Case Study

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V.

MIDWIFERY CARE PLAN

Assessment Diagnosis Planning Intervention Rationale Evaluatio


n
PObjective: Pregnancy After 8 hours Independent: Early
SLE secondary to: nursing Monitor diagnosis is
Difficulty of * Nephritis interventions, patient vital better
breathing * Hypertension Patient have better signs , weight Small
Vomiting * Pericarditis understanding and fluid lesions may
Epigastric * Anemia regarding the intake and develop on
pain * Pulmonary disease and its output if the oral and
Bilateral edema complication to corticosteroids nasal
periorbital * Noncardiogenic pregnancy. are prescribed mucous
edema Pleural Effusion Have satisfactory because of the membranes.
* Infection pain management. fluid-retention
Comply with effects of
therapeutic these drugs
regimen to achieve and possibility
maximum symptom of renal
management. failure.
Demonstrate
awareness of and Dependent:
avoid that cause Assess the skin
disease for integrity
exacerbation.
Patient will
verbalize reduction Family
in fatigue level, as Planning
evidenced y reports Consultation
if increased energy
and ability to Managing rash
perform desired
activities Stress
Maintenance of management
skin integrity.
Encourage
Feeling of adequate
assurance and nutrition and
comfort to promote hydration
self esteem.
Encourage
exercise and
avoid
prolonged
periods of
inactivity.

Educate the
disease
information:
Unknown
cause
chronicity of
SLE,processes
of
inflammation
and fibrosis,
remissions and
exacerbations,
control versus
cure

Collaborative:
Instruct in
lifestyle
activities that
can help
reduce flare-
ups such as:
*eating a
balace diet of
fruits,grains
and vegetables
*regular
exercise
*avoiding sun
exposure
*adequate
rest
Instruct in the
opportunities
for support
groups in the
community or
on reputable
internet
websites.

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