Nursing care plan scenario examples

Nursing care plan scenario examples DEFAULT

Free Care Plans

Free care plans list: Browse our care plan database for nurses and nursing students below to learn more about how care plans are arranged, organized, and created. We have placed these care plans online so that nursing students (and pre-nursing students) can get an idea of how care plans are created, and what care plans will look like in nursing school. These are meant for educational purposes only, and are not designed to be actual treatment protocols for patients.

While we encourage nursing students to view these care plans to help them understand how they are developed (and to practice creating them), students should never copy them as their own homework. It is very important to learn how care plans are created, as this is a vital part of the nursing process--even though they can be tedious to complete in nursing school. If you want to learn more about care plans, please see our nursing care plans article.

How to Complete a Nursing Care Plan for Clinical Exam

Hello Registered Nurse RN. Your website and Youtube videos are awesome, they are easy to follow and very helpful. I need help with care plans and am unsure where to post this to get your help, I could not find a place to ask, but if you can offer some advice for me for next week. […]

Nursing Care Plan (NCP) for Atopic Dermatitis Poison Ivy | Impaired Comfort

This NCP nursing care plan for atopic dermatitis is for patients who are experiencing some type of allergic response of the skin. In this scenario, the patient is experiencing an allergic reaction to poison ivy and is having extreme pruritus. Therefore, our nursing diagnosis will be Impaired Comfort and our patient’s goals and nursing interventions […]

Nursing Care Plan and Diagnosis for Mastitis

This nursing care plan and diagnosis is for Mastitis related to breastfeeding. Mastitis is inflammation of the breast tissue. It is mainly caused by plugged ducts or milk stasis from breastfeeding. It is very rare a non-breastfeeding woman can experience mastitis but it does happen. However, for this nursing care plan we are going to […]

Nursing Care Plan and Diagnosis for Tracheostomy and Tracheotomy

This is a nursing care plan and diagnosis for Tracheostomy or Tracheotomy. It includes nursing diagnosis for: Risk for ineffective airway clearance, risk for infection, and impaired verbal communication. As a nurse you may encounter a patient who has a tracheostomy. In the medical setting you may hear it called a “trach”. A patient with […]

Nursing Care Plans | Free Care Plan Examples for a Registered Nurses (RN) & Students

Nursing Care Plan Overview & Introduction: What Is a Care Plan in Nursing? A nursing care plan is a part of the nursing process which outlines the plan of action that will be implemented during a patients’ medical care. LPNs (Licensed Practical Nurses) and Registered Nurses (RNs) often complete a care plan after a detailed […]

Nursing Care Plan for Cerebral Palsy

Hi this is an amazing site! I love it. Can you please assist with a care plan for a child with cerebral palsy, with spastic movements. -Tina This question was asked in the nursing forum section. If you want to view a video tutorial on how to construct a care plan in nursing school, please […]

Nursing Care Plan & Diagnosis for Hysterectomy| Risk for Infection & Grieving

This nursing care plan for a Hysterectomy and includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Risk for Infection and Grieving related to loss of body part. Patients who have underwent surgery for a hysterectomy, which is the removal of the female reproductive organs, are at risk for infection and may experience grieving related […]

Nursing Care Plan and Diagnosis for Mastectomy |Nanda Goals & Interventions

This nursing care plan is for a patient who had had a Mastectomy and it includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions:  Impaired Physical Mobility and Grieving related to loss of breast. Patients who have experienced a Mastectomy have limitations in their mobility due to pectoral muscle removal during the surgery […]

Nursing Care Plan & Diagnosis for Constipation due to Hemorrhoids | Interventions & Goals

This nursing care plan for Constipation includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions:  Hemorrhoids or pain on defecation Patients who experience hemorrhoids may delay having bowel movements to avoid pain associated with it. What are hemorrhoids? Hemorrhoids are vascular structures in the anus canal that helps with […]

Nursing Care Plan & Diagnosis for Pacemaker Placement Sick Sinus Syndrome & Heart Block

This nursing care plan for is for patients who have received a Permanent Pacemaker Placement. This care plan includes a diagnosis with interventions and goals for nurses with the following conditions:  Impaired Physical Mobility & Disturbed Self-Concept. The purpose of a pacemaker to is maintain a normal, adequate heart rate for a patient. Patients who have received a permanent pacemaker have had […]

Nursing Care Plan & Diagnosis for Cystic Fibrosis with Nursing Interventions & Goals

This nursing care plan for Cystic Fibrosis includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions:  Ineffective Airway Clearance & Activity Intolerance. Patients who have cystic fibrosis are at risk for lung infections due to the body’s overproduction of secretions. Due to the abnormal production of secretions, which are thick […]

Nursing Care Plan & Diagnosis for Heart Cath Cardiac Catheterization

This nursing care plan for Heart Cath or Cardiac Catheterization includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Acute Pain & Risk for Ineffective Therapeutic Regimen Management. Patients who have received a heart cath, also called a cardiac cath, may experience acute pain after the procedure. A cardiac cath is performed […]

Nursing Care Plan & Diagnosis for Hepatitis | Fatigue & Imbalanced Nutrition

This nursing care plan for Hepatitis includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Fatigue & Imbalanced Nutrition. Patients who have hepatitis can experience fatigue due to the fluid over load and toxins built up in the body’s bloodstream The liver filters toxins and when it does not work properly it can allow […]

Nursing Care Plan & Diagnosis for Vomiting | Risk for Fluid Volume Deficient & Acute Pain

This nursing care plan for vomiting includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Risk for Fluid Volume Deficient & Acute Pain. Patients with who experience vomiting can easily become dehydrated and experience abdominal pain. Electrolytes, urinary output, and patient mental status should be monitored routinely.  This nursing care plan […]

Nursing Care Plan and Diagnosis for Bowel Incontinence | Nanda Nursing Interventions and Outcomes

This nursing care plan is for patients who are experiencing bowel incontinence. Patients can experience bowel incontinence for numerous reasons. Some of these reasons include: impaired control of rectal sphincter, cognitive impairment, over distention of the rectum due to fecal impaction, just to name a few. Bowel incontinence is where a patient loses the ability […]

Nursing Care Plan and Diagnosis for Syphilis

This nursing care plan is for patients who are infected with syphilis. Syphilis is a sexually transmitted disease (STD) transmitted by sexual contact or from mother to fetus/newborn (if the mother is infected with syphilis). Syphilis is caused by a bacteria called Treponema pallidum. The signs and symptoms of syphilis depends on how long the […]

Nursing Care Plan and Diagnosis for Risk for Self Harm Related to | Suicide Depression Nanda Nursing Interventions and Outcomes

This nursing care plan is for patients that are at risk for self harm. This care plan includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Psychiatric disorders such as schizophrenia, bipolar disorder, post-traumatic stress, personality disorder, or somatoform disorders. Patients who are at risk for self harm need to be […]

Nursing Care Plan and Diagnosis Fatigue

This nursing care plan is for patients who are experiencing fatigue. According to NANDA the definition for fatigue is the self-recognized state in which an individual experiences an overwhelming sustained sense of exhaustion and decreased capacity for physical and mental work that is not relieved by rest. It is important to remember that fatigue is […]

Nursing Care Plan and Diagnosis for Chronic Pain

This nursing care plan is for patients who are experiencing chronic pain. According to Nanda the definition of chronic pain is the state in which an individual experiences pain that is persistent or intermittent and lasts for greater than 6 months. This definition is different from acute pain where the individual experiences pain from 1 […]

Nursing Care Plan and Diagnosis for Depression Ineffective Individual Coping | Nanda Nursing Interventions and Outcomes Goals

This nursing care plan includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Depression What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan? This care plan is listed […]

Nursing Care Plan and Diagnosis for Cellulitis Ineffective Tissue Perfusion | Nanda Nursing Interventions and Outcomes Goals

This nursing care plan includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Cellulitis What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?     This care plan is listed […]

Nursing Care Plan and Diagnosis for Imbalanced Nutrition: More Than Body Requirements | Nanda Nursing Interventions and Outcomes Goals

This nursing care plan includes a diagnosis and care plan for nurses with nursing interventions and outcomes for thefollowing conditions: Imbalanced Nutrition: More Than Body Requirements What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?   […]

Premature Rupture of Membranes Nursing Care Plans | Maternity Diagnosis, Interventions for Premature Rupture of Membranes, PROM, or ROM

This  nursing care plan diagnosis, and interventions for the following conditions: Premature Rupture of Membranes, PROM, or ROM (Rupture of Membranes) What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan? This care plan is listed to […]

Nursing Care Plan and Diagnosis for Acute Pain

This nursing care plan is for patients who are experiencing acute pain. According to Nanda the definition for acute pain is the state in which an individual experiences and reports the presence of severe discomfort or an uncomfortable sensation lasting from 1 second to less than 6 months. It is important to note that if […]

Nursing Care Plan and Diagnosis Impaired Dentition

This nursing care plan is for patients have imbalanced nutrition less than body requirements due to impaired dentition. Patients can have impaired dentition due to many reasons. For example, many patient who have missing or damaged teeth or dentures that do not fit will have impaired dentition. Impaired dentition can cause imbalanced nutrition less than body requirements. It […]

Nursing Care Plan and Diagnosis for Substance Abuse | Ineffective Health Maintenance

This nursing care plan is for patients who are experiencing substance abuse. Substance abuse is where a person is dependent on a substance/drug. The most common substances abused by individuals are alcohol and drugs such as heroin, cocaine, and methamphetamine. People who abuse drugs are at risk for many illnesses such as depression, sexually transmitted diseases and […]

Nursing Diagnosis for Pulmonary Embolism | Nursing Care Plan Interventions Impaired Gas Exchanged Related to

This nursing care plan include a diagnosis, and many interventions for the following conditions: Pulmonary Embolism, PE What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?   This care plan is listed to give an example of […]

Nursing Care Plan and Diagnosis for Self-Care Deficit Syndrome Related to | Nanda Nursing Interventions and Outcomes Goals

This nursing care plan includes a diagnosis and care plan for nurses with nursing interventions and outcomes for the following conditions: Self-Care Deficit Syndrome What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan?       […]

Care Plan for Ineffective Gas Exchange, Ineffective Airway Clearance, Pneumonia, COPD, Emphysema, & Common Cold

The free nursing care plan example below includes the following conditions: Ineffective Gas Exchange, Ineffective Airway Clearance, Pneumonia, COPD, Emphysema, & Common Cold. What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a nursing care plan? This care plan is listed to […]

Nursing Care Plan for Diabetes (and Diagnosis), High Blood Sugar, Hyperglycemia, DKA, Diabetic Ketoacidosis and Fluid Electrolytes Imbalance

Looking for a nursing care plan for diabetes? This nursing care plan and interventions are for thefollowing conditions: Diabetes, High Blood Sugar, Hyperglycemia, DKA, Diabetic Ketoacidosis, and Fluid and Electrolytes Imbalance. What are nursing care plans? How do you develop a nursing care plan? What nursing care plan book do you recommend helping you develop a […]

Sours: https://www.registerednursern.com/free-care-plans/

How to Complete a Nursing Care Plan for Clinical Exam

Hey Rhonda! Thank you so much for your comment regarding my nursing videos and I am glad you like them, that means a lot to me. We can correspond on this thread (comment below) so I can help answer your questions. I remember having to do this same thing when I was in nursing school getting my RN degree.

Usually how it works, is that they will give you a scenario (like the ones I have with my care plans). Based on that scenario you will have to develop a nursing diagnosis. This is where your nursing diagnosis book will come in handy. The nursing diagnosis book is where you get your diagnosis (you will copy the diagnosis verbatim from the book). During the care plan part of the exam, they usually let you use your nursing care plan/diagnosis book.

So the first step you will need to do, is look at the scenario and ask yourself “What is going on with this patient that I need to take care of as the nurse”.  This will help you in developing your nursing diagnosis. Think of a nursing diagnosis as 3 parts.

How to Develop a Nursing Diagnosis

A nursing diagnosis looks like this: (The patient’s problem) related to (what is causing the problem) as evidence by (the signs and symptoms the patient is presenting with). Your diagnosis book will have an index of possible diagnoses you can use. Example of a nursing diagnosis: Impaired comfortrelated to pruritus secondary to poison ivy as evidence by patient itching poison ivy lesions, grimacing on face, and verbalizing discomfort.

Let’s go over this care plan sample I made. In this scenario, the patient is experiencing a severe case of poison ivy and he is complaining of extreme itching.  Automatically, as the nurse you should start thinking “Impaired skin integrity” or “impaired comfort”. When you are developing a diagnosis there is no right or wrong diagnosis, but you must make sure the patient “qualifies” for the diagnosis. In order to make sure they “qualify” for that diagnosis you have to make sure they meet the defining characteristics of “major and minor” symptoms listed in the nursing diagnosis book.

To help you see this, look in your nursing diagnosis book for impaired comfort and it will have listed “major” and “minor” symptoms that the patient must present with in order for you to use that specific diagnosis. In addition, it will have the related to causes and you should see in your book under impaired comfort, “pruritus” which is what I used for this specific patient.

Based on the scenario the patient meets the criteria for “impaired comfort”. Since we already have “the patient’s problem”,  lets complete the related to part. This will be listed under “related factors” and it will list related to factors that you can use for your patient. In this scenario, the related to is related topruritus secondary to poison ivy. Again if you look in your nursing diagnosis book for impaired comfort you will see how I got this “related to” part.

Now to the as evidence by which is the easiest part. This is where you will put the supporting evidence for why your patient is having impaired comfort and the reason here in this scenario is due to the patient itching poison ivy lesions, grimacing on face, and verbalizing discomfort (this was the information provided in the scenario). Now your done with your diagnosis.

Your diagnosis will read like this:

Impaired comfort related to pruritus secondary to poison ivy as evidence patient itching poison ivy lesions, grimacing on face, and verbalizing discomfort.

Developing Nursing Interventions & Patient Goals

This key with getting your nursing interventions and patient goals right is that they have to be specific and measureable. This is what your professor will be looking for on your exam. In addition, this is what you develop on your own and this is where you LPN knowledge will help you.

So with this patient, he is having “impaired comfort” and we will ask ourselves “what does this patient need to achieve so he no longer has impaired comfort?”. First, we will need to take care of his extreme itching.

A patient goal would be:

Patient will rate itching and discomfort less than a 3 on a 1-10 discomfort rating scale within 4 hours of medical treatment. (Note this goal is patient specific ((in bold)) and measureable ((underlined))

Your nursing interventions will compliment the patient goals because this is what you will do as the nurse so the patient meets their goal.

A nursing intervention would be:

Every 4 hoursthe nurse will assess the patient discomfort rating by using a 1-10 scale. (Note this goal is patient specific ((in bold)) and measurable ((underlined))

The hardest part is getting the diagnosis and then once you get that, the goals and interventions are easy. Remember your goals and intervention must be related to your nursing diagnosis. For instances, if your diagnosis was impaired gas exchange you wouldn’t want your goals to be about skin integrity or pain prevention.

I hope that helps clarify care plans. I don’t know which video you watched but I have included the video I made doing a care plan. After you read this, may be when you watch it again, it will help explain it even more.

-Sarah

Sours: https://www.registerednursern.com/how-to-complete-a-care-plan-for-clinical-exam/
  1. Cedar falls bed and breakfast
  2. Best battery for chevy silverado
  3. Best uniforms in madden 21
  4. Rock river arms 1911 review

Example Nursing Care Plan for Pain

It’s up to nurses working in both inpatient and outpatient healthcare facilities to manage pain as it is experienced by their patients. But not all pain is created equally – pain levels can vary wildly, depending on their origin, and the pain tolerance of the patient in question. Addressing and caring for pain requires strategy, creativity, and careful planning on the part of the attendant nurse if they are going to treat their patient efficiently and effectively.

What is a Nursing Care Plan for Pain?

Pain often has mysterious origins, and treating it can feel a bit like detective work if the cause of this symptom isn’t immediately obvious. 

Care plans designed to address and treat pain in presenting patients help nurses to annotate, track, and divise course of action to address a patient’s pain. A nurse might note the characteristics of the pain, a diagnosis of the pain itself or source of pain, and then set a plan for course of action. The strategy may change depending on the presenting symptoms or medical history of the patient: for example, a nursing care plan for pain after surgery will require a different approach than a patient in pain without an easily explained source.

As a document, the care plan will typically include the date and time, expected outcomes for treatment, interventions utilized to address pain, and whether the intended outcomes were met or unmet. 

How is Pain Defined?

Most broadly, pain falls into two categories: acute, and chronic. 

Acute pain is defined as an unpleasant sensory and emotional experience which is the result of actual or potential tissue damage. This type of pain may be sudden OR gradual in its onset, and lasts less than 6 months in duration. 

Chronic pain is defined as an unpleasant sensory and emotional experience which is persistent, and lasts over 6 months, and potentially the patient’s entire life. 

Patients with chronic pain, owing to any number of conditions or disabilities, may experience acute pain which is either a symptom of their chronic illness, or an additional separate source. Similarly, acute pain may be experienced periodically over a great length of time, thus blurring the lines between the two categories.

Upon admittance to either a hospital or clinic, patients are typically asked to rate their pain on a scale of 1 to 10, with 1 being no pain, and 10 being the worst pain the patient has ever felt. But pain is a little more complicated than this, as you are already aware. Additional categories of pain include nociceptive, somatic or visceral pain; and neuropathic, or nerve pain. “Other” pain defines the unpleasant sensation which arises from unknown causes and cannot be located within the body: this may be due to psychological traumas, however it should be taken as seriously as pain due to bodily injury. 

The type of pain, along with the level of pain being experienced, will initially determine the course of care the attending nurse will choose to take.

Example Nursing Care Plan for Pain

In this section you will find a detailed example of a nursing care plan for pain.

Scenario:

A 34 year old female is admitted with vision loss in one eye, and general loss of fine motor control. She states experiencing severe pain, localized to her cranial cavity. After receiving a saline drip, the patient’s motor controls normalize, but the headache and vision loss remains. She describes the pain as throbbing. The patient receives MRI scans which demonstrate no irregularities or tumors in her brain, and she is diagnosed with a Retinal Migraine. 

Nursing Diagnosis

Acute pain related to cephalgia, secondary to retinal migraine. Patient rates pain 8 – 10 and is extremely sensitive to light, sounds. Minimally verbally communicative. 

Subjective Data

Patient states she is still unable to see out of her left eye, additionally that throbbing headache persists. She states that she experiences it primarily behind her eyes and forehead. She states that her mother has experienced retinal migraines, and that the patient herself has had migraines without vision symptoms in the past. She rates her pain 8 – 10.

Objective Data

34 year old female admitted with monocular vision loss, impaired fine motor control, and cephalgia. Motor control returned after administration of saline drip; cephalgia and vision loss persistent. 

Nursing Outcomes

  • The patient will verbalize decrease in pain levels maximum 6 within 24 hours after receiving pain medication. 
  • The patient will verbalize improvement of vision in left eye within 24 hours after receiving vasodilators. 
  • The patient will verbalize decrease in pain levels maximum 2 within 48 hours after receiving pain medication. 
  • The patient will verbalize complete return of vision in left eye within 48 hours after receiving vasodilators. 
  • The patient will verbalize 5 indicators of a pending migraine.
  • The patient will verbalize how to correctly take Motrin before discharge. 

Nursing Interventions

  • The nurse will assess the patient’s pain level every 2 hours while patient is awake until pain level drops to below 3. 
  • The nurse will assess the patient’s vision every 5 hours while patient is awake until vision is completely restored. 
  • The nurse will educate the patient on signs of a pending migraine. 
  • The nurse will educate the patient on the proper administration of Motrin. 

Final Thoughts: Example Nursing Care Plan for Pain

Pain happens for many reasons, and the appropriate course of action will differ depending on the type of pain experienced, and the underlying cause. Each patient will experience pain differently, and it is imperative to take a patient’s pain seriously in order to provide high-quality care.

Sours: https://medely.com/blog/example-nursing-care-plan-for-pain/
Nursing Care Plans - Nursing Student Guide for Nursing CarePlans (NCP)

I pressed against a tree and brought my hips together, but she pulled me sharply towards her. I received the inevitable blow from the sole of her boot to my swollen balls. After that Olya once again pulled me to her and kicked me with her knee. Now I appreciated this blow by trying it myself.

Scenario examples nursing care plan

Oh, how I already hated these games of her. - I'll go get a wolf stick, - said Dima, and left. But after 15 seconds he returned with a pink stick, about 50 cm long and about 3-4 wide.

Fracture Nursing Care Plans- Nursing Diagnosis

Are you kidding. - Not much. This is the law of our boarding house.

You will also be interested:

Different options were spinning in my head. Here is the door, stopped for a minute, listened. Heard nothing, took hold of the handle, quietly pressed it and opened it.



1559 1560 1561 1562 1563