While all patients are at some risk of injury, there are some patient populations that are at a much higher risk of serious injuries. The nurse should be aware of the risks for injuries both in inpatient and outpatient settings. They should also take action to minimize the risk of injury for the patient and … Read more
An ineffective breathing pattern is defined as inspiration and/or expiration that does not provide adequate oxygenation. This diagnosis is related to the observed rate and depth of breathing, as well as abnormal chest expansion, and accessory muscle use that results in a breathing pattern that does not supply adequate ventilation to the body. The ABCs; … Read more
This article can help you determine what to consider when planning care for a patient who is at risk for infection. Patients at risk for infection are those whose immune system or natural defenses are compromised. These patients have inadequate protection from pathogenic organisms, and it is important to plan nursing interventions and care to … Read more
Excess fluid volume, fluid overload, and fluid or water retention are all phrases to describe the medical term, hypervolemia. Hypervolemia is when the body has too much fluid. Fluid overload occurs when the body can’t get rid of fluid or holds onto it (retention). The most common causes of true hypervolemia include underlying disease processes … Read more
This article can be used to create a plan of care for a patient with a risk for bleeding. Risk for bleeding is commonly defined as a risk for a decrease in blood volume to an extent that health is jeopardized. Patient outcomes can be improved using risk for bleeding assessments and interventions to prevent … Read more
Constipation is the decrease in normal frequency of bowel movements. It is also typically accompanied by difficult or incomplete passage of stool and stool that is often extremely hard and dry. Constipation is very common and one of the most frequently seen gastrointestinal complaints. It can affect anyone however the following individuals are more prone … Read more
Self-care deficit refers to a patient who is not adequately performing the activities of daily living (ADLs). This can include tasks related to feeding, bathing and hygiene practices, as well as getting dressed and completing toileting. Self-care deficits can also expand to more complex tasks, such as making phone calls or managing finances, which are … Read more
Falls are the most frequently reported safety incident among hospitalized patients, with 30-50% of falls resulting in injury of varying severity. Not all falls are preventable, though safety measures should always be implemented to reduce the risk. Falls can be reduced by 20-30% when risk factors are identified and matched with appropriate interventions. Nurses who … Read more
The skin is the body’s outermost defense system that keeps pathogens from entering and causing illness. When the skin is compromised due to cuts, abrasions, ulcers, incisions, and wounds, it allows bacteria to enter, causing infections. It is important that nurses understand how to assess, prevent, treat, and educate patients on impaired skin integrity. Causes … Read more
Impaired gas exchange is when there is a disruption of the oxygen and carbon dioxide exchange in the lung tissues. This nursing diagnosis can be a serious health threat usually closely associated with other nursing diagnoses like ineffective breathing pattern or ineffective airway clearance. Causes (Related to) Impaired gas exchange can result from any condition … Read more