Medical Surgical Nursing

(Tina Sui) #1

Nursing Management



  • Prevent injury

  • Increased protein, calcium and vitamin D in diet

  • Medical asepsis

  • Monitor blood glucose

  • Moderate activity with rest periods

  • Provide restful environment


Nursing Process: The Care of the Patient with Cushing’s Syndrome


Assessment



  • Activity level and ability to carry out self-care

  • Skin assessment

  • Changes in physical appearance and patient responses to these changes

  • Mental function

  • Emotional status

  • Medications


Diagnoses



  • Risk for injury

  • Risk for infection

  • Self-care deficit

  • Impaired skin integrity

  • Disturbed body image

  • Disturbed thought processes


Collaborative Problems/Potential Complications



  • Addisonian crisis

  • Adverse effects of adrenocortical activity

  • Planning: Goals may include

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