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NURSING CARE PLANNING GUIDES
Nursing Care Planning Guides
For Adults in Acute, Extended and Home Care Settings
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Sixth Edition

By
Susan Ulrich, BSN, MSN, Nurse Educator & Consultant, Lane Community College, Eugene, OR
Suzanne Canale, BSN, MSN, Nurse Educator & Consultant, Lane Community College, Eugene, OR

Description
This practical, comprehensive resource helps nurses plan individualized care for clients in the medical-surgical, extended care, or home care environments. It covers over 70 individual disorders, with detailed care plans that feature a definition/discussion of the disorder, outcome/discharge criteria, nursing and collaborative diagnoses, desired outcomes, nursing actions and selected purposes/rationales, NIC interventions and NOC outcomes, and discharge teaching. This book also includes the popular Online Care Planner that allows users to edit and print 48 standardized nursing diagnosis care plans.

Contents


UNIT I. Individualizing a Standardized Care Plan


Steps in Individualizing a Standardized Care Plan



UNIT II. Actions, Rationales, and Documentation for Selected Nursing Diagnoses


Activity Intolerance
Airway Clearance, Ineffective
Anxiety
Aspiration, Risk for
Breathing Pattern, Ineffective
Cardiac Output, Decreased
Constipation
Coping, Ineffective Individual
Diarrhea
Deficient Fluid Volume
Fluid Volume, Excess
Gas Exchange, Impaired
Grieving
Infection, Risk for
Nutrition, Imbalanced: Less than Body Requirements
Oral Mucous Membrane, Impaired
Pain
Self-Concept Disturbed
Skin Integrity, Impaired, Risk for
Sleep Pattern Disturbed
Swallowing, Impaired
Tissue Perfusion, Ineffective
Urinary Incontinence
Urinary Retention



UNIT III. Nursing Care of the Elderly Client


The Elderly Client



UNIT IV. Nursing Care of the Client Having Surgery


Preoperative Care
Postoperative Care



UNIT V. Nursing Care of the Immobile Client


Immobility



UNIT VI. Nursing Care of the Client Who Is Dying


Terminal Care



UNIT VII. Nursing Care of the Client Receiving Treatment for Neoplastic Disorders


Chemotherapy
External Radiation Therapy (Teletherapy)



UNIT VIII. Nursing Care of the Client with Disturbances of Neurological Function


Cerebrovascular Accident
Craniocerebral Trauma
Craniotomy
Spinal Cord Injury



UNIT IX. Nursing Care of the Client with Disturbances of Cardiovascular Function


Angina Pectoris
Cardiac Dysrhythmias
Heart Failure
Heart Surgery: Coronary Artery Bypass Grafting (CABG) or Valve Replacement
Hypertension
Implanted Cardioverter Defibrillator
Myocardial Infarction
Pacemaker Implantation



UNIT X. Nursing Care of the Client with Disturbances of Peripheral Vascular Function


Abdominal Aortic Aneurysm Repair
Carotid Endarterectomy
Deep Vein Thrombosis
Femoropopliteal Bypass



UNIT XI. Nursing Care of the Client with Disturbances of Respiratory Function


Cancer of the Lung
Chronic Obstructive Pulmonary Disease
Pneumonia
Pneumothorax
Pulmonary Embolism
Thoracic Surgery
Tuberculosis



UNIT XII. Nursing Care of the Client with Disturbances of the Kidney and Urinary Tract


Bladder Neck Suspension (Vesicourethral Suspension)
Chronic Renal Failure
Cystectomy with Urinary Diversion
Nephrectomy



UNIT XIII. Nursing Care of the Client with Disturbances of Hematologic and Immune Function


Human Immunodeficiency Virus (HIV) Infection and Acquired Immune Deficiency Syndrome (AIDS)
Sepsis
Splenectomy



UNIT XIV. Nursing Care of the Client with Disturbances of the Gastrointestinal Tract


Appendicitis/Appendectomy
Bowel Diversion: Ileostomy
Gastrectomy
Gastric Reduction
Gastrointestinal (GI) Bleed, Acute Upper
Inflammatory Bowel Disease: Ulcerative Colitis and Crohn's Disease
Intestinal Obstruction
Peptic Ulcer



UNIT XV. Nursing Care of the Client with Disturbances of the Liver, Biliary Tract, and Pancreas


Cholecystectomy
Cholelithiasis/Cholecystitis
Cirrhosis
Hepatitis
Pancreatitis, Acute



UNIT XVI. Nursing Care of the Client with Disturbances of Metabolic Function


Diabetes Mellitus
Thyroidectomy



UNIT XVII. Nursing Care of the Client with Disturbances of Musculoskeletal Function


Amputation
Fractured Hip with Internal Fixation or Prosthesis Insertion
Laminectomy/Diskectomy with or without Fusion
Total Hip Replacement
Total Knee Replacement



UNIT XVIII. Nursing Care of the Client with Disturbances of the Breast and Reproductive System


Colporrhaphy (Anterior and Posterior Repair)
Hysterectomy with Salpingectomy and Oophorectomy
Mastectomy
Radical Prostatectomy
Transurethral Resection of the Prostate (TURP)



UNIT XIX. Nursing Care of the Client with Disturbances of the Head and Neck


Total Laryngectomy with Radical Neck Dissection


Appendix: NANDA-Approved Nursing Diagnoses

Bibliography

Index



Bibliographic details
Paperback, 912 pages, publication date: SEP-2004
ISBN-13: 978-0-7216-3923-9
ISBN-10: 0-7216-3923-2
Imprint: SAUNDERS


029/241
Last update: 30 Nov 2009
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