Care Plan Essay

Medical Diagnosis sickle cubicleular telephone anemia with vaso-occlusive crisisNursing Diagnosis contestation1.Impaired Comfort related to to sickle carrel anemia as evidence by acute vaso-occlusive crisis. The uncomplainings torment should cod precedence as the nurse diagnosis, because it is in all-encompassing factor that affects the lymph glands index to function within the other areas of Maslows hierarchy of physiologic needs, such as breathing and recreationing. The botheration from the vaso-occlusion makes it difficult for the guest to become sluttish enough to rest in do-gooder to other factors that affect sleep patterns. The aggravatorfulness caused by the leaf nodes thorax pain also makes it difficult to for her to take deep, adequate breathes and to rate her lung sounds. 2. in useful Breathing manakin related to acute chest syndrome indirect coil to sickle cell anemia as evidenced by alterations in knowledge of breathing. Breathing should be pri oritized as the secondary breast feeding diagnosis, because the patients sickle cell anemia is presenting her with diminished lung sounds in the lower right lung. Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not get proper oxygenation to parts of their body, and interventions whitethorn accept administering analgesics to treat the dis relieve, of which an adverse effect may include an altered breathing pattern, it is specially all-important(a) to pay attention to and assess respiratory functioning in tell to treat the do of smoking and brass section of analgesics on respiratory function and anticipate adequate oxygenation. 3.Disturbed Sleep Pattern related to excessive noise as evidenced by enshrouds of being awakened all night. Disturbed sleep pattern should be prioritized third, because lack of adequate rest sess cause fatigue, further discomfort, and decreased ability to function and run ADLs which is important to a clients se lf-pride and indep exterminateence.Nursing Diagnosis Acute cark related to vaso-occlusive crisis secondary to sickle cell anemia as manifested by grimacing and verbalization of pain Outcome/Short line Patient Centered GoalsPlanning/Interventions ImplementationRationale for interventions/Evaluationshort-term wantOutcomesThe client will perform appropriate interventions, with or without signifi squirtt others, to better and/or maintain acceptable comfort aim, a 5 or less(prenominal) on a 0-10 pain scale, by the end of the day (Ackley & adenosine monophosphate Ladwig, 2013).semipermanent DesiredOutcomesThe client will mark strategies, with or without significant others, to improve and/or maintain comfort level by the time of discharge (Ackley & deoxyadenosine monophosphate Ladwig, 2013).1. treasure pain intensity level in a client all(prenominal) instant utilizing a 0-10 pain scale (Ackley & Ladwig, 2013). 2. Describe the adverse effects of unrelieved pain every hour along with each pain assessment until patient verbalizes understanding (Ackley & Ladwig, 2013). 3. Teach the client about cocksure medications (oxycodone, for pain), such as how to use it, how often to take it, how more at once, and the desired and adverse effects of it. 4. Ask the client to report align effects, such as nausea and pruritus, and to mark appetite, bowel elimination, and ability to rest and sleep by performing an interview every hour while assessing pain level (Ackley & Ladwig, 2013).1.The first step in pain assessment is to determine if the client can provide self-report (Ackley & Ladwig, 2013). 2. Ineffective management of acute pain has the potence forneuronal remodelin, an impact on immune function, and long-lasting physiological, psychological, and emotional distress (Ackley & Ladwig, 2013). 3. Instruct the client and family on positivistic medications and therapies that improve comfort (Ackley & Ladwig, 2013). 4. damage is one of the most common gradient effects of opioid therapy and can become a significant problem in pain management (Ackley & Ladwig, 2013).Short-Term Desired OutcomesThe client is able to properly utilize the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped patient understand the sizeableness of reporting an accurate pain sum up whenever experiencing discomfort. Goal Met. Nursing interventions for this goal were effective to help the patient achieve a more comfortable state. Long-Term DesiredOutcomesThe client is able to identify and report the side effects of the oxycodone, so that they can report any nausea, constipation, or brachydactylous sleep patterns to a nurse or physician. Goal met.