Question

In: Nursing

Submit a dual carplan with a join interventions and rationales and evaluation for both diagnosis: 1....

Submit a dual carplan with a join interventions and rationales and evaluation for both diagnosis:

1. Osteoarthritis of right hip

2. Cardiomayopathy

Expert Solution

Care plan : osteoarthritis of right hip:

Nursing diagnosis:

1. Acute pain related to inflammation of joint

2, Hyperthermia related to infectious process as evidenced by increased body temperature

3. Impaired physical mobility related to right hip joint to septic arthritis

4.Patient knowledge deficit regarding to treatement regimen and preventive measures as evidenced by frequent questioning regarding all aspects of long term management

5. Risk for ineffective tissue perfusion related to poor circulation in the affected extremity

Intervention

Assess the general condition of the patient
Encourage the patient to do deep braething excirse
Provide comfortable positions
Administer analgesics as per doctors order
Educate the parents regarding further treatment options
Monitor vital signs
-Provide cold sponge
Administer antipyretics as per doctors order
provide good ventilation
Adminstre splint to the hip
To immobilize the hip
Listen the quarries of the parents
Explain the condition of the patient.
Explain the treatment regimen which is undergoing by the patient

RATIONEAL

To get a base line data
to reduce the patient pain
to manage the symptoms effectively
To decrease the temperature
To know the patient about the treatment protocol
To make the patient understand about the illness

Evaluation

The patient got relief from pain as evidenced by checking pain score
The patient got relief from fever
The patient slightly achieved normal physical mobility
Patient acquired knowledge regarding the treatment regimen and preventive measure

CARE PLAN: CARDIOMAYOPATHY

Nursing diagnosis:

1. Decreased cardiac out put related to altered myocardial contractivity

2. Activity intolerance related to weakness

3.excess fluid voliume related to increased cardiac output

4. impaired gas exchange related to dyspneoa

5.fatugue related to disease condition

6.knowledge deficit regarding disease condition

INTERVENTION

Auscultate the apical pulse, assess heart rate, rhythm,
Note heart sounds
palpate peripheral pulse
monitor BP
Ispect skin for pallor, cynosis
monitor urine output, note decreasing urine put and concntrated urine
assess for abnormal heart and lung sound
assess mental status and level of concious
monitor results of laboratory and diagnostic tests
monitor oxgen saturation and ABGs
Administre cardiac glycoside agents
encourage periods of rest and assist with all activities
teach the patient pathophysiology of disease and medication
monitor ECG

RATIONEAL

help to find out the parameters
find out pumping action
decreased cardiac output may be reflected
identiyfy hypotension or hyper tention
find out vasoconstriction, anemia
find out the kidney problems
find out the heart failure
reduce the lethergy, cinfusion
decrease the symptoms

EVALUATION

Reduced the patient disease condition

Nightingale answered 2 years ago

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