Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities Nursing Diagnosis According to NANDA Nursing Actions List in order of priority. The number and variety of nonpharmacological interventions including … Diarrhea. • Generalized weakness Cite reference and page number. ADVERTISEMENTS . HIGH BLOOD PRESSURE. It includes the aims and goals of the care plan, planning and implementation of care, evaluation of the effectiveness of the treatment and rationale using best evidenced based reasons for the proposed plan. CLINICAL MANIFESTATIONS: Rationale for Nursing Interventions: These are the reasons why the specific nursing interventions have been recommended. • Skin color and temperature b. Resonant percussion note over lungs He prayed for me and asked me to lead. )( .). Early recognition of signs and symptoms of acute confusion allows for prompt intervention. • Psychological: Depression; emotional stress; mental confusion, • Pharmacological: Anticonvulsants; antilipemic agents; laxative overdose; calcium carbonate; aluminum-containing antacids; nonsteroidal anti-inflammatory agents; opiates; anticholinergics; diuretics; iron salts; phenothiazines; sedatives; sympathomimetics; bismuth salts; antidepressants; calcium channel blockers, • Mechanical: Rectal abscess or ulcer; pregnancy; rectal anal fissures; tumors; megacolon (Hirschsprung’s disease); electrolyte imbalance; rectal prolapse; prostate enlargement; neurological impairment; rectal anal stricture; rectocele; postsurgical obstruction; hemorrhoids; obesity, • Physiological: Poor eating habits; decreased motility of gastrointestinal tract; inadequate dentition or oral hygiene; insufficient fiber intake; insufficient fluid intake; change in usual foods and eating pattern; dehydration. • Dysrhythmias Assess the Cause . Nursing Care Plans; Nursing Diagnosis; Chronic Pain Nursing Care Plan. • Functional: Recent environmental changes; habitual denying/ignoring of urge to defecate; insufficient physical activity; irregular defecation habits; inadequate toileting (e.g., timeliness, positioning for defecation, privacy); abdominal muscle weakness. Subjective • Bowel sounds Feb 11, 2017 | Posted by admin in NURSING | Comments Off on Selected Nursing Diagnoses, Interventions, Rationales, and Documentation, Definition: Insufficient physiological or psychological energy to endure or complete required or desired daily activities. • Threat to or change in economic status Nursing Diagnosis BREATHING PATTERN, INEFFECTIVE NDx Definition: Vague, uneasy feeling of discomfort or dread accompanied by an autonomic response (the source is often nonspecific or unknown to the individual); a feeling of apprehension caused by anticipation of danger. • Physiological: Inflammation; malabsorption; infectious processes; irritation; parasites If you want to view a video tutorial on how to construct a care plan in nursing school, please view the video below. preillness/predisability); lack of knowledge regarding value of physical activity; intolerance to activity/decreased strength and endurance; decreased muscle strength, control, and/or mass; sedentary lifestyle or disuse or deconditioning; lack of physical or social environmental supports; cultural beliefs regarding age-appropriate activity, Self-Care: Activities of Daily Living (ADLs), Meets mutually defined goals of increased mobility, Verbalizes feeling of increased strength and ability to move, Demonstrates use of adaptive equipment (e.g., wheelchairs, walkers) to increase mobility, Active ROM exercises using both upper and lower extremities (e.g., flexing and extending at ankles, knees, hips), Chin-ups and pull-ups using a trapeze in bed (may be contraindicated in clients with cardiac conditions), Strengthening exercises such as gluteal or quadriceps sitting exercises. DESIRED OUTCOMES: The client will not aspirate secretions or foods/fluids as evidenced by: • Client teaching • Physiological: Neuromuscular dysfunction; hyperplasia of the bronchial walls; chronic obstructive pulmonary disease; infection; asthma; allergic/reactive airways • Therapeutic interventions Selected Nursing Diagnoses, Interventions, Rationales, and Documentation For any one problem, a sound scientific rationale reflects not only 'how' (strategy), but 'why' … Justifying nursing practice: the scientific rationale Nurse Educ Today. The client will maintain usual bowel elimination pattern as evidenced by: Absence of abdominal distention and pain, feeling of rectal fullness or pressure, and straining during defecation, Reports of fullness or pressure in rectum, Bowel elimination; gastrointestinal function; hydration; nausea and vomiting severity; symptom control. Finished my third bottle of MaxSizePenis Pills after all the things I need to do he. 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