
Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
This is just my example of a care plan
Typology: Study notes
1 / 1
This page cannot be seen from the preview
Don't miss anything!
Clinical Judgment Map- ESRD
Assessments (Physiological Adaptation) 1. VS- check BP (hypertension is commen in ESRD) 2. Cardiac- check pulmonary edema, JVD, HTN 3. Respiratory- check for SOB, dehydration, crackles in the lungs Risk Factors (Health Promotion & Maintenance/Reduction of Risk Potential) 1. Diabetes 2. HTN 3. Family hx, smoking Clinical Judgment Map- ESRD Concept / Related Concept(s) Poor renal filtration Exemplar(s) Pain, elimination, family dynamics, stress and coping Brief Pathophysiology (Physiological Adaptation) When the kidneys do not filter correctly a build up of toxins occur, fluid and electrolyte imbalances occur and can contribute to organ damage. Psychosocial Concerns (Psychosocial Integrity) 1. Body image-changes in appearance, weight 2. Social isolation- may miss out on social events because dialysis 3.quality of life will decrease- fatigue, pain, diet changes— reduced enjoyment Labs & Diagnostics (Reduction of Risk Potential) 1.BUN, creatinine, GFR 2.serum electrolytes= K+, Na+, Ca+, Phosphorous 3. CBC- to check H&H for anemia/ ABGS Medical Diagnosis End Stage Renal Disease Nursing Interventions (Basic Care & Comfort/ Safety & Infection Contral) 1.Regular assessments(BP, HR, RR, Temp)/ monitor skin, daily weights, labs: BUN, CR, GFR 2. Fluid management- 1&Os, fluid restriction 3. Dialysis care/ emotional support Medications (Pharmacological & Parenteral Therapies) L.Ace inhibitors- to help BP 2.Heparin- to manage dialysis complications (during dialysis 3.Erythropoiesis stimulating agents- for anemia Patential & actual complications from treatments/ procedures (Physiological Adaptation/Reduction of Risk Potential) L.infection- surgery/dialysis can bring in foreign bodies 2.kidney transplant rejection 3.depression & suicidal ideation Patient Teaching (Health Promotion & Maintenance/Safety & Infection Control/ Management of Care) 1.Educate and inform pt on dialysis process 2.collaborate with a licensed dietician about new diet plans- Na+/K+ restriction, 3.Educate patient to only drink 1 L of water a day 4.Educate the patient of proper hand hygiene ta avoid infection 5.Educate and offer pt services to manage stress/anxiety/depression 6.Place proper safety precautions- fall risk