Question

construct a nursing care plan for an hapatitis B patient that involves assessment, physiological, psychological and potential diagnosis , planning, intervention, and evaluation?

Answer 1

1.Assessment	Diagnosis	Plan of action	Intervention	Evaluation
Subj data: Client complaints of weakness and Vomiting Objective data: Moderate dehydration present.	Deficient fluid volume related to fluid loss by vomiting and decreased intake	Maintain adequate hydration, as evidenced by stable vital signs, good skin turgor, capillary refill, strong peripheral pulses, and individually appropriate urinary output.	1.Assess vital signs, peripheral pulses, capillary refill, skin turgor, and mucous membranes. 2. Check for ascites or peripheral edema and measure and document abdominal girth. 3.Monitor I/O chart 4. Administer IV fluids and electrolytes as prescribed 5. Administer Albumin / proteins if required. 5. Administer anti diarrheal agents. 6. Administer medications to prevent bleeding issues like Vitamin K etc as prescribed	The client has improved hydration status as evidenced by stable vital signs, good skin turgor, capillary refill, strong peripheral pulses, and individually appropriate urinary output (50ml/ hour) Client remains free of signs of hemorrhage with clotting times WNL.

2,Assessment	Diagnosis	Plan of action	Intervention	Evaluation
Objective data: Client is less socialising, feels depressed and remain alone.	Situational low self esteem related to annoying symptoms and long term illness / recovery time	Client Verbalize acceptance of self in situation, including length of recovery/need for isolation	1.Encourage and take enough time to discuss the concerns of the client 2.Discuss the plan of care and recovery time . 3. Discuss on home care. 4.Offer diversional activities like listening to music or favourite programmes. 5. Provide necessary referrals like discharge planner etc. 6. Assess the financial restraints of the client and refer for community or social service agency assistance	Client freely verbalize feelings and discuss issues. He takes and narrates his plan of care at home and asks about the review visits.

3.Assessment	Diagnosis	Plan of action	Intervention	Evaluation
	Risk for impaired skin integrity related to accumulation of bile salts in the tissues	The client will have an intact skin.	Observe the skin regularly Provide a wrinkle free bed Provide soothing massage 6 hourly Provide comfort pillows. Encourage cool showers and baking soda in bathing water. Avoid use of alkaline soaps Provide loose fitting and cotton clothings Administer Antilipemics as prescribed to bind bile acids Administer medications which prevent skin itching like anti histamines, as prescribed	The client maintained intact skin.