Activity intolerance related to mandatory bed rest.
Intervention:
1) Provide assistance to run across their daily needs such equally food, drink, alter clothe as well as sentinel oral hygiene, hair, genetalia, as well as nails.
Rationale: To supply assistance to the customer to avoid the onslaught of complications associated amongst the motility who violate computer programme bedrest.
2) Involve the household unit of measurement inwards the fulfillment of ADL.
Rationale: Participation household unit of measurement is real of import to facilitate the nursing procedure as well as preclude farther complications.
3) Explain the purpose of bed relaxation to preclude complications as well as speed upward the healing process.
Rationale: Rest decrease intestinal mobility also decreases the charge per unit of measurement of metabolism as well as infection.
2. Risk for fluid book deficit related to the intake is less, nausea, vomiting / excessive spending, diarrhea, trunk heat.
Intervention:
1) Monitor the status of hydration (moisture of mucous membranes, peel turgor, adequate pulse, blood pressure level orthostatic) if needed.
Rationale: Changes inwards hydration status, mucous membranes, peel turgor depict the severity of dehydration.
2) Monitor vital signs
Rationale: Changes inwards vital signs to depict the full general state of the client.
3) Monitor the input of nutrient / liquid as well as count daily calorie intake.
Rationale: Provides guidelines to supersede fluids.
4) Encourage the household unit of measurement to assist patients eat.
Rationale: Family equally the driving fluid needs of clients.
5) Collaborate amongst other medical squad for IV fluid administration.
Rationale: Giving IV fluids to run across fluid needs.
3. Imbalanced Nutrition, Less Than Body Requirements
related to less intake due to nausea, vomiting, anorexia, or diarrhea due to excessive output.
Intervention:
1) Monitor the total of nutrients as well as calories.
Rationale: Knowing the drive of the less intake as well as hence equally to decide appropriate as well as effective intervention.
2) Monitor the weight loss.
Rational: Cleanliness nutrients tin plow over the axe hold upward known through increased weight 500 g / week.
3) Monitor the environs during the meal.
Rationale: Influenza A virus subtype H5N1 comfortable environs tin plow over the axe trim back stress as well as to a greater extent than conducive to eating.
4) Monitor nausea as well as vomiting.
Rationale: Nausea as well as vomiting demeanour on nutrition.
5) Involve the household unit of measurement inwards the client's nutritional needs.
Rationale: Increasing the role of the household unit of measurement inwards nutrition to accelerate the healing process.
6) Instruct the patient to elevate the poly peptide as well as vitamin C.
Rationale: Protein as well as vitamin C to run across nutritional needs.
7) Provide nutrient selected.
Rational: To assistance inwards fulfilling the nutritional needs.
8) Collaboration amongst a nutritionist to decide the total of calories as well as nutrients it needs patients.
Rationale: Helps inwards the healing process.
4. Acute pain related to inflammation of the minor intestine.
Intervention:
1) Assess the degree of pain, location, duration, intensity as well as characteristics of pain.
Rationale: Changes inwards the characteristics of the hurting may hollo for the spread of diseases / complications occur.
2) Review the factors that increment hurting as well as decrease pain.
Rational: It tin plow over the axe pinpoint the factors that trigger or aggravate (such equally stress, nutrient intolerance) or position the occurrence of complications, equally good equally assist inwards making the diagnosis as well as therapeutic needs.
3) Give warm compresses on the surface area of pain.
Rationale: For the hurting disappeared.
4) Collaborate amongst other medical squad inwards the delivery of analgesics.
Rational: Analgesic tin plow over the axe assist trim back pain.
5. Knowledge Deficit: weather condition of disease, handling as well as prognosis needs related to lack of data or inadequate information.
Intervention:
1) Assess the extent of noesis of the client's household unit of measurement close his illness.
Rationale: Knowing the mother's noesis close the affliction typhoid fever.
2) Give wellness teaching close the affliction as well as handling of clients.
Rationale: In club for the client's woman rear industrial plant life out close the affliction typhoid fever, causes, signs as well as symptoms, equally good equally the attention as well as handling of typhoid fever.
3) Give the household unit of measurement an chance to inquire if at that spot is non however understood.
Rationale: In club to empathize to a greater extent than close the household unit of measurement disease. Sumber http://nanda-nursinginterventions.blogspot.com/
Intervention:
1) Provide assistance to run across their daily needs such equally food, drink, alter clothe as well as sentinel oral hygiene, hair, genetalia, as well as nails.
Rationale: To supply assistance to the customer to avoid the onslaught of complications associated amongst the motility who violate computer programme bedrest.
2) Involve the household unit of measurement inwards the fulfillment of ADL.
Rationale: Participation household unit of measurement is real of import to facilitate the nursing procedure as well as preclude farther complications.
3) Explain the purpose of bed relaxation to preclude complications as well as speed upward the healing process.
Rationale: Rest decrease intestinal mobility also decreases the charge per unit of measurement of metabolism as well as infection.
2. Risk for fluid book deficit related to the intake is less, nausea, vomiting / excessive spending, diarrhea, trunk heat.
Intervention:
1) Monitor the status of hydration (moisture of mucous membranes, peel turgor, adequate pulse, blood pressure level orthostatic) if needed.
Rationale: Changes inwards hydration status, mucous membranes, peel turgor depict the severity of dehydration.
2) Monitor vital signs
Rationale: Changes inwards vital signs to depict the full general state of the client.
3) Monitor the input of nutrient / liquid as well as count daily calorie intake.
Rationale: Provides guidelines to supersede fluids.
4) Encourage the household unit of measurement to assist patients eat.
Rationale: Family equally the driving fluid needs of clients.
5) Collaborate amongst other medical squad for IV fluid administration.
Rationale: Giving IV fluids to run across fluid needs.
3. Imbalanced Nutrition, Less Than Body Requirements
related to less intake due to nausea, vomiting, anorexia, or diarrhea due to excessive output.
Intervention:
1) Monitor the total of nutrients as well as calories.
Rationale: Knowing the drive of the less intake as well as hence equally to decide appropriate as well as effective intervention.
2) Monitor the weight loss.
Rational: Cleanliness nutrients tin plow over the axe hold upward known through increased weight 500 g / week.
3) Monitor the environs during the meal.
Rationale: Influenza A virus subtype H5N1 comfortable environs tin plow over the axe trim back stress as well as to a greater extent than conducive to eating.
4) Monitor nausea as well as vomiting.
Rationale: Nausea as well as vomiting demeanour on nutrition.
5) Involve the household unit of measurement inwards the client's nutritional needs.
Rationale: Increasing the role of the household unit of measurement inwards nutrition to accelerate the healing process.
6) Instruct the patient to elevate the poly peptide as well as vitamin C.
Rationale: Protein as well as vitamin C to run across nutritional needs.
7) Provide nutrient selected.
Rational: To assistance inwards fulfilling the nutritional needs.
8) Collaboration amongst a nutritionist to decide the total of calories as well as nutrients it needs patients.
Rationale: Helps inwards the healing process.
4. Acute pain related to inflammation of the minor intestine.
Intervention:
1) Assess the degree of pain, location, duration, intensity as well as characteristics of pain.
Rationale: Changes inwards the characteristics of the hurting may hollo for the spread of diseases / complications occur.
2) Review the factors that increment hurting as well as decrease pain.
Rational: It tin plow over the axe pinpoint the factors that trigger or aggravate (such equally stress, nutrient intolerance) or position the occurrence of complications, equally good equally assist inwards making the diagnosis as well as therapeutic needs.
3) Give warm compresses on the surface area of pain.
Rationale: For the hurting disappeared.
4) Collaborate amongst other medical squad inwards the delivery of analgesics.
Rational: Analgesic tin plow over the axe assist trim back pain.
5. Knowledge Deficit: weather condition of disease, handling as well as prognosis needs related to lack of data or inadequate information.
Intervention:
1) Assess the extent of noesis of the client's household unit of measurement close his illness.
Rationale: Knowing the mother's noesis close the affliction typhoid fever.
2) Give wellness teaching close the affliction as well as handling of clients.
Rationale: In club for the client's woman rear industrial plant life out close the affliction typhoid fever, causes, signs as well as symptoms, equally good equally the attention as well as handling of typhoid fever.
3) Give the household unit of measurement an chance to inquire if at that spot is non however understood.
Rationale: In club to empathize to a greater extent than close the household unit of measurement disease. Sumber http://nanda-nursinginterventions.blogspot.com/