Table of Contents

 

 

 

SECTION 1

USING NURSING CARE PLANS TO INDIVIDUALIZE AND IMPROVE CARE

 

SECTION 2

NURSING DIAGNOSIS CARE PLANS

 

 

Activity Intolerance

 

 

Ineffective Airway Clearance

 

 

Latex Allergy Response

 

 

Anxiety

 

 

Risk for Aspiration

 

 

Disturbed Body Image

 

 

Bowel Incontinence

 

 

Ineffective Breathing Pattern

 

 

Decreased Cardiac Output

 

 

Impaired Verbal Communication

 

 

Chronic Confusion

 

 

Constipation

 

 

Compromised Family Coping

 

 

Ineffective Coping

 

 

Impaired Dentition NEW!

 

 

Diarrhea

 

 

Disturbed Energy Field NEW!

 

 

Risk for Falls

 

 

Interrupted Family Processes

 

 

Fatigue

 

 

Fear

 

 

Deficient Fluid Volume

 

 

Excess Fluid Volume

 

 

Impaired Gas Exchange

 

 

Grieving

 

 

Complicated Grieving

 

 

Health-Seeking Behaviors

 

 

Ineffective Health Maintenance

 

 

Impaired Home Maintenance

 

 

Hopelessness

 

 

Hyperthermia

 

 

Hypothermia

 

 

Readiness for Enhanced Immunizations NEW!

 

 

Functional Urinary Incontinence

 

 

Reflex Urinary Incontinence

 

 

Stress Incontinence

 

 

Urge Urinary Incontinence

 

 

Risk for Infection

 

 

Insomnia

 

 

Decreased Intracranial Adaptive Capacity

 

 

Deficient Knowledge

 

 

Sedentary Lifestyle NEW!

 

 

Impaired Memory

 

 

Impaired Physical Mobility

 

 

Nausea

 

 

Noncompliance

 

 

Imbalanced Nutrition: Less Than Body Requirements

 

 

Imbalanced Nutrition: More Than Body Requirements

 

 

Impaired Oral Mucous Membrane

 

 

Acute Pain

 

 

Chronic Pain

 

 

Post-Trauma Syndrome NEW!

 

 

Powerlessness

 

 

Rape Trauma

 

 

Relocation Stress Syndrome NEW!

 

 

Self-Care Deficit

 

 

Situational Low Self-Esteem

 

 

Disturbed Sensory Perception: Auditory

 

 

Disturbed Sensory Perception: Visual

 

 

Ineffective Sexuality Patterns

 

 

Risk for Impaired Skin Integrity

 

 

Spiritual Distress

 

 

Impaired Swallowing

 

 

Ineffective Therapeutic Regimen Management

 

 

Impaired Tissue Integrity

 

 

Ineffective Tissue Perfusion: Peripheral, Cardiopulmonary, Cerebral

 

 

Urinary Retention

 

 

Dysfunctional Ventilatory Weaning Response

 

SECTION 3

CARDIAC AND VASCULAR CARE PLANS

 

 

Acute Coronary Syndromes/Myocardial Infarction

 

 

Angina Pectoris, Stable

 

 

Aortic Aneurysm, Abdominal

 

 

Cardiac Rehabilitation

 

 

Coronary Bypass/Valve Surgery: Postoperative Care

 

 

Dysrhythmias

 

 

Heart Failure, Chronic/Cardiomyopathy

 

 

Hypertension

 

 

Mitral Valve Prolapse

 

 

Pacemaker/Cardioverter-Defibrillator

 

 

Percutaneous Balloon Valvuloplasty

 

 

Percutaneous Coronary Intervention: PTCA, Atherectomy, Stents, Cardiac Catheterization

 

 

Peripheral Arterial Bypass: Postoperative Care

 

 

Peripheral Arterial Occlusive Disease, Chronic

 

 

Pulmonary Edema, Acute

 

 

Pulmonary Hypertension NEW!

 

 

Shock, Anaphylactic

 

 

Shock, Cardiogenic

 

 

Shock, Hypovolemic

 

 

Shock, Septic

 

 

Deep Vein Thrombosis

 

 

Venous Insufficiency, Chronic

 

SECTION 4

PULMONARY CARE PLANS

 

 

Acute Respiratory Distress Syndrome (ARDS)

 

 

Asthma

 

 

Chest Trauma

 

 

Chronic Obstructive Pulmonary Disease (COPD)

 

 

Cystic Fibrosis NEW!

 

 

Head & Neck Cancer

 

 

Lung Cancer

 

 

Mechanical Ventilation

 

 

Near-Drowning*

 

 

Obstructive Sleep Apnea

 

 

Pneumonia

 

 

Pneumothorax with Chest Tube

 

 

Pulmonary Thromboembolism

 

 

Respiratory Failure, Acute

 

 

Severe Acute Respiratory Syndrome (SARS)*

 

 

Thoracotomy

 

 

Tracheostomy

 

 

Tuberculosis

 

SECTION 5

NEUROLOGIC CARE PLANS

 

 

Alzheimer’s Disease/Dementia

 

 

Amyotrophic Lateral Sclerosis (ALS)*

 

 

Carpal Tunnel Syndrome NEW!

 

 

Cerebral Artery Aneurysm: Preoperative/Unclipped*

 

 

Cerebrovascular Accident (CVA)

 

 

Craniotomy

 

 

Head Trauma

 

 

Headache: Migraine, Cluster, Tension, Sinus

 

 

Intracranial Infection

 

 

Low Back Pain/Herniated Intervertebral Disk

 

 

Lyme Disease*

 

 

Multiple Sclerosis

 

 

Myasthenia Gravis*

 

 

Parkinson’s Disease

 

 

Seizure Activity

 

 

Spinal Cord Injury, Risk for Autonomic Dysreflexia

 

 

Transient Ischemic Attack/Carotid Endarterectomy

 

 

West Nile Virus*

 

SECTION 6

GASTROINTESTINAL AND DIGESTIVE CARE PLANS

 

 

Abdominal Surgery

 

 

Bowel Diversion Surgery: Colostomy, Illeostomy

 

 

Cholecystitis/Cholecystectomy

 

 

Cirrhosis

 

 

Colorectal Cancer

 

 

Enteral Tube Feeding

 

 

Gastrointestinal Bleeding

 

 

Hemorrhoids/Hemorrhoidectomy*

 

 

Hepatitis

 

 

Inflammatory Bowel Disease

 

 

Obesity/Bariatric Surgery

 

 

Pancreatitis

 

 

Peptic Ulcer Disease NEW!

 

 

Total Parenteral Nutrition

 

SECTION 7

MUSCULOSKELETAL AND CONNECTIVE TISSUE CARE PLANS

 

 

Amputation

 

 

Arthroscopy

 

 

Fibromyalgia NEW!

 

 

Fractures: Extremity and Pelvic

 

 

Joint Replacement: Total Hip, Knee, Shoulder

 

 

Osteoarthritis

 

 

Osteomyelitis

 

 

Osteoporosis

 

 

Rheumatoid Arthritis

 

 

Systemic Lupus Erythematosus

 

 

Traction*

 

SECTION 8

HEMATOLYMPHATIC, IMMUNOLOGIC, AND ONCOLOGIC CARE PLANS

 

 

Anemia

 

 

Blood Component Therapy*

 

 

Cancer Chemotherapy

 

 

Cancer Radiation Therapy

 

 

Central Venous Access Devices*

 

 

Disseminated Intravascular Coagulation (DIC)

 

 

Hematopoietic Stem Cell Collection*

 

 

Hematopoietic Stem Cell Transplantation (HSCT)

 

 

Hemophilia*

 

 

Human Immunodeficiency Virus (HIV)

 

 

Leukemia

 

 

Lymphoma: Hodgkin’s Disease; Non-Hodgkin’s Lymphoma

 

 

Multiple Myeloma

 

 

Neutropenia

 

 

Organ Transplant, Solid NEW!

 

 

Sickle Cell Disease

 

SECTION 9

RENAL AND URINARY TRACT CARE PLANS

 

 

Acute Renal Failure

 

 

Glomerulonephritis

 

 

Hemodialysis NEW!

 

 

Peritoneal Dialysis

 

 

Renal Calculi

 

 

Renal Failure, Chronic /End-Stage Renal Disease

 

 

Urinary Diversion

 

 

Urinary Tract Infection

 

SECTION 10

MEN’S HEALTH CARE PLANS

 

 

Benign Prostatic Hyperplasia (BPH)

 

 

Erectile Dysfunction (ED)*

 

 

Prostate Cancer

 

 

Sexually Transmitted Infections (STIs)

 

 

Testicular Cancer

 

SECTION 11

WOMEN’S HEALTH CARE PLANS

 

 

Breast Cancer

 

 

Breast Reduction NEW!

 

 

Cervical Cancer

 

 

Hysterectomy

 

 

Menopause

 

 

Ovarian Cancer

 

 

Pelvic Inflammatory Disease (PID)

 

 

Pelvic Relaxation Disorder NEW!

 

 

Premenstrual Syndrome (PMS)*

 

SECTION 12

ENDOCRINE AND METABOLIC CARE PLANS

 

 

Adrenal Insufficiency (Addison’s Disease)*

 

 

Cushing’s Syndrome

 

 

Diabetes Mellitus

 

 

Diabetic Ketoacidosis (DKA) and Hyperglycemic Hyperosmolar Nonketotic Syndrome (HHNS)*

 

 

Diabetes Insipidus*

 

 

Hyperthyroidism NEW!

 

 

Hypothyroidism

 

 

Syndrome of Inappropriate Antidiuretic Hormone (SIADH)*

 

 

Thyroidectomy

 

SECTION 13

INTEGUMENTARY CARE PLANS

 

 

Burns

 

 

Dermatitis*

 

 

Plastic Surgery for Wound Closure*

 

 

Pressure Ulcers

 

 

Psoriasis NEW!

 

 

Shingles

 

 

Skin Cancer

 

SECTION 14

PSYCHOSOCIAL CARE PLANS

 

 

Affective Disorders: Depression and Bipolar Disorder*

 

 

Anorexia Nervosa*

 

 

Bulimia*

 

 

Death and Dying: End-of-Life Issues

 

 

Substance Abuse and Dependence

 

 

Suicide*

 

 

*Provided on the companion Evolve website.