Table of Contents

 

 

 

Chapter 1

Using Nursing Care Plans to Provide Individualized, Safe, and Quality Care

1

Chapter 2

Nursing Diagnosis Care Plans

8

 

Activity Intolerance

8

 

Ineffective Airway Clearance

11

 

Latex Allergy Response

15

 

Anxiety

18

 

Risk for Aspiration

21

 

Disturbed Body Image

24

 

Bowel Incontinence

27

 

Ineffective Breathing Pattern

30

 

Decreased Cardiac Output

33

 

Caregiver Role Strain

36

 

Impaired Verbal Communication

39

 

Chronic Confusion

43

 

Constipation

46

 

Ineffective Coping

49

 

Impaired Dentition

51

 

Diarrhea

54

 

Disturbed Energy Field

57

 

Risk for Falls

60

 

Interrupted Family Processes

64

 

Fatigue

66

 

Fear

69

 

Deficient Fluid Volume

72

 

Excess Fluid Volume

75

 

Impaired Gas Exchange

78

 

Grieving

82

 

Complicated Grieving

86

 

Health-Seeking Behaviors

89

 

Ineffective Health Maintenance

92

 

Impaired Home Maintenance

95

 

Hopelessness

98

 

Hyperthermia

101

 

Hypothermia

103

 

Readiness for Enhanced Immunization Status

105

 

Functional Urinary Incontinence

108

 

Reflex Urinary Incontinence

109

 

Stress Urinary Incontinence

110

 

Urge Urinary Incontinence

112

 

Risk for Infection

114

 

Insomnia

117

 

Decreased Intracranial Adaptive Capacity

119

 

Deficient Knowledge

122

 

Sedentary Lifestyle

126

 

Impaired Memory

130

 

Impaired Physical Mobility

133

 

Nausea

137

 

Noncompliance

139

 

Imbalanced Nutrition: Less Than Body Requirements

142

 

Imbalanced Nutrition: More Than Body Requirements

144

 

Impaired Oral Mucous Membrane

148

 

Acute Pain

151

 

Chronic Pain

155

 

Post-Trauma Syndrome

159

 

Powerlessness

162

 

Rape-Trauma Syndrome

165

 

Relocation Stress Syndrome

168

 

Self-Care Deficit

170

 

Situational Low Self-Esteem

174

 

Disturbed Sensory Perception: Auditory

177

 

Disturbed Sensory Perception: Visual

180

 

Ineffective Sexuality Patterns

182

 

Risk for Impaired Skin Integrity

185

 

Spiritual Distress

189

 

Impaired Swallowing

191

 

Ineffective Therapeutic Regimen Management

194

 

Impaired Tissue Integrity

197

 

Ineffective Tissue Perfusion (Peripheral, Cerebral, Cardiopulmonary, Renal, Gastrointestinal)

199

 

Urinary Retention

202

 

Dysfunctional Ventilatory Weaning Response

205

Chapter 3

Cardiac and Vascular Care Plans

209

 

Acute Coronary Syndromes/Myocardial Infarction

209

 

Angina Pectoris, Chronic

219

 

Aortic Aneurysm

225

 

Cardiac Rehabilitation

230

 

Coronary Bypass/Valve Surgery: Postoperative Care

237

 

Dysrhythmias

249

 

Heart Failure, Chronic

255

 

Hypertension

269

 

Mitral Valve Prolapse

274

 

Pacemaker/Cardioverter-Defibrillator

277

 

Percutaneous Balloon Valvuloplasty

290

 

Percutaneous Coronary Intervention: Percutaneous Transluminal Coronary Angioplasty (PTCA), Atherectomy, Stents

296

 

Peripheral Arterial Revascularization

303

 

Peripheral Arterial Occlusive Disease, Chronic

308

 

Pulmonary Edema, Acute

314

 

Pulmonary Arterial Hypertension

319

 

Shock, Anaphylactic

327

 

Shock, Cardiogenic

331

 

Shock, Hypovolemic

337

 

Shock, Septic

342

 

Deep Vein Thrombosis

350

 

Venous Insufficiency, Chronic

354

Chapter 4

Pulmonary Care Plans

358

 

Acute Respiratory Distress Syndrome (ARDS)

358

 

Asthma

367

 

Chest Trauma

375

 

Chronic Obstructive Pulmonary Disease (COPD)

384

 

Cystic Fibrosis

394

 

Head and Neck Cancer: Surgical Approaches

401

 

Lung Cancer

409

 

Mechanical Ventilation

418

 

Near-Drowning, Care Plan Provided on Evolve Website

 

 

Pneumonia

429

 

Pneumothorax with Chest Tube

436

 

Pulmonary Embolism

439

 

Respiratory Failure, Acute

445

 

Severe Acute Respiratory Syndrome (SARS), Care Plan Provided on Evolve Website

 

 

Sleep-Disordered Breathing

451

 

Thoracotomy

455

 

Tracheostomy

461

 

Tuberculosis

468

Chapter 5

Neurological Care Plans

475

 

Alzheimer’s Disease/Dementia

475

 

Amyotrophic Lateral Sclerosis (ALS), Care Plan Provided on Evolve Website

 

 

Carpal Tunnel Syndrome

483

 

Craniotomy

486

 

Head Trauma

492

 

Headache: Migraine, Cluster, Tension

499

 

Intracranial Infection

504

 

Low Back Pain/Herniated Intervertebral Disk

508

 

Lyme Disease, Care Plan Provided on Evolve Website

 

 

Multiple Sclerosis

512

 

Myasthenia Gravis, Care Plan Provided on Evolve Website

 

 

Parkinson’s Disease

517

 

Seizure Activity

524

 

Spinal Cord Injury

528

 

Stroke

535

 

Transient Ischemic Attack

546

 

West Nile Virus, Care Plan Provided on Evolve Website

 

Chapter 6

Gastrointestinal and Digestive Care Plans

550

 

Abdominal Surgery

550

 

Bowel Diversion Surgery: Colostomy, Iliostomy

561

 

Cholecystectomy: Laparoscopic/Open, Postoperative Care

568

 

Cirrhosis

571

 

Colorectal Cancer

578

 

Enteral Tube Feeding

584

 

Gastrointestinal Bleeding

589

 

Hemorrhoids/Hemorrhoidectomy, Care Plan Provided on Evolve Website

 

 

Hepatitis

593

 

Inflammatory Bowel Disease

596

 

Obesity

601

 

Pancreatitis, Acute

607

 

Peptic Ulcer Disease

610

 

Total Parenteral Nutrition

614

Chapter 7

Musculoskeletal Care Plans

620

 

Amputation, Lower Extremity

620

 

Arthritis, Rheumatoid

631

 

Arthroscopy

638

 

Fibromyalgia

642

 

Fractures: Extremity and Pelvic

647

 

Joint Arthroplasty/Replacement: Total Hip, Knee, Shoulder

656

 

Osteoarthritis

663

 

Osteomyelitis

667

 

Osteoporosis

670

 

Traction, Care Plan Provided on Evolve Website

 

Chapter 8

Hematolymphatic, Immunological, and Oncological Care Plans

675

 

Anemia

675

 

Blood Component Therapy, Care Plan Provided on Evolve Website

 

 

Cancer Chemotherapy

681

 

Cancer Radiation Therapy

694

 

Central Venous Access Devices, Care Plan Provided on Evolve Website

 

 

Disseminated Intravascular Coagulation (DIC)

698

 

Hematopoietic Stem Cell Collection, Care Plan Provided on Evolve Website

 

 

Hematopoietic Stem Cell Transplantation (HSCT)

703

 

Hemophilia, Care Plan Provided on Evolve Website

 

 

Human Immunodeficiency Virus (HIV)

715

 

Leukemia

724

 

Lymphoma: Hodgkin Lymphoma (HL); Non-Hodgkin Lymphoma (NHL)

736

 

Multiple Myeloma

747

 

Neutropenia

753

 

Organ Transplantation, Solid

757

 

Sickle Cell Disease

777

 

Systemic Lupus Erythematosus

782

Chapter 9

Renal and Urinary Tract Care Plans

790

 

Acute Renal Failure

790

 

Glomerulonephritis

799

 

Hemodialysis

801

 

Peritoneal Dialysis

807

 

Renal Calculi

813

 

Renal Failure, Chronic/End-Stage Renal Disease

818

 

Urinary Diversion

828

 

Urinary Tract Infection

837

Chapter 10

Men’s Health Care Plans

841

 

Benign Prostatic Hyperplasia (BPH)

841

 

Erectile Dysfunction (ED), Care Plan Provided on Evolve Website

 

 

Prostate Cancer

847

 

Sexually Transmitted Infections (STIs)

851

 

Testicular Cancer

857

Chapter 11

Women’s Health Care Plans

863

 

Breast Cancer/Surgical Management with Breast Reconstruction Option

863

 

Cervical Cancer

872

 

Hysterectomy

875

 

Menopause

882

 

Ovarian Cancer

889

 

Pelvic Inflammatory Disease (PID)

894

 

Pelvic Relaxation Disorder

900

 

Premenstrual Syndrome (PMS), Care Plan Provided on Evolve Website

 

Chapter 12

Endocrine and Metabolic Care Plans

905

 

Adrenal Insufficiency (Addison’s Disease), Care Plan Provided on Evolve Website

 

 

Cushing’s Syndrome

905

 

Diabetes Insipidus, Care Plan Provided on Evolve Website

 

 

Diabetes Mellitus

911

 

Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS), Care Plan Provided on Evolve Website

 

 

Hyperthyroidism

919

 

Hypothyroidism

925

 

Syndrome of Inappropriate Antidiuretic Hormone (SIADH), Care Plan Provided on Evolve Website

 

 

Thyroidectomy

928

Chapter 13

Integumentary Care Plans

933

 

Burns

933

 

Dermatitis, Care Plan Provided on Evolve Website

 

 

Plastic Surgery for Wound Closure, Care Plan Provided on Evolve Website

 

 

Pressure Ulcers (Impaired Skin Integrity)

946

 

Psoriasis

955

 

Shingles

959

 

Skin Cancer

963

Chapter 14

Psvchosocial Care Plans

969

 

Common Mood Disorders: Depression and Bipolar Disorder, Care Plan Provided on Evolve Website

 

 

Anorexia Nervosa, Care Plan Provided on Evolve Website

 

 

Bulimia, Care Plan Provided on Evolve Website

 

 

Death and Dying: End-of-Life Issues

969

 

Substance Abuse and Dependence

977

 

Suicide, Care Plan Provided on Evolve Website