Care Plan Essay

Medical Diagnosis sickle kiosk anemia with vaso-occlusive crisis nursing Diagnosis List1.Impaired Comfort related to to sickle cell anemia as bear witness by precipitous vaso-occlusive crisis. The patients upset should take precedence as the breast feeding diagnosis, because it is in whole-encompassing factor that affects the leaf nodes tycoon to hold out within the other areas of Maslows hierarchy of physiological needs, such as breathing and sleeping. The fuss from the vaso-occlusion makes it hard-fought for the client to become comfort open luxuriant to liberalization in addition to other factors that affect sleep patterns. The irritation caused by the clients chest pain also makes it difficult to for her to take deep, adequate breathes and to assess her lung sounds. 2.Ineffective Breathing Pattern related to shrill chest syndrome second-string to sickle cell anemia as evidenced by alterations in depth of breathing. Breathing should be prioritized as the seconda ry nursing diagnosis, because the patients sickle cell anemia is presenting her with vitiated lung sounds in the lower right lung. Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not getting proper oxygenation to parts of their body, and interventions may include administering analgesics to treasure the discomfort, of which an uncomely effect may include an altered breathing pattern, it is especially important to pay attention to and assess respiratory functioning in order to treat the effects of smoking and administration of analgesics on respiratory function and assure adequate oxygenation. 3.Disturbed Sleep Pattern related to prodigal noise as evidenced by give notice (of)s of being awakened all night. Disturbed sleep pattern should be prioritized third, because lack of adequate rest can cause fatigue, further discomfort, and decreased ability to function and manage ADLs which is important to a clients self-esteem and independence.Nursin g Diagnosis Acute Pain related to vaso-occlusive crisis secondary to sickle cell anemia as manifested by grimacing and verbalization of pain Outcome/ petty Term Patient Centered GoalsPlanning/Interventions ImplementationRationale for interventions/EvaluationShort-Term DesiredOutcomesThe client will perform appropriate interventions, with or without significant others, to remediate and/or maintain acceptable comfort level, a 5 or slight on a 0-10 pain scale, by the end of the day (Ackley & Ladwig, 2013). long DesiredOutcomesThe client will identify strategies, with or without significant others, to improve and/or maintain comfort level by the time of electric arc (Ackley & Ladwig, 2013).1. Assess pain intensity level in a client every min utilizing a 0-10 pain scale (Ackley & Ladwig, 2013). 2. Describe the adverse effects of unrelieved pain every hour along with apiece pain assessment until patient verbalizes understanding (Ackley & Ladwig, 2013). 3. Teach the client most dict ate medications (oxycodone, for pain), such as how to use it, how often to take it, how very much at once, and the desired and adverse effects of it. 4. Ask the client to enunciate location effects, such as nausea and pruritus, and to describe 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 counselling of acute pain has the potential forneuronal remodelin, an impact on resistive function, and long-lasting physiological, psychological, and emotional distress (Ackley & Ladwig, 2013). 3. Instruct the client and family on prescribed medications and therapies that improve comfort (Ackley & Ladwig, 2013). 4. Constipation is one of the most common side effects of opioid therapy and can become a significant problem in pain management (Ackley & Ladwig, 2013).Sh ort-Term Desired OutcomesThe client is able to properly enforce the prescribed oxycodone in their therapy to reach out a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped patient understand the importance of reporting an accurate pain account wheneverexperiencing 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 abnormal sleep patterns to a nurse or physician. Goal met.