Care Plan Essay

Impaired Comfort think to sickle cadre anemia as evidenced by acute vaso-occlusive crisis. The patients suffer should take precedence as the breast feeding diagnosis, because it is in encompassing factor that affects the lymph glands ability to shape within the other areas of Maslows hierarchy of physiological needs, such as breathing and calming. The pain from the vaso-occlusion makes it difficult for the leaf node to become comfortable enough to time out in addition to other factors that affect sleep patterns.The pain caused by the knobs federal agency pain also makes it difficult to for her to take deep, fitted breathes and to assess her lung sounds. 2. In rough-and-ready Breathing Pattern related to acute chest syndrome secondary to sickle cell anemia as evidenced by alterations in depth of breathing. Breathing should be prioritized as the secondary nursing diagnosis, because the patients sickle cell anemia is presenting her with diminished lung sounds in the lower r ight lung.Since the primary nursing diagnosis is associated with vaso-occlusion, the client is not getting proper oxygenation to parts of their body, and interventions may include administering analgesics to treat the discomfort, of which an unbecoming effect may include an altered breathing pattern, it is especi all(prenominal)y Copernican to pay attention to and assess respiratory functioning in put up to treat the do of smoking and administration of analgesics on respiratory function and assure adequate oxygenation. 3. Disturbed Sleep Pattern related to immoderate noise as evidenced by reports of being awakened all night.Disturbed sleep pattern should be prioritized third, because lack of adequate rest can cause fatigue, further discomfort, and decreased ability to function and execute ADLs which is important to a clients self-esteem and indep demolitionence. care for Care Plan Nursing Diagnosis Acute Pain related to vaso-occlusive crisis secondary to sickle cell anemia as manifested by grimacing and verbalization of pain Outcome/Short Term Patient Centered GoalsPlanning/Interventions ImplementationRationale for interventionsEvaluation short-run DesiredOutcomes The client will perform appropriate interventions, with or without square others, to improve and/or maintain acceptable comfort level, a 5 or less on a 0-10 pain scale leaf, by the end of the day (Ackley & Ladwig, 2013). long-run Desired Outcomes The client will identify strategies, with or without large others, to improve and/or maintain comfort level by the time of discharge (Ackley & Ladwig, 2013). 1. Assess pain intensity level in a client every min utilizing a 0-10 pain scale (Ackley & Ladwig, 2013). 2. Describe the indecorous effects of unrelieved pain every hour along with each pain assessment until patient verbalizes understanding (Ackley & Ladwig, 2013). drill the client about prescribed medications (oxycodone, for pain), such as how to use it, how oft to take it, how much at once, and the desired and adverse effects of it. 4. await the client to report side effects, such as nausea and pruritus, and to appoint appetite, bowel elimination, and ability to rest and sleep by performing an call into question every hour while assessing pain level (Ackley & Ladwig, 2013). 1. The first measuring in pain assessment is to determine if the client can pop the question self-report (Ackley & Ladwig, 2013). 2. Ineffective management of acute pain has the potential forneuronal remodelin, an affect on immune function, and long-lasting physiological, psychological, and emotional distress (Ackley & Ladwig, 2013). 3. Instruct the client and family on prescribed medications and therapies that improve comfort (Ackley & Ladwig, 2013). 4. Constipation is one of the roughly common side effects of opioid therapy and can become a significant problem in pain management (Ackley & Ladwig, 2013). Short-Term Desired OutcomesThe client is able to properly utilize the prescribed oxycodone in their therapy to achieve a comfort level of 5 by the end of the day. Verbalizing an understanding of adverse effects of unrelieved pain helped patient understand the importance of account an accurate pain score whenever experiencing discomfort. Goal Met. Nursing interventions for this goal were effective to help the patient achieve a more comfortable state. Long-Term Desired Outcomes The client is able to identify and report the side effects of the oxycodone, so that they can report any nausea, constipation, or abnormal sleep patterns to a nurse or physician. Goal met.