Care Plan
| Diagnosis PES Format Domain
Nursing Diagnosis: Cardiac Output Risk for Decreased
Related to: Tension that comes from various activities that patient caries out or even the occupation of the person in question
As evidence by The patient is noted to have some problems breathing and can even go into shock if not well managed.
| Outcome/Goals Include Time Frame
STG: Patient will be able to carry out their actions effectively without pressure in the short run
LTG: Eventually, the patient will manage to live a longer life and even enjoy the experience that he will be having at the time.
| Interventions Individualized/Specific
STG#1: Check the functional level of breathing.
STG#2: Check the heart rate of the patient to ensure that they are okay and without any form of pressure
STG#3:Present a safe environment where the patient does not have to worry or care much about their well-being in case of anxiety
LTG#1: Perform a passive and active range of breathing exercises
LTG#2: Promote better living with a reduced amount of pressure for the patient.
LTG#3: Provide rest periods in between activities. | Rationale Include page numbers
STG#1: Note levels of breathing help identify and manage the plan. (Qidwai, 2019)
STG#2: Repetitive inspections of the breathing rates prevent spread and allow for proper treatments of further complications. (Qidwai, 2019)
STG#3: The strategies will allow and promote a benign environment and help prevent attacks. (Qidwai, 2019)
LTG#1: Few practical challenges enhance venous return, preventing breathing issues. (Qidwai, 2019)
LTG#2: Exercise keeps the patient practical and decreases debilitation. (Qidwai, 2019)
LTG#3: Breathing periods are essential to managing energy to allow for medication. (Qidwai, 2019) | Evaluation Updates/Desired Outcome
STG are met. The person will have the ability to perform effectively devoid of any breathing problems that he might have.
LTG is not met. I will be unable to do a follow-up assessment in 2-3 days. The patient will be discharged before my return to the unit. |
| Diagnosis PES Format
Domain
Nursing Diagnosis: Constipation Chronic Functional
Related to: Challenges when releasing faeces, and this might challenge the body of the person and hurt them physically.
As evidence by damage to the tissue | Outcome/Goals Include Time Frame
STG: To effectively demonstrate that constipation can have serious physical effects.
LTG: The patient will, in the long run, will have improved biological process in any given setting. | Interventions Individualized/Specific
STG#1: Instruct family on hygiene.
STG#2: Teach the person the importance of taking specific types of food when going through the treatment stages.
STG#3: Instruct the person on the best means to better manage the condition.
LTG#1: Assess the wound.
LTG#2: Asses vital cyphers such as oxygen, blood pressure, pain, heart rate, respiration, temperature.
LTG#3: Determine the etiology and culture wound. | Rationale Include page numbers
STG#1: The need for proper knowledge of the condition to prevent further tissue damage (McIlfatrick et al. 2019).
STG#2: Early valuation helps prevent the development of further snags and contagions (McIlfatrick et al. 2019).
STG#3: Precise information on wound maintenance reduces peril for infections (McIlfatrick et al. 2019)
LTG#1:Its is vital to establish a baseline to chaperon treatment and give data on the extent of the damage. (McIlfatrick et al. 2019)
LTG#2: Abnormal consequences can indicate worsening contagion or sepsis (McIlfatrick et al. 2019).
LTG#3: Proper documentation of etiology allows for correct nursing intrusions and proper treatment remedies. (McIlfatrick et al. 2019) | Evaluation Updates/Desired Outcome
STG: Goal was met, and the patient did not show any more complains when going to the toilet.
LTG: The person managed to lead a better life and even better associated with people on matters that were challenging to them. |
| Diagnosis PES Format Domain 12
Nursing Diagnosis: Fluid Volume Excess
Related to: Failure to feed appropriately thus leading to increased stomach pains at different times
As evidence by The patient crying and having a guarded position. | Outcome/Goals Include Time Frame
STG: The patient will not have the ability to manage their health conditions as appropriately as would be expected.
LTG: It will be possible for the families of these people to note any changes and thus make medication changes in the environment | Interventions Individualized/Specific
STG#1: Assess for signs and symptoms related to pain.
STG#2: Anticipate the need for pain relief.
STG#3: Evaluate the pain.
LTG#1: Determine family knowledge about pain.
LTG#2: Encourage the child to partake in distractive actions.
LTG#3: Observe for nonverbal cues of pain. (Moaning, guarding, and crying). | Rationale Include page numbers
STG#1: Consideration of vital signs help in appraising pain. Increased blood pressure, heart rate, and infection may designate acute pain (Alkhatib et al., 2019).
STG#2: Early intervention may cut the amount of suppository needed to switch the pain. (Alkhatib et al., 2019).
STG#3: Pain Lop-sided to the appearance of the spiral may indicate contamination. (Alkhatib et al., 2019).
LTG#1: Educating the doctors and person about clinical manifestations of taints and pain improve the administration and outcome. (Alkhatib et al., 2019).
LTG#2: Cognitive behavioural policies divert from aching stimuli. It surges concentration and cuts pain (Alkhatib et al., 2019).
LTG#3: These deeds will help identify the agony and evaluation of the ache. (Alkhatib et al., 2019). | Evaluation Updates/Desired Outcome
STG: Goal was met. The person seized complaining about pain as often as before
LTG. The goal was met. The patient can freelance outside where he can mingle with other peers without fear of pain presenting itself. |
References
McIlfatrick, S. J., Muldrew, D., Carduff, E., Clarke, M., Coast, J., Finucane, A & Slater, P. F. (2019). “Constipation is a Simple Thing”: Exploring Healthcare Professionals’ Perspectives of Managing Constipation within Specialist Palliative Care: A Qualitative Study. Palliative Medicine, (EAPC Abstracts).
Alkhatib, G. S., Al Qadire, M., & Alshraideh, J. A. (2019). Pain Management Knowledge and Attitudes of Healthcare Professionals in Primary Medical Centers. Pain Management Nursing.
Qidwai, U., Chaudhry, J., Jabbar, S., Zeeshan, H. M. A., Janjua, N., & Khalid, S. (2019). Using casual reasoning for anomaly detection among ECG live data streams in ubiquitous healthcare monitoring systems. Journal of Ambient Intelligence and Humanized Computing, 10(10), 4085- 4097.