Preview

Nurs 324: A Nursing Care Plan

Powerful Essays
Open Document
Open Document
1437 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Nurs 324: A Nursing Care Plan
NURSING CARE PLAN
Nurs 326
SFSU

Student Name: Alena Makarava
Instructor/Clinical Site Gerardo Caritan, RN, MSN
Date: 2/26/2015

Ms. X is a 34 year old female. The patient is a G3 P2, with both children delivered by C-section, with the only complication in both being low birth weights. Ms. X has a longstanding history of hypertension, anxiety and depression. Additional health history includes a vitamin D deficiency, back surgery in 05/06 due to a herniated disc, and two previous cesarean sections. Ms. X delivered a healthy baby boy weighing 6 lb. 2 ounces, with apgar scores of 8 and 9; the patient did well through delivery and during the postoperative stage. No lack of sensation or motor function following discontinuation
…show more content…
Abnormally increased tone in the sympathetic nervous system originates in the vasomotor system centers, causing increased peripheral vascular resistance.
Increased blood volume results from renal or hormonal dysfunction.
Increase in arteriolar thickening is caused by genetic factors, leading to increased peripheral vascular resistance.
Abnormal renin release results in the formation of angiotensin II, which constricts the arterioles and increases blood
…show more content…
Research shows that self-efficacy is associated with significant improvements in self-management behaviors.

Research shows that self-management education improves the outcome of chronic illness.

Self-management education help to achieve positive health outcomes such as reduction in systolic blood pressure

Patient will need good social support for lifestyle changes needed after the baby is born

Assessment provides information about adequacy of client rest and activity pattern.

Patient may be too tired to identify primary problem without some assistance

Excessive bleeding may cause anemia and fatigue related to insufficient hemoglobin. Signs of infection also include fatigue

A short-lived peiod of depression accompanied by emotional fragility is common in the first few weeks postpartum. Continued depression needs further investigation

Poor nutrition and dehydration add to feeling fatigue. Protein and vitamin C are needed for tissue regeneration after childbirth

Patient will:

Identify current stresses leading to ineffective coping

Explore personal strengths and plan new ways to cope with

You May Also Find These Documents Helpful

  • Better Essays

    Hsp501 Unit 1 Lab Report

    • 1492 Words
    • 6 Pages

    These two conditions are related because when someone gets arteriosclerosis it will lead to getting hypertension. With…

    • 1492 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Anemia Case Study Essay

    • 393 Words
    • 2 Pages

    These values are compared to accepted reference ranges to find abnormal values. According to JJ’s lab values, her RBC’s, Hgb and Hct are below the lower end of the reference ranges for all three values. These objective data provide evidence that JJ is anemic. To further classify the anemia and help determine the underlying cause, the MCV can be calculated by using the Hct and RBC values. It is determined that JJ’s MCV is 85 fL/cell, which is within the reference range of normocytic anemia (81-99 fL/cell). As mentioned above, one of the causes of normocytic anemia is acute blood loss. Since her PMH does not mention chronic disease or any other condition that would result in blood loss, the evidence suggests that JJ’s anemic condition is possibly due to acute blood loss during her…

    • 393 Words
    • 2 Pages
    Good Essays
  • Best Essays

    Beck, C. T. (1993). Teetering on the edge: A substantive theory of postpartum depression. Nursing Research, 42(1), 42-48.…

    • 2864 Words
    • 12 Pages
    Best Essays
  • Good Essays

    Hypovolemia is detected by vascular stretch receptors which are found in the walls of heart and vasculature (Gauer & Henry, 1963). During hypovolemia, angiotensin II levels in plasma increase due to low pressure in the renal artery that stimulates renin release. The brain is then informed about the changes in volume by inputs from the heart and baroreceptors located on the blood vessels relayed through the nucleus tractus solitarii in the dorsal part of the medulla (Unger, 2001). The neural inputs stimulate the release of angiotensin II in the parts of the brain that arouse thirst sensation. These areas are the circumventricular organs devoid of a BBB such as the SFO and the OVLT, including median preoptic nucleus (MnPO), which is also found within the BBB. MnPO is vital to induce thirst and if destroying…

    • 482 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Cretia Case Study

    • 466 Words
    • 2 Pages

    Cretia is a 30yo, G3 P0111, who is currently 36 weeks 4 days. She is relatively healthy. She has no medical complications. She has one prior delivery at 36 weeks that was spontaneous labor. She has declined 17-OHP. She did have preterm contractions this pregnancy that ultimately were able to be arrested. The pregnancy has also been complicated by an adrenal mass which is suspected to be an adrenal hemorrhage given the fact that it decreased in size. She is here today for a final growth scan and evaluation of the adrenal.…

    • 466 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Adrenal Fatigue is a functional health disorder. It needs to be considered in all cases of Chronic Fatigue Syndrome. It can be a very debilitating state. Health experts state that stress is the major contributing factor, be it physical or emotional stress. Appropriate management is essential to ensure a positive outcome and restore wellbeing. It is vital to pick up the wide and varied symptoms that are related to Adrenal Fatigue or insufficiency so that appropriate therapeutic treatments can be offered. Adrenal Fatigue can be very detrimental to your overall health. The symptom picture with appropriate investigations can assist us in staging the level of Adrenal insufficiency or Adrenal Fatigue. There are three stages to Adrenal fatigue, each stage requiring its own management…

    • 422 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Alarm reaction- mediated by norepinephrine from the sympathetic nervous system, and epi from the adrenal medulla. They prepare body for flight or fight. Angiotensin and aldosterone levels also increase. Angiotensin raises BP, aldosterone promotes sodium and H2O conservation, which helps offset possible losses by sweating and bleeding.…

    • 290 Words
    • 2 Pages
    Good Essays
  • Good Essays

    The PVN is heavily involved in sympathetic regulation and outflow which has effects on cardiovascular functions such as arterial pressure and heart rate [Nishi, Stocker, Zucker]. A higher activation of the PVN than normal, along with reduced nitric oxide…

    • 673 Words
    • 3 Pages
    Good Essays
  • Powerful Essays

    Diuretics

    • 1863 Words
    • 8 Pages

    • Endothelin, adenosine & ATP – constricts and decreases RBF - via stretch of vessels • Angiotensin II…

    • 1863 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Self-management requires the patient to have the confidence in managing their medical and emotional condition. Examples of self-management task include monitoring symptoms and taking the appropriate actions when these symptoms indicate a problem, making significant lifestyle changes, complying with medication regimen and attending routine scheduled office visits. Studies have shown that patients are not adhering to self-management task. According to the Agency for Healthcare Research and Quality (2014), only 60 percent of patients reported self-monitoring their blood glucose at least once a day. Self-management strategies are needed to improve patient specific health outcomes. There is evidence that self-management support programs aid in…

    • 307 Words
    • 2 Pages
    Good Essays
  • Satisfactory Essays

    The concept of self-efficacy has been broadly used as a model for examining health promoting education in areas such as cardiac rehabilitation, smoking cessation, dietary modification, pulmonary rehabilitation and compliance with prescribed regimens (Berarducci & Lengacher, 1998). Self-efficacy is an essential concept in developing and implementing health promotion programs in advanced practice. The role of advanced practice nurses emphasizes health maintenance, healthy life style promotions, consultations, case management counselling about risk status and risk reduction (Lev, 1997). An advanced practice nurse is…

    • 410 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Anemia

    • 611 Words
    • 3 Pages

    Anemia: People with anemia have a low number of red blood cells. Mild anemia often causes no symptoms. More severe anemia can cause fatigue, pale skin, and shortness of breath with exertion.…

    • 611 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Fatigue

    • 322 Words
    • 2 Pages

    carbon dioxide and lactic acid that collects in the body which weakens the muscles. This prevents them from functioning effectively. Physicians recommend that rest is way to cure physical fatigue.…

    • 322 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Cat Dissection Structures

    • 1869 Words
    • 8 Pages

    • The width of the arteries. The arteries constantly change in width as blood flows through them. The narrower the arteries, the higher the blood pressure. Renin helps control narrowing of the arteries.…

    • 1869 Words
    • 8 Pages
    Good Essays
  • Good Essays

    * Self-management – You’re able to control impulsive feelings and behaviors, manage your emotions in healthy ways, take initiative, follow through on commitments, and adapt to changing circumstances.…

    • 963 Words
    • 4 Pages
    Good Essays

Related Topics