it is enough to sustain his family needs. He have 2 daughters and a loving wife. His wife sells multivitamins not for women and it is a good additional income for their family. One unfortunate day, his wife and her 2 daughters was at the mall buying gifts for upcoming holiday while there was a sudden earthquake. It was so powerful that the mall was immediately collapse and his family were included in the victims. Below is a sample of adult failure to thrive nursing care plan of Mr. Boibuyan.

ASSESSMENT

Subjective
"I want don't want to live!" as verbalized by the patient.

DEFICIENT DIVERSIONAL ACTIVITY Nursing Care Plan

Mrs. Rose was admitted in a public hospital 2 years ago for having a lot of complications due to her type-2 diabetes. She is bedridden now and her left leg were amputated below her knee with lots of gangrene which nurses needs to clean everyday. Mrs. Rose endures the pain she feels everyday just to live much longer because all she wanted is to see her youngest daughter in her 18th birthday. Below is an example of nursing care plan of Mrs. Rose with deficient diversional activity.

ASSESSMENT

Subjective:
"I'm bored, I wish there is something I can do," as verbalized by the patient.

DIARRHEA Nursing Care Plan

Galima is 58 years old teacher in English and Science of high school students. One day he went to his students birthday party which was held inside a huge cruise ship. The party was so nice and wonderful as he dance, sang, ate and drank a lot. It was a great experience for him and he wanted to do it again in his younger son's birthday party. The day after the party, his head was aching and his having stomach upset and he thought maybe it was because of what he was done in the party last night. Below is a sample of diarrhea nursing care plan of Galima.

ASSESSMENT

Subjective:
"I poop five times this day and my stomach is aching up until now, " as verbalized by the patient.

IMPAIRED DENTITION Nursing Care Plan

Jolito is a very lazy boy. He sleeps late at night playing mobile games and wakes up in the afternoon to find food. After he takes his lunch he will go outside and play basketball without taking a bath first and without brushing his teeth. He will return at the dinner time to eat and sleep and forget or intentionally don't want to take care of his cleanliness. One day, he woke up with a painful tooth and all his family members were laughing at him and told him that it was because of not brushing his teeth. Below is a sample of nursing care plan of impaired dentition of Jolito, a 15 years old boy.

ASSESSMENT

Subjective:
"My tooth is aching, "as verbalized by the patient.

CONSTIPATION Nursing Care Plan

Joseph is a call center representative with morning shifts. Because of his 9-5 work and being workaholic, he usually forgot to take his personal needs like urinating, drinking and even defecation. He is always an employee of the month and always get a lot of commissions however, he didn't notice something is going wrong with him and if he doesn't act fast it may lead to complication. Below is a sample of constipation nursing care plan of Joseph, a call center representative.

ASSESSMENT

Subjective:
"I'am having difficulty in defecation because of my dry stool," as verbalized by the patient.

ACUTE CONFUSION Nursing Care Plan

Mrs. Lorna was admitted in the hospital due to a car accident. Even though she survived she lost her vision in that accident because of a piece of broken glass hit her eyes during the car to van impact. Since she came in a wealthy family, she immediately undergone to the surgery in her eye where in she got a donor to replace her lost vision. It took 6 hours of operation and 3 weeks of recovery for her new eyes to open up again. Although she was not yet fully recovered and her vision was still blurry, the surgery was a complete success and she can fully see again in no time. We provide an example of nursing care plan for acute confusion with a 3-hour nursing care intervention. 

ASSESSMENT

Subjective:
"I hear a voice of a little boy and a ball dribbling," as verbalized by the patient.

BOWEL INCONTINENCE Nursing Care Plan

Jimmy, 35 years old who works as a freelance grass cutter in a small town. One day, while he was doing his job on a national road to clear some tall grasses, a small van approached and hit him at his back which later the driver was identified drunk and caught to jail. Unfortunately, Jimmy was unconsciously transferred to the hospital nearby. After a few hours, Jimmy wakes up and didn't remember so much about the incident. he confined and admitted to the hospital while waiting for his test results. Suddenly, an alarm rang in the nurses station which indicates that someone must need a nurse's attention and it was at Jimmy's room. Below is a sample of a bowel incontinence nursing care plan of Jimmy who recently admitted to the hospital due to an incident of being hit by a small van.

ASSESSMENT

Subjective:
"I'm unable to control my defecation," as verbalized.

DECISIONAL CONFLICT Nursing Care Plan

Gabby is a firefighter who is very workaholic but a family-centered man. He have 2 kids, a boy and a girl. They are a perfect family. One day when Gabby is on duty, driving their firetruck together with his team, an SUV is approaching fast that ran through their firetruck head on. Other crew incurred minor scratches but Gabby attained leg injury. Fortunately, the first diagnostic examinations and treatments lead to Gabby to go back to work again. As days past, Gabby have been experiencing leg pain. Although he can manage it and ignore, he decided to have a doctor to check it and found out that blood clots are accumulating in his leg muscles and tissues and a need for surgery is necessary to remove those clots and prevent it from coming back. The doctor said that after the surgery Gabby needs to rest and take a leave from his work for 3 months for a full recovery which is Gabby don't want to agree and keep delaying his surgery. Below is a sample of decisional conflict nursing care plan of Gabby, a firefighter who do not want to take 3 months leave since his family needs financial assistance.

ASSESSMENT

Subjective:
"I want to start my surgery but it will take 3 months before I will fully recover. My family depends on me and the 3-month absences in my work would cause us to much trouble," as verbalized by the patient.

DECREASED CARDIAC OUTPUT Nursing Care Plan

Ms. Sandler, 27 years old, a certified public accountant. She have irregular menstruation flow. One day she experienced 2 weeks menstrual bleeding which she thought it was a bad sign so she decided to go to see a doctor. She never experience bleeding a lot tat she could soak 6 pads every day and she said to her doctor that she felt having palpitations. Below is a sample of decreased cardiac output nursing care plan of Ms. Sandler.


ASSESSMENT

Subjective:
"I feel that I'm having palpitations right now," as verbalized by the patient.

INEFFECTIVE BREATHING PATTERN Nursing Care Plan

Stuart, 23 years old, diagnosed with pneumonia 3 months ago. Because of having not enough money for hospitalization. His state got worse day by day, until he experience painful feeling by just breathing. One day his Uncle Bob visit them and saw Stuart having difficulty of breathing. He accompanied Stuart to the hospital to cure his suffering. Below is a sample of nursing care plan for Stuart with ineffective breathing pattern.

ASSESSMENT

Subjective:
"I can't breath well because of my chest pain," as verbalized by the patient.

READINESS FOR ENHANCED COMFORT Nursing Care Plan

Mrs. Araneta got a free body massage coupon from her credit card issuer. She availed it before the Holy week from a popular massage spa 400 miles away from her hometown. 3 days after she availed the coupon, she got high-grade fever and muscle weakness. She admitted at the same day and diagnosed with dengue virus. Mrs. Araneta needs to confine until her platelet levels return to normal. This is a nursing care plan sample about readiness for enhanced comfort nursing care plan of Mrs. Araneta, 41 years old, sales marketer.

ASSESSMENT

Subjective:
"I wish I could feel comfortable in this room," as verbalized by the patient.

INEFFECTIVE BREASTFEEDING Nursing Care Plan

Jenny, 31 years old, mother of a newborn baby girl. She have difficulty in breastfeeding due to her swollen nipples. She really want to breastfeed her daughter but she experienced so much pain while breastfeeding. She don't know what to do and since Jenny is a nurse, she knew the importance of breastfeeding and the great benefits of it to her baby. Even though Jenny is a nurse, she still need medical attention. Below is a sample of ineffective breastfeeding nursing care plan of Jenny who have swollen nipples and unable to breastfeed her baby girl.


ASSESSMENT

Subjective:
"I have difficulty every time I have to breastfeed my first baby," as verbalized by the patient.

DISTURBED BODY IMAGE Nursing Care Plan

My sibling, Ivan, turned 14 last month and became so much conscious about his appearance. One day my mom called me that Ivan doesn't want to go to school because of his acne. It spreads all over his face and for him it is very unpleasant that his classmates will just laugh and bully him if he would go to school. With all the means of encourage of my mother and father for Ivan to go back to school, Ivan insisted that he should stay at home as long as his acne gone. Below is a sample of disturbed body image nursing care plan of Ivan who had tremendous amount of acne and felt embarrassed about it.


ASSESSMENT

Subjective:
"How could I go to school in this situation, my classmates would probably laugh at me," as verbalized by the patient.

RISK-PRONE HEALTH BEHAVIOR Nursing Care Plan

Samael is a 40 year old bank teller who smokes so much that he can take 2 packs of cigarette in a single day. DId you know someone who is like Samael? Some people said that smoking is better than to have a disease cause from secondary smoking. However, on part of Samael, it is different. He was diagnosed 4 months ago with emphysema and yet he still do smoke. He manifested some respiratory problems but he just ignoring the facts and considered it normal since he is a smoker. Does his respiratory problems really normal to a smoker? Below is a sample of risk-prone health behavior nursing care plan of Samael who cannot quit smoking even with respiratory problems.

ASSESSMENT

Subjective:
"I still kept on smoking, even though I know I had my emphysema," as verbalized by the patient.

RISK FOR ASPIRATION Nursing Care Plan

Mr. Chong, 52 years old, had a history of heart attack 3 months ago. He was now recovered from the incident and have been doing precautionary measures to prevent occurrence. Unfortunately, the morning after the Christmas Eve, Mr. Chong experienced chest pain and went unconscious. His relatives immediately called for help and saved Mr. Chong's life. The nurse found out that Mr. Chong forgot to take his maintenance medicine on the night of Christmas Eve and Mr. Chong drunk and eat a lot. The nurse noted that Mr. Chong is using oral dentures. Below is a sample of nursing care plan about risk for aspiration of Mr. Chong.

ASSESSMENT

Subjective:
(for the risk for aspiration, we don't have any subjective data as we assume that the patient is unconscious.)

ANXIETY Nursing Care Plan

Abby experienced trauma, both physical and emotional in her past life when she and her husband live together. She escape and left her husband and went to other city 1300 miles away from their house to change her life for she thought, the better. Unfortunately, she still gather her fear from the past and it kept haunting her day and night. She has been always lack of sleep, she felt fear when someone touches her or even calls her. She screams most of the time, she preoccupied most of the time. She feels that someone is stalking her and wants to abduct her. It's been 6 months since she left but she still experiencing this anxiety which is considered severe and she also been experiencing panic state. Below is a sample of anxiety nursing care plan of Abby.

INEFFECTIVE AIRWAY CLEARANCE Nursing Care Plan

Mr. Andrew was doing a wooden wall renovations in their garage. Mr. Andrew's nail gun was suddenly failed to function and he discovered that two nails was stuck in it. While he was trying to fix it, a nail suddenly cam out of it and drove piercingly to his throat. Her daughter saw help and called for help. Mr. Andrew was still conscious but really hard to breathe and he felt the blood piling up inside his throat.

ASSESSMENT

Subjective:
" I can't breath that much, something's obstructing inside my throat." as verbalized by the patient.