Tuesday, May 26, 2015

PLP Nursing diagnosis

Since we have almost completed our journey through phantom limb pain, it is important to discuss the relevant nursing diagnosis relating to amputation and limb pain.  I found one of the best and most comprehensive examples from Nursing-Help.com.

Some relevant nursing diagnosis:
  • Acute pain related to amputation
  • Risk for disturbed sensory perception: phantom limb pain related to amputation
  • Impaired skin integrity related to surgical amputation
  • Disturbed body image related to amputation of body part
  • Ineffective coping, related to failure to accept loss of body part
  • Risk for anticipatory and/or dysfunctional grieving related to loss of body part
  • Self-care deficit: feeding, bathing/hygiene, dressing/grooming, or toileting, related to loss of extremity
  • Impaired physical mobility related to loss of extremity
Some of the most important goals:
  • relief of pain
  • absence of altered sensory perceptions
  • wound healing
  • acceptance of altered body image
  • resolution of the grieving process
  • independence in self-care
  • restoration of physical mobility
  • absence of complications
Interventions:
  • Relieving pain
    • Many different options for this
  • Minimizing altered sensory perceptions
  • Promote wound healing if recent amputation
  • Enhancing body image
  • Helping the patient achieve physical mobility
Expected outcomes:
  • Experiences absence of pain
    • appears relaxed
    • verbalizes comfort
    • uses measures to increase comfort
  • Experiences absence of phantom limb pain
    • reports diminished phantom sensations
    • uses distraction techniques
    • performs stump desensitization massage
  • Achieves wound healing
    • controls residual limb edema
    • achieves healed, non-tender, non-adherent scar
    • demonstrates residual limb care
  • Demonstrates improved body image and effective coping
    • acknowledges change in body image
    • participates in self-care activities
    • demonstrates increasing independence
  • Exhibits resolution of grieving
    • expresses grief
    • works through feelings with family and friends
    • focuses on future functioning
    • participates in support group
Resource:

http://www.nursing-help.com/2011/03/amputation-and-nursing-care-plan.html

7 comments:

  1. HOW I GOT CURED OF HERPES VIRUS.

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  2. Dr Itua cure my HIV, I have been a ARV Consumption for 10 years. i have been in pains until i came across Dr Itua on blogs site.I emailed him about my details of my HIV and my location i explained every thing to him and he told me that there is nothing to be scared of that he will cured me, he gave me guarantee,He ask me to pay for items fees so when i'm cured I will show gratitude I did and giving testimony of his healing herbs is what I'm going to do for the rest of you out there having HIV and other disease can see the good work of Dr Itua.I received his herbal medicine through EMS Courier service who delivered to my post office within 5 working days.Dr Itua is an honest man and I appreciate him for his good work.My GrandMa called him to appreciate him and rest of my friends did too,Is a joy to me that I'm free of taking Pills and having that fat belle is a nightmare.you will understand what i'm talking about if you have same problem I was having then not now though.I'm free and healthy Big Thanks To Dr Itua Herbal Center.I have his calendar too that he recently sent me,He Cure all kind disease Like,Cancer,Weak Erection,Wart Remover,Hpv,Herpes,Alzheimer’s disease,Bechet’s disease,Crohn’s disease
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  3. There are some natural remedies that can be used in the prevention and eliminate diabetes totally. However, the single most important aspect of a diabetes control plan is adopting a wholesome life style Inner Peace, Nutritious and Healthy Diet, and Regular Physical Exercise. A state of inner peace and self-contentment is essential to enjoying a good physical health and over all well-being. The inner peace and self contentment is a just a state of mind.People with diabetes diseases often use complementary and alternative medicine. I diagnosed diabetes in 2010. Was at work feeling unusually tired and sleepy. I borrowed a cyclometer from a co-worker and tested at 760. Went immediately to my doctor and he gave me prescription like: Insulin ,Sulfonamides,Thiazolidinediones but Could not get the cure rather to reduce the pain but brink back the pain again. i found a woman testimony name Comfort online how Dr Akhigbe cure her HIV  and I also contacted the doctor and after I took his medication as instructed, I am now completely free from diabetes by doctor Akhigbe herbal medicine.So diabetes patients reading this testimony to contact his email     drrealakhigbe@gmail.com   or his Number   +2348142454860   He also use his herbal herbs to diseases like:SPIDER BITE, SCHIZOPHRENIA, LUPUS,EXTERNAL INFECTION, COMMON COLD, JOINT PAIN, EPILEPSY,STROKE,TUBERCULOSIS ,STOMACH DISEASE. ECZEMA, PROGENITOR, EATING DISORDER, LOWER RESPIRATORY INFECTION,  DIABETICS,HERPES,HIV/AIDS, ;ALS,  CANCER , MENINGITIS,HEPATITIS A AND B,ASTHMA, HEART DISEASE, CHRONIC DISEASE. NAUSEA VOMITING OR DIARRHEA,KIDNEY DISEASE. HEARING LOSSDr Akhigbe is a good man and he heal any body that come to him. here is email    drrealakhigbe@gmail.com    and his Number +2349010754824

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  4. Am Richard, I am here to testify about a great herbalist  man who cured my wife of breast cancer. His name is Dr Imoloa. My wife went through this pain for 3 years, i almost spent all i had, until i saw some testimonies online on how Dr. Imoloa cure them from their diseases, immediately i contacted him through. then he told me the necessary things to do before he will send  the herbal medicine. Wish he did through DHL courier service, And he instructed us on how to apply or drink the medicine for good two weeks. and to greatest surprise before the upper third week my wife was relief from all the pains, Believe me, that was how my wife was cured from breast cancer by this great man. He also have powerful herbal medicine to cure diseases like: Alzheimer's disease, parkinson's disease, vaginal cancer, epilepsy Anxiety Disorders, Autoimmune Disease, Back Pain, Back Sprain, Bipolar Disorder, Brain Tumor, Malignant, Bruxism, Bulimia, Cervical Disc Disease, Cardiovascular Disease, Neoplasms , chronic respiratory disease, mental and behavioral disorder, Cystic Fibrosis, Hypertension, Diabetes, Asthma, Autoimmune inflammatory media arthritis ed. chronic kidney disease, inflammatory joint disease, impotence, alcohol spectrum feta, dysthymic disorder, eczema, tuberculosis, chronic fatigue syndrome, constipation, inflammatory bowel disease, lupus disease, mouth ulcer, mouth cancer, body pain, fever, hepatitis ABC, syphilis, diarrhea, HIV / AIDS, Huntington's disease, back acne, chronic kidney failure, addison's disease, chronic pain, Crohn's pain, cystic fibrosis, fibromyalgia, inflammatory Bowel disease, fungal nail disease, Lyme disease, Celia disease, Lymphoma, Major depression, Malignant melanoma, Mania, Melorheostosis, Meniere's disease, Mucopolysaccharidosis, Multiple sclerosis, Muscular dystrophy, Rheumatoid arthritis. You can reach him Email Via drimolaherbalmademedicine@gmail.com / whatsapp +2347081986098

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  5. Hej det är laa! För 9 månader sedan berättade min läkare att jag fick diagnosen HSV2. Jag var hjärtbruten, men samma månad hittade jag en Dr Ricksin. som hjälpte mig att bota viruset med naturlig örtbehandling permanent. tack till Dr. Ricksin för hans naturliga växtbaserade behandling som eliminerat detta virus i min kropp för alltid. hans kontaktinformation för alla obotliga virus via; drricksin@gmail.com eller whatsapp honom eller ring honom via hans telefonnummer +3197005034579

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  7. Good news this is to everyone out there with different health challenges, as I know there are still a lot of people suffering from different health issues and are therefore looking for solutions. I bring you Good news. There is a man called Dr ehiaguna a herbal practitioner who helped cure me from HSV (2), i had suffered from this diseases for the past 5 years and i have spent so much money trying to survive from it. I got my healing by taking the herbal medicine Dr ehiaguna sent to me to drink for about 14 days . 3 days after completion of the dosage, I went for a medical checkup and I was tested free from HSV. all thanks to God for leading me to Dr ehiaguna who was able to cure me completely from this deadly diseases, I’m sharing this so that other people can know of this great healer called Dr ehiaguna because I got to know him through elizabeth who he cured from HIV. I was made to understand that he can cure several other deadly diseases and infections. Don’t die in ignorance or silent and don’t let that illness take your life. Contact Dr ehiaguna through his email drehiaguna@gmail.com You can also whatsapp/call him on:+2348073908953 .He cure all forms of disease {1}HIV/AIDS {2}DIABETES {3}EPILEPSY {4} BLOOD CANCER {5} HPV {6} BRAIN TUMOR {7} HEPATITIS {8}COPD{9} SICKLE AND ANAEMIA.etc Be kind enough to share as you received.  

    ReplyDelete