Sparks and Taylor's Nursing Diagnosis Reference Manual, 8th by Sheila Sparks Ralph, Cynthia M. Taylor

By Sheila Sparks Ralph, Cynthia M. Taylor

Sparks and Taylor's Nursing analysis Reference handbook, 8th variation offers sincerely written, authoritative care plan instructions for all 2009-2011 NANDA overseas (NANDA-I) authorized nursing diagnoses. The ebook is newly designed with vivid colours, and arranged by way of life-stages and kind of care. Each Part opens with a brand new function, using Evidence-Based perform, which responds on to the content material. every one NANDA prognosis comprises linked Nursing Interventions Classifications (NIC) and Nursing results Classifications (NOC), and the nursing strategy is built-in all through. This e-book is the suitable source for any scientific environment.

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Patient’s blood pressure and pulse and respiratory rates will remain within prescribed limits during activity. • Patient will state sense of satisfaction with each new level of activity attained. • Patient will demonstrate skill in conserving energy while carrying out daily activities to tolerance level. • Patient will explain illness and connect symptoms of activity intolerance with deficit in oxygen supply or use. indd 3 23/04/10 3:55 PM 4 PART ONE – ADULT HEALTH Interventions and Rationales • Discuss with patient the need for activity.

Begin regimen with a small, diluted amount, as tolerated and ordered, to allow adjustment to formula osmolality and avoid nausea, vomiting, and diarrhea. – Elevate head of bed during and after feedings unless contraindicated to prevent aspiration. – Check for residual tube feeding every shift and record amount. If more than 50 ml remains, withhold feeding to prevent vomiting and aspiration. Report findings to physician. – Place tube properly before feeding or giving medication to protect airway.

Teach patient how to perform isometric exercises to maintain and improve muscle tone and joint mobility. • Assist patient in carrying out self-care activities, turning, and transfer. Increase patient’s participation in self-care, as tolerated, to foster independence and improve mobility. • Encourage patient to become involved in planning care and making decisions related to treatment. Participation in planning enhances patient compliance. • Teach patient, family member, or other caregiver methods to maximize patient’s participation in self-care.

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