Medical Diagnosis: sickle cell low blood count with vaso-occlusive crisis Nursing jobs Diagnosis List 1 . Disadvantaged Comfort relevant to sickle cell anemia as evidenced simply by acute vaso-occlusive crisis. The patient's pain should take priority as the nursing analysis, because it is in all-encompassing factor that impacts the client's ability to function within the other locations of Maslow's hierarchy of physiological requirements, such as breathing and sleeping. The discomfort from the vaso-occlusion makes it hard for the consumer to become comfy enough unwind in addition to other factors that affect sleeping patterns.
The pain due to the client's chest pain also makes it challenging to for her to consider deep, adequate breathes and also to assess her lung appears. 2 . Inadequate Breathing Routine related to severe chest symptoms secondary to sickle cellular anemia while evidenced simply by alterations in depth of deep breathing. Breathing must be prioritized while the extra nursing analysis, because the patient's sickle cell anemia is usually presenting her with diminished lung appears in the reduce right lung.
Since the major nursing medical diagnosis is linked to vaso-occlusion, the consumer is to not get proper oxygenation to areas of their human body, and affluence may include administering analgesics to take care of the pain, of which an adverse effect might include an modified breathing pattern, it is particularly crucial to pay attention to and assess respiratory system functioning to be able to treat the effects of smoking and administration of analgesics about respiratory function and make sure adequate oxygenation. 3. Annoyed Sleep Style related to abnormal noise since evidenced by simply reports of being awakened for hours. Disturbed sleeping pattern should be prioritized third, because insufficient adequate rest can cause tiredness, further distress, and reduced ability to function and execute ADL's which is important to a client's self-esteem and independence. Nursing Prognosis: Acute Pain related to vaso-occlusive crisis supplementary to sickle cell anemia as demonstrated by grimacing and verbalization of soreness Outcome/Short Term Patient Concentrated GoalsPlanning/Interventions ImplementationRationale for interventions/Evaluation 1 . "The first step in pain evaluation is to determine whether the client can provide self-report" (Ackley & Ladwig, 2013). installment payments on your "Ineffective management of acute pain has got the potential for…neuronal remodelin, a direct impact on immune system function, and long-lasting physiological, psychological, and emotional distress…" (Ackley & Ladwig, 2013).
3. "Instruct the client and family about prescribed medicines and treatments that boost comfort" (Ackley & Ladwig, 2013). 4. "Constipation is one of the most common unwanted effects of opioid therapy and will become a significant problem in discomfort management" (Ackley & Ladwig, 2013). Initial Desired Results The client will be able to properly use 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 soreness helped sufferer understand the significance of reporting an accurate pain score whenever experiencing pain.
Goal Attained. Nursing surgery for this objective were successful to help the sufferer achieve a more at ease state. Long lasting Desired