Medical Surgical Nursing

(Tina Sui) #1

Nursing Diagnosis: Ineffective coping related to actual or perceived lifestyle or role
changes
Goal: Use of effective coping behaviors for dealing with actual or perceived limitations
and role changes
NURSING
INTERVENTIONS


RATIONALE EXPECTED


OUTCOMES



  1. Identify areas of life


affected by disease. Answer


questions and dispel


possible myths.



  1. The effects of disease
    may be more or less
    manageable once
    identified and explored
    reasonably.


 Names functions
and roles affected
and not affected by
disease process
 Describes
therapeutic regimen
and states actions to
take to improve,
change, or accept a
particular situation,
function, or role


  1. Develop plan for


managing symptoms and


enlisting support of family
and friends to promote daily


function.



  1. By taking action and
    involving others
    appropriately, patient
    develops or draws on
    coping skills and
    community support.


Collaborative Problems: Complications secondary to effects of medications
Goal: Absence or resolution of complications
NURSING
INTERVENTIONS


RATIONALE EXPECTED


OUTCOMES



  1. Perform periodic clinical


assessment and laboratory


evaluation.



  1. Skillful assessment
    helps detect early
    symptoms of side effects
    of medications.


 Complies with
monitoring
procedures and
experiences minimal
side effects
 Takes medication as
prescribed and lists
potential side effects
 Identifies strategies
to reduce or manage
side effects
 Reports that side
effects or
complications have
subsided


  1. Instruct in correct self-


administration, potential


side effects, and importance


of monitoring.



  1. The patient needs
    accurate information
    about medications and
    potential side effects to
    avoid or manage them.

  2. Counsel regarding


methods to reduce side
effects and manage


symptoms.



  1. Appropriate
    identification and early
    intervention may
    minimize complications.

  2. Administer medications


in modified doses as


prescribed if complications
occur.



  1. Modifications may help
    minimize side effects or
    other complications

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