Table of Contents

 

 

 

UNIT I

INTRODUCTION TO CARE PLANNING

1

Chapter 1

The Bifocal Clinical Practice Model

3

Chapter 2

Documentation of Nursing Care

9

Chapter 3

11 Steps to Care Planning

27

Chapter 4

The Ill Adult: Issues and Responses

32

Chapter 5

Response to the Surgical Experience

38

Chapter 6

Reducing Moral Distress in Nurses

50

UNIT II

CLINICAL NURSING CARE PLANS

55

SECTION 1

MEDICAL CONDITIONS

61

 

Generic Medical Care Plan for the Hospitalized Adult Client

62

 

Cardiovascular and Peripheral Vascular Disorders

83

 

Heart Failure

83

 

Deep Venous Thrombosis

87

 

Hypertension

93

 

Acute Coronary Syndrome

99

 

Peripheral Arterial Disease (Atherosclerosis)

110

 

Respiratory Disorders

118

 

Asthma

118

 

Chronic Obstructive Pulmonary Disease

125

 

Pneumonia

137

 

Metabolic and Endocrine Disorders

145

 

Cirrhosis

145

 

Diabetes Mellitus

152

 

Hepatitis (Viral)

163

 

Hypothyroidism

168

 

Obesity

174

 

Pancreatitis

180

 

Gastrointestinal Disorders

190

 

Gastroenterocolitis/Enterocolitis

190

 

Inflammatory Bowel Disease

194

 

Peptic Ulcer Disease

206

 

Renal and Urinary Tract Disorders

212

 

Acute Kidney Failure

212

 

Chronic Kidney Disease

219

 

Neurologic Disorders

236

 

Cerebrovascular Accident (Stroke)

236

 

Guillain-Barré Syndrome

251

 

Multiple Sclerosis

258

 

Myasthenia Gravis

269

 

Neurogenic Bladder

275

 

Parkinson Disease

286

 

Seizure Disorders

292

 

Spinal Cord Injury

298

 

Hematologic Disorders

318

 

Sickle Cell Disease

318

 

Integumentary Disorders

326

 

Pressure Ulcers

326

 

Thermal Injuries

334

 

Musculoskcletal and Connective Tissue Disorders

354

 

Fractures

354

 

Inflammatory Joint Disease (Rheumatoid Arthritis, Infectious Arthritis, or Septic Arthritis)

360

 

Osteomyelitis

375

 

Osteoporosis

379

 

Infectious and Immunodeficient Disorders

385

 

Human Immunodeficiency Virus/Acquired Immunodeficiency Syndrome

385

 

Systemic Lupus Erythematosus

400

 

Neoplastic Disorders

407

 

Cancer: Initial Diagnosis

407

 

Cancer: End-Stage

417

 

Leukemia

433

 

Clinical Situations

441

 

Alcohol Withdrawal Syndrome

441

 

Immobility or Unconsciousness

450

 

Sexual Assault

457

SECTION 2

SURGICAL PROCEDURES

463

 

Generic Care Plan for the Surgical Client

464

 

Abdominal Aortic Anenrysm Resection

480

 

Amputation

485

 

Arterial Bypass Grafting in the Lower Extremity

497

 

Breast Surgery (Lumpectomy, Mastectomy)

503

 

Carotid Endarterectomy

511

 

Cataract Extraction

517

 

Colostomy

525

 

Coronary Artery Bypass Grafting

540

 

Cranial Surgery

554

 

Enucleation

565

 

Fractured Hip and Femur

572

 

Hysterectomy

584

 

Ileostomy

590

 

Larninectomy

606

 

Laryngectomy

612

 

Neck Dissection

614

 

Nephrectomy

624

 

Radical Prostatectomy

629

 

Thoracic Pulmonary Surgery

636

 

Total Joint Replacement (Hip, Knee, Shoulder)

647

 

Urostomy

655

SECTION 3

DIAGNOSTIC AND THERAPEUTIC PROCEDURES

667

 

Anticoagulant Therapy

668

 

Casts

672

 

Chemotherapy

678

 

Corticosteroid Therapy

691

 

Enteral Nutrition

699

 

Hemodialysis

707

 

Long-Term Venous Access Devices

713

 

Mechanical Ventilation

719

 

Pacemaker Insertion (Permanent)

726

 

Peritoneal Dialysis

736

 

Radiation Therapy

746

 

Total Parenteral Nutrition

756

 

References/Bibliography

764

 

Appendix

778

 

Clinical Situations Index

787

 

Nursing Diagnoses Index

789

 

Collaborative Problems Index

796

 

General Index

802