Nursing Intervention, Evaluation, Out Come, Patient Teaching and Home Healthcare Guidelines Nursing Care Plans For Acute Renal Failure.

Nursing interventions with nursing diagnosis; Excess Fluid Volume, Risk for Infection, Imbalanced Nutrition: Less Than Body Requirements, Risk for Injury, Disturbed Thought Processes.

Nursing Key outcomes Nursing Care Plans for Acute Renal Failure

Key outcomes for ARF, Patient will:

• Perform activities of daily living without excessive fatigue or exhaustion.
• Maintain hemodynamic stability.
• Achieving fluid and electrolyte balance.
• Preserving neurological function
• Remain free from signs or symptoms of circulatory overload.
• Verbalize the importance of balancing activities with adequate rest periods.
• Discuss fears or concerns.
• Preventing Gastro intestinal GI bleeding
• Verbalize appropriate food choices according to his prescribed diet.
• Patient’s oral mucous membrane will remain intact.
• The patient’s skin integrity will remain intact.
• Demonstrate skill in managing the urinary elimination problems.
• Maintain adequate urine output.
• The patient will remain free from signs or symptoms of infection.
• Family members will verbalize the effect the patient’s condition has on the family unit.
• The patient will avoid or minimize complications.

Patient Teaching and Home Healthcare Guidelines Nursing Care Plans for ARF

Every patient with Acute Renal Failure ARF need to understanding of renal function, signs and symptoms of Acute Renal Failure. Patients who have not recovered viable renal function need to understand that their condition may persist and even become chronic. And who have recovered viable renal function still need to be monitored by a nephrologists and If chronic renal failure is suspected, further outpatient treatment and monitoring are needed

• Explain that she or he may be more susceptible to infection than previously.

• Reassure the patient and family by clearly explaining all diagnostic tests, treatments, and procedures
• Teach the patient or significant others about all medications, including dosage, potential side effects, and drug interactions.
• Explain that the patient should tell the healthcare professional about the medications if the patient needs treatment such as dental work or if a new medication is added.
• Explain that ongoing medical assessment is required to check renal function.
• Explain all dietary and fluid restrictions. Note if the restrictions are life-long or temporary.
• Discuss with significant others the lifestyle changes that may be required with chronic renal failure
• Tell the patient about his prescribed medications, and stress the importance of complying with the regimen.
• Stress the importance of following the prescribed diet and fluid allowance.
• Instruct the patient to weigh him daily and report sudden increase of weight.
• Advise the patient against overexertion. If he becomes dyspneic or short of breath during normal activity, tell him to report it to his physician.
• Teach the patient how to recognize edema, and report this finding to the physician.

Common nursing diagnosis found in Nursing care plans for Hypertension; Deficient Knowledge, Ineffective Therapeutic Regimen Management, Deficient knowledge (lifestyle modifications), Fatigue, Ineffective coping, Ineffective tissue perfusion: Cardiopulmonary, Noncompliance: Therapeutic regimen, Risk for injury

Key outcomes nursing care plans for Hypertension Patient will:

• Remain free from complications.
• Identify appropriate food choices.
• Express that he has more energy.
• Maintain adequate cardiac output and hemodynamic stability.
• Demonstrate adaptive coping behaviors
• Comply with his therapy regimen.
• Demonstrates increased knowledge about high blood pressure , medication effects, and prescribed therapeutic activities
• Takes medications, keeps follow-up appointments

Nursing Interventions nursing care plans for Hypertension

Nursing Interventions nursing care plans for Hypertension with nursing diagnosis; Deficient Knowledge regarding the relationship between the treatment regimen and control of the disease process

Nursing Interventions Providing Basic Education:

• Explain the meaning of high blood pressure, risk factors, and
• Explain the influences of high blood pressure on the cardiovascular, cerebral, and renal systems.
• Stresses that Hypertension can never be total cure, only control, of essential hypertension; emphasize the consequences of uncontrolled hypertension.
• Stress the fact that there may be no correlation between high blood pressure  and symptoms; the patient cannot tell by the way he feels whether blood pressure  is normal or elevated.
• Have the patient recognize that hypertension is chronic and requires persistent therapy and periodic evaluation.
• Present a coordinated and complementary plan of guidance.
  • Inform the patient of the meaning of the various diagnostic and therapeutic activities to minimize anxiety and to obtain cooperation.
  • Solicit the assistance of the patient’s spouse, family, and friends provide information regarding the total treatment plan.
  • Be aware of the dietary plan developed for this particular patient.
• Explain the pharmacologic control of hypertension.
  • Explain that the drugs used for effective control of elevated blood pressure will likely produce adverse effects.
  • Warn the patient of the possibility that orthostatic hypotension may occur initially with some drug therapy:  Instruct the patient to get up slowly to offset the feeling of dizziness, Encourage the patient to sit or lie down immediately if he feels faint
  • Alert the patient to expect initial effects, such as anorexia, light-headedness, and fatigue, with many medications.
  • Inform the patient that the goal of treatment is to control blood pressure, reduce the possibility of complications, and use the minimum number of drugs with the lowest dosage necessary to accomplish this.

• Educate the patient to be aware of serious adverse effects and report them immediately so that adjustments can be made in individual pharmacotherapy.
• Note that dosages are individualized; therefore, they may need to be adjusted because it is often impossible to predict reactions.
• Warn the patient on vasodilating drugs to use caution in certain circumstances that produce vasodilation a hot bath, hot weather, febrile illness, consumption of alcohol which may exacerbate blood pressure reduction.
• Warn patients that blood pressure is often decreased when circulating blood volume is reduced as in dehydration, diarrhea, and hemorrhage so blood pressure should be monitored closely and treatment adjusted.

Common Nursing diagnosis found in nursing care plans for stroke is; Impaired verbal communication, Impaired physical Mobility, Anxiety [specify level], Deficient knowledge regarding diagnosis  prognosis and treatment options, Risk for disturbed Body Image, Risk for ineffective Sexual Pattern, Self-Care Deficit [specify], Disturbed Sensory Perception (specify), Disturbed Thought Processes, Risk for Injury/Trauma

Below is sample of Nursing Outcome, Nursing interventions and evaluation nursing care plans for Stroke