Create 3 nursing diagnosis with nursing intervention and expected outcome using the case scenarios as guide....

Create 3 nursing diagnosis with nursing intervention and expected outcome using the case scenarios as guide.

A 45-year old man presents with difficulty falling asleep and staying asleep. The problem started

after the death of his sister 2 months ago. He is unable to sleep until at least an hour after going to bed.

He has no previous sleep problems. A general practitioner he consulted had prescribed low dose anti-

depressant as sedation but Mr. Tan was unable to tolerate the drowsiness and dry mouth caused by

medication. He consumes 4 cups of coffee during the day ad lately takes alcohol at night to aid sleep.

The patient wife has noted that his legs jerk occasionally during sleep though Mr. Tan is not aware of

these movements

Expert Solution

Mr. Tan is taking 4 cups of coffee. Coffee contains caffeine. If Mr. Tan is drinking coffee 6 hours before bedtime it can affect to his sleep. Another thing which we have to take in consideration is that his legs jerk occasionally during sleep. This kind of problem is related to the restless legs syndrome in which there is uncomfortable sensation in legs which interrupts patient's sleep.

Mr. Tan has Insomnia. Insomnia is a sleep disorder due to which person is unable to fall asleep or stay asleep. Insomnia may be chronic due to which patient may get addicted to the drugs or alcohol.

There are so many factors responsible for insomnia but in case of Mr. Tan, it is a result of stress and anxiety. As his sister died 2 months ago. May be she was too much close to Mr. Tan and his insomnia is started exactly after the death of his sister.

Nursing intervention must include the study of sleep pattern of Mr.Tan according to that nursing assessment can be done. Nurse must educate Mr. Tan to avoid coffee and alcohol before bedtime. Educate him to take proper diet and fluid. Some therapeutic activities can reduce the stress. Promote Mr. Tan to do activities due to which his stress is get reduced and some physical activity and exercise will help him to get tired and fall asleep. Antihistamine drugs are also helpful to fall asleep. If he is unable to asleep, encourage him to listen some silent music or to read a book before going to bed.

Expected outcome is improvement in sleep pattern and he will feel relaxed and free of stress and anxiety.

Nightingale answered 1 year ago

Create 3 nursing diagnosis with nursing interventions and expected outcomes using the case scenarios as guide....

Create 3 nursing diagnosis with nursing interventions and expected outcomes using the case scenarios as guide. Mrs. A is an 82-year old female living alone, independent in her activities of daily living. She has history of non-insulin dependent diabetes mellitus requiring insulin, hypothyroidism, osteoarthritis, hypertension, ischemic heart disease, obesity and gastroesophageal reflux disorder (GERD). Mrs. A recently suffered a hip fracture following a fall for which she underwent a hip replacement surgery. Her post-operative course is complicated by a urinary...

DIRECTION: Create an NCP in relation to the case scenario. (With Assessment, Nursing Diagnosis, Planning, Intervention,...

DIRECTION: Create an NCP in relation to the case scenario. (With Assessment, Nursing Diagnosis, Planning, Intervention, Rationale, and Evaluation) Case Scenario: This is a case of a patient referred to a specialty memory clinic at the age of 62 with a 2-year history of repetitiveness, memory loss, and executive function loss. Magnetic resonance imaging scan at age 58 revealed mild generalized cortical atrophy. He is white with 2 years of postsecondary education. Retirement at age 57 from employment as a...

3 nursing diagnosis, intervention and teaching on depression disorder

Transient Ischemic Attack(TIA) Nursing Diagnosis Interventions Rationale for intervention Nursing Diagnosis: Nursing Diagnosis: Nursing Diagnosis:

Create a concept map using case scenarios as a guide. A conceptual map should include pathophysiology,...

Create a concept map using case scenarios as a guide. A conceptual map should include pathophysiology, medical diagnosis, signs and symptoms, and risk factors if any. Nursing diagnosis, nursing interventions, medical management (medication and procedures), expected outcomes. Abe, a 14-year old boy who stoked a fire in a wood-burning stove and was hurt by a subsequent explosion. He was transported to the local burn ICU (BICU). He sustained an 82% total body surface area (TBSA) thermal burn. Abe’s burns included...

Which expected outcome is most appropriately applied to a patient with a nursing diagnosis of Impaired...

Which expected outcome is most appropriately applied to a patient with a nursing diagnosis of Impaired gas exchange? a. The patient will have a decrease in cyanosis within 2 hours. b. The patient will be maintained in an upright sitting position. c. The patient’s pulse oximetry readings will be 95% or greater. d. The patient respirations will be quiet and of normal depth.

Create a conceptual map using the case scenarios as guide. Conceptual map should include pathophysiology, medical...

Create a conceptual map using the case scenarios as guide. Conceptual map should include pathophysiology, medical diagnosis, signs and symptoms, and risk factors, if any. Nursing diagnosis, nursing interventions, medical management (medication and procedures), expected outcomes A 37-year old man with chronic renal failure who was secondary to chronic glomerulonephritis had been on peritoneal dialysis for approximately 6 months without any episode of peritonitis. In December 2019, he was admitted to the hospital for fever, vomiting, abdominal pain, diarrhea, and...

A. Choose diagnosis B. Create your first care plan using the nursing process ( Assessment, Nursing...

A. Choose diagnosis B. Create your first care plan using the nursing process ( Assessment, Nursing Diagnosis, Planning, Implementation, and Evaluation). HINT: There are many examples of care plans at; http://www.efn.org/^nurses/nanda.html

Give 10 nursing intervention with rationale. Nursing Diagnosis: Disturbed sensory perception related to changes in the...

Give 10 nursing intervention with rationale. Nursing Diagnosis: Disturbed sensory perception related to changes in the eyes due to aging as evidenced by blurring of vision NURSING INTERVENTION RATIONALE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10.

Write 5 Nursing Intervention and scientific rational (reference/APA format) for each intervention for the diagnosis below...

Write 5 Nursing Intervention and scientific rational (reference/APA format) for each intervention for the diagnosis below Ineffective health maintenance related to ineffective individual coping as evidenced by demonstrated lack adaptive behaviors write the reference in APA form

Question