Ulrich & Canale's Nursing Care Planning Guides - E-Book

Sandra J. Galura, Nancy Haugen

Description

• A new care plan format focuses on prioritized nursing interventions, interventions that can be delegated, and documentation criteria, as well as differentiating between independent and collaborative nursing actions.
• Features 8 new nursing diagnosis care plans on topics such as comfort, confusion, contamination, decision-making, falls/injury, unstable glucose level, risk-prone health behavior, and self-care.
• Includes 9 new disease/disorder care plans for Abdominal Trauma, Alzheimer’s Disease, Asthma, Enteral Nutrition, Intravenous Conscious Sedation, Internal Radiation Therapy (Brachytherapy), Mechanical Ventilation, Parkinson’s Disease, and Total Parenteral Nutrition.
• Evidence-based practice content presents the latest research findings and standards of care.
• Updated NANDA nursing diagnoses, NIC interventions, and NOC outcomes reflect the latest nursing taxonomies.
• An open, user-friendly design makes it easy to quickly locate essential information.
• The companion Evolve website features 71 new narrated 3D pathophysiology animations that correspond to disorders content in the text.

Sujets

• Medical
• Médecine
• Nursing
• Nurse
• Patient

Informations

• Publié par: Saunders
• Date de parution: 13 octobre 2010
• Nombre de lectures: 0
• EAN13: 9781437717280
• Langue: English
• Poids de l'ouvrage: 19 Mo

Extrait

Ulrich & Canale’s Nursing Care Planning Guides
Prioritization, Delegation, and Critical Thinking
Seventh Edition

Nancy Haugen, PhD, RN
Associate Professor and ABSN Program Chair, School of Nursing, Samuel Merritt University, Oakland, California

Sandra Galura, MSN, RN, CCRN, CPAN
Clinical Nurse Educator, Post Anesthesia Care Unit, Florida Hospital, Orlando, Florida
Table of Contents
Cover image
Title page
Copyright
Dedication
About the Authors
Reviewers
Preface
Inside Front Cover
Chapter 1: Prioritization, Delegation, and Critical Thinking in Client Management
PRIORITIZATION
DELEGATION
CRITICAL THINKING
Chapter 2: Selected Nursing Diagnoses, Interventions, Rationales, and Documentation
Nursing Diagnosis ACTIVITY INTOLERANCE NDx
Nursing Diagnosis AIRWAY CLEARANCE, INEFFECTIVE NDx
Nursing Diagnosis ANXIETY NDx
Nursing Diagnosis ASPIRATION, RISK FOR NDx
Nursing Diagnosis BREATHING PATTERN, INEFFECTIVE NDx
Nursing Diagnosis CARDIAC OUTPUT, DECREASED NDx
Nursing Diagnosis COMFORT, READINESS FOR ENHANCED NDx
Nursing Diagnosis CONFUSION, RISK FOR ACUTE NDx
Nursing Diagnosis CONSTIPATION NDx
Nursing Diagnosis CONTAMINATION NDx/CONTAMINATION, RISK FOR NDx
Nursing Diagnosis COPING, INEFFECTIVE NDx
Nursing Diagnosis DECISION-MAKING, READINESS FOR ENHANCED NDx
Nursing Diagnosis DIARRHEA NDx
Nursing Diagnosis FALLS, RISK FOR NDx/INJURY, RISK FOR NDx
Nursing Diagnosis FLUID VOLUME, DEFICIENT NDx
Nursing Diagnosis FLUID VOLUME, EXCESS NDx
Nursing Diagnosis GAS EXCHANGE, IMPAIRED NDx
Nursing Diagnosis GLUCOSE LEVEL, BLOOD, RISK FOR UNSTABLE NDx
Nursing Diagnosis GRIEVING* NDx
Nursing Diagnosis HEALTH BEHAVIORS, RISK PRONE NDx
Nursing Diagnosis INFECTION, RISK FOR NDx
Nursing Diagnosis MOBILITY, PHYSICAL, IMPAIRED NDx
Nursing Diagnosis NUTRITION: LESS THAN BODY REQUIREMENTS, IMBALANCED NDx
Nursing Diagnosis ORAL MUCOUS MEMBRANE, IMPAIRED NDx
Nursing Diagnosis PAIN, ACUTE NDx
Nursing Diagnosis SELF-CARE, READINESS FOR ENHANCED NDx
Nursing Diagnosis SELF-CONCEPT, DISTURBED* NDx
Nursing Diagnosis SKIN INTEGRITY, IMPAIRED, RISK FOR NDx
Nursing Diagnosis Sleep Pattern, Disturbed NDx
Nursing Diagnosis SWALLOWING, IMPAIRED NDx
Nursing Diagnosis TISSUE PERFUSION, INEFFECTIVE* NDx
Nursing Diagnosis URINARY ELIMINATION, IMPAIRED* NDx
Nursing Diagnosis URINARY RETENTION NDx
Chapter 3: Nursing Care of the Client Having Surgery
CONSCIOUS SEDATION
OUTCOME/DISCHARGE CRITERIA
Nursing Diagnosis ACTUAL/RISK FOR IMPAIRED RESPIRATORY FUNCTION*
Nursing Diagnosis RISK FOR INJURY NDx
Nursing Diagnosis ACUTE PAIN NDx
Nursing Diagnosis ACUTE CONFUSION NDx
ADDITIONAL CARE PLANS
PREOPERATIVE CARE
PREOPERATIVE GOALS
Nursing Diagnosis FEAR NDx/ANXIETY NDx
Nursing Diagnosis DISTURBED SLEEP PATTERN NDx
Nursing Diagnosis GRIEVING NDx
CLIENT TEACHING
Nursing Diagnosis DEFICIENT KNOWLEDGE NDx
POSTOPERATIVE CARE
OUTCOME/DISCHARGE CRITERIA
Nursing Diagnosis INEFFECTIVE TISSUE PERFUSION NDx (RENAL, CEREBRAL, CARDIOPULMONARY, GASTROINTESTINAL, PERIPHERAL)
Nursing Diagnosis INEFFECTIVE BREATHING PATTERN NDx
Nursing Diagnosis INEFFECTIVE AIRWAY CLEARANCE NDx
Nursing Diagnosis RISK FOR IMBALANCED FLUID AND ELECTROLYTES*
Nursing Diagnosis IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS NDx
Nursing Diagnosis ACUTE PAIN NDx
Nursing Diagnosis ALTERED COMFORT: ABDOMINAL DISTENTION AND GAS PAIN
Nursing Diagnosis NAUSEA NDx
Nursing Diagnosis IMPAIRED ORAL MUCOUS MEMBRANE NDx
Nursing Diagnosis ACTUAL/RISK FOR IMPAIRED TISSUE INTEGRITY NDx
Nursing Diagnosis: ACTIVITY INTOLERANCE NDx
Nursing Diagnosis IMPAIRED PHYSICAL MOBILITY NDx
Nursing Diagnosis SELF-CARE DEFICIT
Nursing Diagnosis RISK FOR URINARY RETENTION NDx
Collaborative Diagnosis RISK FOR HYPOVOLEMIC SHOCK
Collaborative Diagnosis RISK FOR ATELECTASIS
Collaborative Diagnosis RISK FOR DEEP VEIN THROMBOSIS
Collaborative Diagnosis RISK FOR PULMONARY EMBOLISM
Collaborative Diagnosis RISK FOR PARALYTIC ILEUS
Collaborative Diagnosis RISK FOR DEHISCENCE
DISCHARGE TEACHING/CONTINUED CARE
Nursing Diagnosis DEFICIENT KNOWLEDGE NDx, INEFFECTIVE FAMILY THERAPEUTIC REGIMEN MANAGEMENT NDx, OR INEFFECTIVE HEALTH MAINTENANCE NDx*
ADDITIONAL CARE PLANS
Chapter 4: The Client with Alterations in Respiratory Function
ASTHMA
Nursing Diagnosis IMPAIRED RESPIRATORY FUNCTION*
Nursing Diagnosis ACTIVITY INTOLERANCE NDx
Nursing Diagnosis DEFICIENT KNOWLEDGE NDx; INEFFECTIVE HEALTH MAINTENANCE NDx; OR INEFFECTIVE SELF-HEALTH MANAGEMENT* NDx
CHRONIC OBSTRUCTIVE PULMONARY DISEASE
Nursing Diagnosis IMPAIRED RESPIRATORY FUNCTION*
Nursing Diagnosis IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS NDx
Nursing Diagnosis ACTIVITY INTOLERANCE NDx
Nursing Diagnosis RISK FOR INFECTION NDx (PNEUMONIA)
Collaborative Diagnosis RISK FOR RIGHT-SIDED HEART FAILURE
Collaborative Diagnosis RISK FOR RESPIRATORY FAILURE
Nursing Diagnosis FEAR/ANXIETY NDx
Nursing Diagnosis INEFFECTIVE SELF-HEALTH MANAGEMENT NDx
Nursing Diagnosis DEFICIENT KNOWLEDGE NDx OR INEFFECTIVE HEALTH MAINTENANCE* NDx
MECHANICAL VENTILATION
Nursing Diagnosis IMPAIRED RESPIRATORY FUNCTION* NDx
Nursing Diagnosis RISK FOR INJURY NDx
Nursing Diagnosis IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS NDx
Nursing Diagnosis RISK FOR INFECTION NDx (VENTILATOR-ACQUIRED PNEUMONIA [VAP])
Nursing Diagnosis ACTUAL/RISK FOR DYSFUNCTIONAL VENTILATORY WEANING RESPONSE NDx
Collaborative Diagnosis RISK FOR DECREASED CARDIAC OUTPUT NDx
Collaborative Diagnosis RISK FOR BAROTRAUMA
Collaborative Diagnosis RISK FOR FLUID RETENTION/FLUID VOLUME OVERLOAD
Collaborative Diagnosis RISK FOR GASTROINTESTINAL BLEEDING
PNEUMONIA
Nursing Diagnosis IMPAIRED RESPIRATORY FUNCTION*
Nursing Diagnosis RISK FOR DEFICIENT FLUID VOLUME NDx
Nursing Diagnosis IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS NDx
Nursing Diagnosis ACUTE PAIN NDx (CHEST)
Nursing Diagnosis HYPERTHERMIA NDx
Nursing Diagnosis ACTIVITY INTOLERANCE NDx
Nursing Diagnosis RISK FOR INFECTION: EXTRAPULMONARY (e.g., BACTEREMIA, PERICARDITIS, ENDOCARDITIS, MENINGITIS, SEPTIC ARTHRITIS) AND/OR SUPERINFECTION (e.g., CANDIDIASIS) NDx
Collaborative Diagnosis RISK FOR PLEURAL EFFUSION
Collaborative Diagnosis RISK FOR ATELECTASIS
Nursing Diagnosis DEFICIENT KNOWLEDGE NDx, INEFFECTIVE HEALTH MAINTENANCE NDx, OR INEFFECTIVE SELF-HEALTH MANAGEMENT* NDx
PNEUMOTHORAX
Nursing Diagnosis INEFFECTIVE BREATHING PATTERN NDx
Nursing Diagnosis IMPAIRED GAS EXCHANGE NDx
Nursing Diagnosis ACUTE PAIN NDx (CHEST)
Collaborative Diagnosis RISK FOR TENSION PNEUMOTHORAX WITH MEDIASTINAL SHIFT
Nursing Diagnosis FEAR/ANXIETY NDx
Nursing Diagnosis DEFICIENT KNOWLEDGE NDx, INEFFECTIVE HEALTH MAINTENANCE NDx, OR INEFFECTIVE SELF-HEALTH MANAGEMENT* NDx
PULMONARY EMBOLISM
Nursing Diagnosis INEFFECTIVE BREATHING PATTERN NDx
Nursing Diagnosis IMPAIRED GAS EXCHANGE NDx
Nursing Diagnosis ACUTE PAIN NDx (CHEST)
Collaborative Diagnoses RISK FOR RIGHT-SIDED HEART FAILURE
Collaborative Diagnosis RISK FOR EXTENDED OR RECURRENT PULMONARY EMBOLISM
Collaborative Diagnosis RISK FOR ATELECTASIS
Collaborative Diagnosis RISK FOR UNUSUAL BLEEDING
Nursing Diagnosis FEAR/ANXIETY NDx
Nursing Diagnosis DEFICIENT KNOWLEDGE NDx, INEFFECTIVE HEALTH MAINTENANCE NDx, OR INEFFECTIVE SELF-HEALTH MANAGEMENT* NDx
THORACIC SURGERY
PREOPERATIVE USE IN CONJUNCTION WITH THE PREOPERATIVE CARE PLAN
Nursing Diagnosis FEAR AND ANXIETY NDx
POSTOPERATIVE
Nursing Diagnosis IMPAIRED RESPIRATORY FUNCTION*
Nursing Diagnosis ACUTE PAIN NDx (CHEST)
Collaborative Diagnosis RISK FOR INEFFECTIVE LUNG EXPANSION
Collaborative Diagnosis RISK FOR CARDIAC DYSRHYTHMIAS
Collaborative Diagnosis RISK FOR ACUTE PULMONARY EDEMA
Collaborative Diagnosis RISK FOR BRONCHOPLEURAL FISTULA
Collaborative Diagnosis RESTRICTED ARM AND SHOULDER MOVEMENT
DISCHARGE TEACHING/CONTINUED CARE
Nursing Diagnosis DEFICIENT KNOWLEDGE, NDx INEFFECTIVE HEALTH MAINTENANCE NDx, OR INEFFECTIVE SELF-HEALTH MANAGEMENT* NDx
TUBERCULOSIS
Nursing Diagnosis IMPAIRED RESPIRATORY FUNCTION*
Nursing Diagnosis IMBALANCED NUTRITION: LESS THAN BODY REQUIREMENTS NDx
Nursing Diagnosis ACTIVITY INTOLERANCE NDx
Nursing Diagnosis RISK FOR INFECTION: NDx EXTRAPULMONARY (E.G., PERICARDIAL, LARYNGEAL, SKELETAL, JOINT, RENAL, BRAIN, ADRENAL, LYMPHATIC) AND/OR SUPERINFECTION (E.G., CANDIDIASIS)
Collaborative Diagnosis RISK FOR PLEURAL EFFUSION
Collaborative Diagnosis RISK FOR PNEUMOTHORAX
Collaborative Diagnosis RISK FOR ATELECTASIS
PATIENT AND DISCHARGE TEACHING/CONTINUED CARE
Nursing Diagnosis DEFICIENT KNOWLEDGE, NDx INEFFECTIVE HEALTH MAINTENANCE NDx, OR INEFFECTIVE SELF-HEALTH MANAGEMENT*NDx
Chapter 5: The Client with Alterations in Cardiovascular Function
ABDOMINAL AORTIC ANEURYSM
OUTCOME DISCHARGE CRITERIA
PREOPERATIVE: USE IN CONJUNCTION WITH THE STANDARDIZED PREOPERATIVE CARE PLAN
Related Preoperative Nursing/Collaborative Diagnoses ANXIETY NDx/FEAR NDx
Postoperative Nursing/Collaborativ