Question

In: Nursing

Design a Care Plan for a patient with a thermal burn injury (not chemical, electrical, or...

Design a Care Plan for a patient with a thermal burn injury (not chemical, electrical, or due to radiation) using one of the following nursing diagnoses:

1. Impaired Tissue Integrity

2. Acute Pain

3. Disturbed Body Image.

- Cite your sources. Remember to provide interventions and rationales relevant to the patient's situation. The Goals should be realistic and measurable.

Solutions

Expert Solution

"NURSING CARE PLAN FOR ACUTE PAIN"

Acute Pain is unpleasant sensory and emotional that arise from tissue damage in the body and sudden onset of pain from mild to severe with a duration of less than six months.Pain is associated with the destruction of tissue and controlling of injured tissue that is wound debridement.

Possibly confirmed by: Report of pain, alteration in muscle tone,anxiety restlessness,distraction behaviors,edema formation.

Desired outcomes can be reduced pain,relaxed body posture and desired sleep and rest.

Nursing assessment:

Nursing intervention Rationale
Diagnosis or report of pain, its location and intensity by measuring with scale of 0-10 scale Pain is present of some degree because of severity of tissue involved in damaging and more severe during dressing.Changes in location and intensity that indicate the limb ischemia or it may return to normal function.

Therapeutic interventions

Nursing Interventions Rationale
Cover wound as soon as possible Temperature changes and exposure to air may cause pain
Elevated burned extremities To reduce edema formation elevation must be required.
Wrap extremities in position of function with the help of splints and foot boards

Reduce deformities and Promote comfort

Flexed position of injured joints that can feel more comfortable or it may lead to flexion contractures

Change position frequently Movement can reduce joint stiffness and muscle fatigue that is depend on location
Maintain normal environment temperature by body coverings External heat sources is necessary to prevent chilling
Provide medication before performing dressing changes Reduce pain severity
Explain detailed information about procedures during wound debridement By knowing the procedure to patient they can self and enhance sense of control
Encourage stress management techniques such as progressive rehalation,deep breathing Refocus attention and promote relation
Promote sleep Sleep deprivation can increase pain
Administer analgesic like morphine and hydrocodone Intravenous administration can maximize drug effect at injured area Concern of patient addiction is isn'tvalid during acute phase.


Related Solutions

Phases of Burn Injury: Patient Care Emergent Acute Rehab Time Period: Goals: Nursing Dx: Assessment: Interventions:
Phases of Burn Injury: Patient Care Emergent Acute Rehab Time Period: Goals: Nursing Dx: Assessment: Interventions:
describe and differentiate chemical, mechanical, gravitational, elastic, nuclear, electrical, radiant and thermal energies
describe and differentiate chemical, mechanical, gravitational, elastic, nuclear, electrical, radiant and thermal energies
Your patient has suffered a minor electrical injury at home and is being seen by you...
Your patient has suffered a minor electrical injury at home and is being seen by you in the office. You have determined he is stable and does not require transfer to ER, but you would like to order some common lab work ups. In 200 words or less, explain what labs you would order and why.
Submit Care Plan using the nursing method 1) Provide a care plan for elderly patient that...
Submit Care Plan using the nursing method 1) Provide a care plan for elderly patient that has been admitted with a medical dignosis of fractured hip and second day post op for hip arthroplasty
Submit Care Plan using the nursing method 1)Provide a care plan for a patient with first...
Submit Care Plan using the nursing method 1)Provide a care plan for a patient with first ten days post op after amputation
In reviewing each system, discuss characteristics of the acute phase of burn injury.
In reviewing each system, discuss characteristics of the acute phase of burn injury.
The RN is updating the plan of care for a patient with a medical diagnosis of...
The RN is updating the plan of care for a patient with a medical diagnosis of pneumonia. The patient was admitted yesterday, with a respiratory rate of 28, crackles in the right middle and lower lobes, a dry cough, and oxygen saturation of 90% on room air. The patient was using a bedside commode until earlier today, because of shortness of breath with any activity. The following nursing diagnoses and outcomes were included in the plan of care at the...
You are assigned to care for David Ramsey, a 22-year old male patient with back injury...
You are assigned to care for David Ramsey, a 22-year old male patient with back injury secondary to being thrown from a motorcycle. Did nt damage the spinal, but the computed tomography revealed a compression fracture at L-2. David complains of severe back pain with numbness and tingling in the lower extremities. Qn. What assessments are indicated based on this nursing diagnosis? Qn.2. List other major nursing diagnoses based on David’s clinical presentation?
Describe the chemical and electrical signals
Describe the chemical and electrical signals
Develop a concept map of the responses of the assigned system to burn injury. identify aspects...
Develop a concept map of the responses of the assigned system to burn injury. identify aspects important to patient survival during the resuscitation and acute phase of the burn injury , Include lab values that may be impacted one of the following body systems: ? Respiratory ? Cardiovascular ? Neurological ? Gastrointestinal ? Renal ? Psychosocial
ADVERTISEMENT
ADVERTISEMENT
ADVERTISEMENT