Question

construct a nursing care plan that involves one physiological, psychological and potential diagnosis for a patient with human papilloma virus

Answer 1

A patient who has a potential diagnosis of a patient with human papiloma virus is at increased risk of cervical cancer

Nursing diagnoses of a female patient with the cancer of reproductive system include:

1. Anxiety related to threat of malignancy and lack of knowledge about the threat of disease process and prognosis

Goal

client will display appropriate range of feelings , appear relaxed and report anxiety is reduced to manageable level

Interventions

• Encourage client to share thoughts and feelings
• Provide open environment in which client feels safe to discuss feelings and or to refrain from talking
• Maintain frequent contact with client. Talk with and touch client as appropriate
• Be aware of effects of isolation on client when required immunosuppression or radiation implant
• Assist client and significant others in recognizing and clarifying fears to begin developing coping strategies for dealing with these fears
• Administer antianxiety medications as prescribed

2.Acute/chronic pain related to pressure secondary to an enlarging tumor as evidenced by verbal/coded report of pain, expressive behaviors(restlessness, irritability)

Goal

Client will report maximal pain relief or control with minimal interference with activities of daily living

Interventions

• Assess the location of pain,frequency, duration and intensity using a rating scale(0-10) or verbal rating scale "no pain" to "excruciating pain"
• Evaluate painful effects of particular therapies , such as surgery, radiation, chemotherapy
• Provide non-pharmacological comfort measures such as massage, repositioning,back rub , as well as diversional activities such as music, reading and TV
• Encourage use of stress management skills and complementary therapies  such as relaxation techniques, visualization , guided imagery etc
• Provide cutaneous stimulation such as heat and cold packs or massage

3.Risk for interrupted family process related to situational crisis and shift in family roles

Goal

family will demonstrate individual involvement in problem-solving process directed at appropriate solutions for the situation

Interventions

• Note components of family,presence of extended family and others including friends and members
• Identify patterns of communication infamily and patterns of interaction between family members
• Assess role expectations of family members and encourage discussion about them
• Listen for expressions of helplessness
• Deal with family members in warm, caring, respectful way
• Provide verbal and written information and reinforce as necessary
• Encourage appropriate expressions of anger without reacting negatively to them

4. Deficient knowledge regarding illness, prognosis , treatment, self care and discharge needs related to lack of exposure, unfamiliarity with information resources as evidenced by inaccurate follow-through of instructions

Goal

Client will verbalize accurate information about diagnosis, prognosis,and potential complications at own level of readiness

Interventions

• Review with client and significant others understanding of specific diagnosis, treatment alternatives and future expectations
• Provide clear accurate information in a factual but sensitive manner
• Provide anticipatory guidance with client and significant others regarding treatment protocol, lenght of therapy, expected results and possible side effects. Be honest with the client
• Ask client for verbal feedback and correct misconceptions about individual's type of cancer and treatment choices
• Review specific medication regimen and use of over the counter drugs
• Refer to community sources, as indicated such as, social services,home health agencies, meals on wheels, respite care, hospice center or other services
• Review with client and significant others the importance of maintaining optimal nutritional status