Anemia NCP

Cues Subjective: - Nanghihina ako, hindi ko matapos ang mga gawain ko sa bahay (feeling weak) - Nanlalabot ako - Nawawalan
na rin ako ng gana araw araw Objective: - Fatigue - Restless - Dizziness - Greater need to sleep and rest - VS - BP: - RR: - PR: - TEMP:
Diagnosis Activity intolerance related to imbalance between oxygen supply and demand as evidenced of clients complain of feeling weak
Planning Short term: After 8 hours of nursing interventions, the client will: - Report increase in activity tolerance including activities of daily livings. - Demonstrate a decrease in physiological signs of tolerance Long term: After a month of nursing interventions, the patient: - Is free from weakness and risk for complications has been prevented.
Intervention Indepentdent: - Assess patients ability to perform normal task or activities of daily living. - Note changes in balance ,and muscle weakness.
Rationale influences choice of intervention s or needed assistance may indicate neurological changes associated with vitamin 12 deficiency, affecting patient safety or risk injury enhanced rest to lower bodys oxygen requirement s and reduce strain on the heart and lungs. Enhances lung expansion
Evaluation Patients reveal an increase in activity tolerance, demonstratin g a reduction in physiological signs of intolerance and laboratory values within normal range.
Recommended a quiet atmosphere, and bed rest.
Elevate the head of the bed as tolerated
Provide or recommend assistance with activities or ambulation as necessary, allowing patient to do as much as possible. Plan activity progression with patient. Increase level of activities as tolerated.
to maximize oxygen for cellular uptake. Self esteem is enhanced when patient does some things for self.
Identify or implement energy saving techniques like sitting when doing task -
Promotes gradual return to activity level and improve stamina without undue fatigue Encourages patient to do as much as possible, while conserving limited energy and
Collaborative: - Monitor laboratory studies. Hct and RBC count,
arterial blood gases (ABGs) -
preventing fatigue Identifies deficiency in RBC components affecting oxygen transport and treatment need or response to therapy.
Objectives After 2 minutes of discussing the definition of anemia, the patient will be able to have knowledge and understanding of anemia.
Learning content Anemia is a condition that occurs when the number of red blood cells (RBCs) and/or the amount of hemoglobin found in the red blood cells drops below normal. Types of anemia: -iron defiency lack of iron to decreased amount of hemoglobin -Vitamin B deficiency does not allow
Method/strate gy Discussion (reporting)
Rationale For the patient To Enhanced and have a better knowledge about anemia.
Time/venue August 6, 2010 / 7am 3pm / FEU NRMF
Resources Pamphlets Internet Books
Evaluation Was the client able to understand the definition of anemia? YES__ NO__ WHY__________
After 10 minutes of discussing the types and cause of anemia, the patient will be able to have knowledge
For the patient to distinguished types of anemia to each other.
Was the client able to understand other types of anemia? YES__ NO__ WHY__________ _ Was the client able to
and identify these types of anemia.
After 10 minutes of discussing the signs and symptoms of anemia, the patient will be able to understand and recognize the signs and symptoms of anemia
After 10 minutes of discussing foods that can
RBCs to grow and divide -aplastic -decreased the amount of all cell produce by bone marrow -hemolyticRBCs survive less than the normal 120 days in the circulation Signs and symtoms: -feeling tiredness or weakness -lack of energy -headache, -dizziness -feeling of cold or numbness in hands or feet -pale complexion -shortness of breathe -fast or irregular heart beat -chest pain Diet:
understand the cause of these types of anemia? YEES__ NO__ WHY__________ _
For the patients knowledge and awareness of the disease
Was the patient able to understand and aware of the signs and symptoms of anemia? YES__ NO__ WHY__________ _
Giving knowledge to prevent the disease and to encourage patient to
Was the patients able to understand other ways of
prevent anemia, the client will be able to understand and apply it to his/her daily lifestyle.
-iron (beef, dried fruits, nuts and other meats) -folate (citrus juice, fruits, dark green leafy veg.) -vitamin B-12 (meat and dairy products) -vitamin C (citrus fruits, melon and berries)
apply these ti his/her daily lifestyle.
preventing anemia? YES__ NO__ WHY__________ _

Anemia NCP

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Cues Subjective: - Nanghihina ako, hindi ko matapos ang mga gawain ko sa bahay (feeling weak) - Nanlalabot ako - Nawawalan

Recommended a quiet atmosphere, and bed rest.

Elevate the head of the bed as tolerated

Collaborative: - Monitor laboratory studies. Hct and RBC count,

arterial blood gases (ABGs) -

Method/strate gy Discussion (reporting)

Time/venue August 6, 2010 / 7am 3pm / FEU NRMF

Resources Pamphlets Internet Books

For the patient to distinguished types of anemia to each other.

and identify these types of anemia.

After 10 minutes of discussing foods that can

understand the cause of these types of anemia? YEES NO WHY__________ _

For the patients knowledge and awareness of the disease

Giving knowledge to prevent the disease and to encourage patient to

Was the patients able to understand other ways of

apply these ti his/her daily lifestyle.

preventing anemia? YES NO WHY__________ _

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