Sample Nursing Care Plan

N.C.P 1

Nursing Care Plan Catherine Traylor

F.H. January 31,2007 Karen Ruffin

Mercer County Community College

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Abstract

F.H. is an 83 year old male, whom was cared for on January 31,2007 by the writer. He was

admitted to Capital Health System at the Mercer Campus with diagnoses of an Urinary

Tract Infection and Generalized Weakness. F.H. also had pre-existing medical condition

prior to being admitted. Plan of care for F.H. had to be designed to accommodate his

existing and pre-existing medical conditions.
This makes it hard for you to get oxygen into and carbon dioxide out of your blood

(www.medicinenet.com).

As indicated in the definition of emphysema, the pathologic hallmark is elastin breakdown with

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resultant loss of alveolar wall integrity. This process is triggered by the exposure of a susceptible

individual to noxious particles and gases. Cigarette smoke remains the main causative agent,

involved in over 90% of cases; however, other gases and particles have been shown to play a role

in pathogenesis, which is due to an inflammatory process. In contrast to the eosinophilic

inflammation seen in asthma, the predominant inflammatory cell is the neutrophil. Macrophages

and CD8+ T lymphocytes are increased in the various parts of the lungs, and several mediators,

including leukotriene B4, interleukin 8, and tumor necrosis factor, contribute to the inflammatory

process. Oxidative stress is regarded as another important process in the pathogenesis of COPD,

and altered protease/antiprotease balance, at least in individuals with severe deficiency of alpha1-

antitrypsin, has been shown to predispose to a panacinar form of emphysema. Individuals
Symptoms include:
Mild to severe pain in a joint, especially after overuse or long periods of inactivity, such as sitting for a long time
Creaking or grating sound in the joint
Swelling, stiffness, limited movement of the joint, especially in the mornings
Weakness in muscles around the sore joint
Deformity of the joint ( www.nucleusinc.com).

F.H. third diagnose Neurogenic Bladder: the urinary bladder, a spherical organ, that has a soft

inner lining and an outer muscle layer. In addition to the bladder, the bladder neck, the urethra

which is a tube like structure that serves as a channel to carry urine from the bladder to the

external surface, and the external urethral sphincter muscle surround the complete lower urinary

tract. The muscles and nerves of the urinary system must function in a coordinated fashion with 13

the bladder in order to perform its two major functions of storage and elimination of urine.

Nerves carry messages from the bladder to the brain and then from the brain to the muscles of the

bladder telling them to either tighten or release, allowing the bladder to empty during