Nursing Care Planning Guides, 6th Edition - For Adults in Acute, Extended and Home Care Settings
By Susan Puderbaugh Ulrich, RN, MSN and Suzanne Weyland Canale, RN, MSN
This practical, comprehensive resource helps nurses plan individualized care for clients in the medical-surgical, extended care, or home care environments. It covers over 70 individual disorders, with detailed care plans that feature a definition/discussion of the disorder, outcome/discharge criteria, nursing and collaborative diagnoses, desired outcomes, nursing actions and selected purposes/rationales, NIC interventions and NOC outcomes, and discharge teaching. This book also includes the popular Online Care Planner that allows users to edit and print 48 standardized nursing diagnosis care plans.
Content presents an expanded focus of care beyond the hospital setting to provide broader application in extended care and home care settings.
70 comprehensive medical-surgical care plans are included – the most extensive care plans content available.
Guidelines for individualizing care plans using a case study format are provided.
Body system organization makes content easy to locate.
A comprehensive, color-tabbed unit contains 24 nursing diagnoses care plans with referrals to this content in the disorders-specific care plans.
Nursing/collaborative diagnoses are linked to actions and rationales in a user-friendly, two-column format.
Specific points for discharge teaching serve as guidelines for nurses in planning client education.
A complete discussion of caring for older adult clients and changes that occur with aging help readers understand the unique considerations of caring for this population group.
Separate discussions of surgical, immobile, and dying clients provide a complete perspective on these special clients.
An alphabetical listing of NANDA diagnoses inside the book's front cover helps readers locate specific care plans and nursing and collaborative diagnoses.
New to this Edition
A new, two-color design makes the text even more user-friendly and visually appealing.
Rationales for nursing actions are italicized in the text for emphasis.
An Online Care Planner allows users to edit and print 48 standardized nursing diagnoses care plans or individualized plans of care.
Client outcomes and discharge readiness are emphasized, including an Outcome/Discharge Criteria heading.
A new care plan on Implanted Cardioverter Defibrillator focuses on the adult client admitted for implantation of a cardioverter-defibrillator.
A new care plan on Pacemaker Implantation focuses on the adult client with a symptomatic dysrhythmia hospitalized for implantation of a permanent pacemaker.
LA new care plan on Acute Upper Gastrointestinal (GI) Bleed focuses on the adult client hospitalized with a massive upper GI bleed.
Updated NIC interventions and NOC outcomes for each condition are highlighted in a second color.
Thoroughly updated and edited content is provided throughout, including expanded outcomes.
The latest (2003-2004) NANDA-approved nursing and collaborative diagnoses describe the actual or potential health problems that a client with a particular condition may experience.
Drug-herb interactions have been added to address patients' increased use of complementary and alternative medicines.
Updated NOC outcomes and NIC interventions are listed for the nursing diagnoses in each care plan.
Table of Contents
UNIT I. Individualizing a Standardized Care Plan
Steps in Individualizing a Standardized Care Plan
UNIT II. Actions, Rationales, and Documentation for Selected Nursing Diagnoses
Activity Intolerance Airway Clearance, Ineffective Anxiety Aspiration, Risk for Breathing Pattern, Ineffective Cardiac Output, Decreased Constipation Coping, Ineffective Individual Diarrhea Deficient Fluid Volume Fluid Volume, Excess Gas Exchange, Impaired Grieving Infection, Risk for Nutrition, Imbalanced: Less than Body Requirements Oral Mucous Membrane, Impaired Pain Self-Concept Disturbed Skin Integrity, Impaired, Risk for Sleep Pattern Disturbed Swallowing, Impaired Tissue Perfusion, Ineffective Urinary Incontinence Urinary Retention
UNIT III. Nursing Care of the Elderly Client
The Elderly Client
UNIT IV. Nursing Care of the Client Having Surgery
Preoperative Care Postoperative Care
UNIT V. Nursing Care of the Immobile Client
UNIT VI. Nursing Care of the Client Who Is Dying
UNIT VII. Nursing Care of the Client Receiving Treatment for Neoplastic Disorders
Chemotherapy External Radiation Therapy (Teletherapy)
UNIT VIII. Nursing Care of the Client with Disturbances of Neurological Function
Cerebrovascular Accident Craniocerebral Trauma Craniotomy Spinal Cord Injury
UNIT IX. Nursing Care of the Client with Disturbances of Cardiovascular Function
Angina Pectoris Cardiac Dysrhythmias Heart Failure Heart Surgery: Coronary Artery Bypass Grafting (CABG) or Valve Replacement Hypertension Implanted Cardioverter Defibrillator Myocardial Infarction Pacemaker Implantation
UNIT X. Nursing Care of the Client with Disturbances of Peripheral Vascular Function
Abdominal Aortic Aneurysm Repair Carotid Endarterectomy Deep Vein Thrombosis Femoropopliteal Bypass
UNIT XI. Nursing Care of the Client with Disturbances of Respiratory Function
Cancer of the Lung Chronic Obstructive Pulmonary Disease Pneumonia Pneumothorax Pulmonary Embolism Thoracic Surgery Tuberculosis
UNIT XII. Nursing Care of the Client with Disturbances of the Kidney and Urinary Tract
Bladder Neck Suspension (Vesicourethral Suspension) Chronic Renal Failure Cystectomy with Urinary Diversion Nephrectomy
UNIT XIII. Nursing Care of the Client with Disturbances of Hematologic and Immune Function
Human Immunodeficiency Virus (HIV) Infection and Acquired Immune Deficiency Syndrome (AIDS) Sepsis Splenectomy
UNIT XIV. Nursing Care of the Client with Disturbances of the Gastrointestinal Tract
Appendicitis/Appendectomy Bowel Diversion: Ileostomy Gastrectomy Gastric Reduction Gastrointestinal (GI) Bleed, Acute Upper Inflammatory Bowel Disease: Ulcerative Colitis and Crohn's Disease Intestinal Obstruction Peptic Ulcer
UNIT XV. Nursing Care of the Client with Disturbances of the Liver, Biliary Tract, and Pancreas
Cholecystectomy Cholelithiasis/Cholecystitis Cirrhosis Hepatitis Pancreatitis, Acute
UNIT XVI. Nursing Care of the Client with Disturbances of Metabolic Function
Diabetes Mellitus Thyroidectomy
UNIT XVII. Nursing Care of the Client with Disturbances of Musculoskeletal Function
Amputation Fractured Hip with Internal Fixation or Prosthesis Insertion Laminectomy/Diskectomy with or without Fusion Total Hip Replacement Total Knee Replacement
UNIT XVIII. Nursing Care of the Client with Disturbances of the Breast and Reproductive System
Colporrhaphy (Anterior and Posterior Repair) Hysterectomy with Salpingectomy and Oophorectomy Mastectomy Radical Prostatectomy Transurethral Resection of the Prostate (TURP)
UNIT XIX. Nursing Care of the Client with Disturbances of the Head and Neck
Total Laryngectomy with Radical Neck Dissection
Appendix: NANDA-Approved Nursing Diagnoses