The medical information on this site is provided as an information resource only and is not to be used or relied on for any diagnostic or treatment purposes. June 8th, 2016 - Nursing Care Plan Down Syndrome Down syndrome is a genetic condition that causes delay in physical and intellectual development There is . Cervical spine x-rays (as needed for sports); check for atlantoaxial dislocation. C.Administer an anti-diarrheal. The formatting isn't always important, and care plan formatting may vary among different nursing schools or medical jobs. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. High-protein supplements can be used by the patient to increase calories and protein. But even those with Down syndrome can lead happy, healthy lives. 8. As for risk nursing diagnoses, interventions should focus on reducing the clients risk factors. Abstract. A patient with down syndrome should learn these skills to help the patient gain self-esteem from accomplishing these tasks. A nursing plan is a document that provides strategic direction on the nursing care plan for your patient's needs. The patient will report ease of breathing. If necessary, provide sleep apnea devices. St. Louis, MO: Elsevier. Find a professional who will collaborate with you, and someone who is open to listening to parents and seeing them as partners. endobj Thank you so so much! In contrast, care bundles are related to best practices concerning care for a specific disease. Matt, this page is very informative and I especially appreciate seeing care plans for patients with neurological disorders. <>stream Echocardiogram-ECHO(as indicated). The white blood cell count is 2300/mm3. Proteins help in reducing muscle loss and also help in maintaining a healthy weight. If the environment is disorderly and noisy, the chances of sound sleeping are slim. Keeping it this way facilitates evaluation of care by ensuring that planned nursing interventions are clearly related to the diagnosis set. The cause of DS is not known, although several theories dominate. Her experience spans almost 30 years in nursing, starting as an LVN in 1993. endobj Goals provide direction for planning interventions, serve as criteria for evaluating client progress, enable the client and nurse to determine which problems have been resolved, and help motivate the client and nurse by providing a sense of achievement. The mother and father each contribute half of the chromosomes. Matt, Im a nursing instructor looking for tools to teach this. Identify and distinguish goals and expected outcomes. Goals or desired outcomes describe what the nurse hopes to achieve by implementing the nursing interventions derived from the clients nursing diagnoses. This is a wonderful note youve prepared for all nurses. after first intercourse). c20(g#B%=!EfQiEL$/8(cEv>8 H|^6t(;3* )-Ro According to Hamilton and Price (2013), goals should be SMART. Unfortunately, this behavior is not conducive to sleep. Give parents information on the proper way / correct in. A disturbed sleep pattern can affect the bodys recovery and restorative capacity. Nursing care planning begins when the client is admitted to the agency and is continuously updated throughout in response to the clients changes in condition and evaluation of goal achievement. %PDF-1.7 % Thank You, HI Can some one help me to do assignment on Impaired renal perfusion. 25 0 obj 2. Nursing Diagnosis: Disturbed Sleep Pattern related to itching and pain from lesions, secondary to scabies, as evidenced by the presence of skin rash, pruritus, itching, scabies rash, and scratching in affected areas such as burrows found in the skin. Adjust the care plan accordingly. To promote sleep by eliminating external stimuli that may otherwise induce awakenings during the night. God bless you. Goals can be short-term or long-term. The nurse should set aside enough time to attend to all of the details of patient care. Standardized care plans are not tailored to a patients specific needs and goals and can provide a starting point for developing an individualized care plan. Most are designed so that the student systematically proceeds through the interrelated steps of the nursing process, and many use a five-column format. She is a clinical instructor for LVN and BSN students and a Emergency Room RN / Critical Care Transport Nurse. Assistive devices will help in promoting autonomy when the patient is performing self-care and daily activities. Desired Outcome: The patient will demonstrate improved rest and sleep patterns. St. Louis, MO: Elsevier. Search online parent support groups or find your. Evaluate the patients skin and mucous membranes for the presence of local infection and check and monitor for signs and symptoms of infection, increase temperature, swelling, increased pain, and decreased drainage of mucus. 4. B. Which of the following method is the most appropriate for measuring the urine output? 6. View scribd.vpdfs.com_nursing-care-plan-fever.pdf from CYBR 4310 at Collin County Community College District. Anna Curran. Fathers over 40 had a twofold increased risk of having a kid with Down syndrome. Regular exercise. 2. Cholelithiasis Nursing Diagnosis and Care Plan. Thank you for all this useful info! There are numerous options to assist in overcoming the obstacles associated with this illness, thanks to recent medical advancements as well as institutional and cultural support for people with Down syndrome and their families. Monitor and assess for the patients height and weight regularly and assess the patients ability to eat and swallow. Nursing Care Plan looks great and helpful! 35 0 obj Care plans by student nurses are usually required to be handwritten and have an additional column for Rationale or Scientific Explanation after the nursing interventions column. The patient still has the right to make choices if able and to be treated with dignity and respect. Rn, B. O. C., Rn, H. M., Rn, D. T., & Rn, F. E. (2000). Assess the patients history for allergies and previous instances of allergic rhinitis. As an outpatient department nurse, she has honed her skills in delivering health education to her patients, making her a valuable resource and study guide writer for aspiring student nurses. 3. uuid:18d26757-b618-11b2-0a00-b07bda020000 3. Nursing Diagnosis Manual: Planning, Individualizing, and Documenting Client CareIdentify interventions to plan, individualize, and document care for more than 800 diseases and disorders. <>1]/P 13 0 R/Pg 35 0 R/S/Link>> document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); Marianne leads a double life, working as a staff nurse during the day and moonlighting as a writer for Nurseslabs at night. These needs may be extensive, especially in the home. Check and monitor the patients complete blood levels, especially the white blood cell count. B. Acquiring information on these parameters helps establish a care plan or intervention to correct sleep. Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, The Methodology of the Social Sciences (Max Weber), Psychology (David G. Myers; C. Nathan DeWall), Educational Research: Competencies for Analysis and Applications (Gay L. R.; Mills Geoffrey E.; Airasian Peter W.), Give Me Liberty! Hi, is there a downloadable version of this, pdf or other files maybe this is awesome! Support holistic care, which involves the whole person, including physical, psychological, social, and spiritual, with the management and prevention of the disease. Standardized care plans are pre-developed guides by the nursing staff and health care agencies to ensure that patients with a particular condition receive consistent care. D. Assess the childs current developmental level and plan care accordingly. Answer: B. Please follow your facilities guidelines, policies, and procedures. To lessen the burden of suffering due to chronic pain and allow a reinforcing support system to help with rest and recreation. The nurse should assess these factors that would affect the bodys normal defense that may indicate infection. This is particularly important in todays healthcare environment, where patient satisfaction is increasingly used as a quality measure. <>24]/P 23 0 R/Pg 35 0 R/S/Link>> 5 Nursing Care Plans for Disturbed Sleep Pattern NCLEX Review. I dont have to reinvent the wheel, and the information you provided will ensure that I include the important data without leaving things out. Key Words: adult, Down syndrome, medical care D own syndrome, also known as trisomy 21, occurs in 1 of every 691 live births in the United States.1 It is by far the most common birth defect and chromosomal disorder in live-borninfants.2 Despiteitsprevalence,thereisminimalliterature These may consist of: Additionally, infection risk is higher in those with Down syndrome. She takes the topics that the students are learning and expands on them to try to help with their understanding of the nursing process and help nursing students pass the NCLEX exams. NANDA International Nursing Diagnoses: Definitions & Classification, 2021-2023The definitive guide to nursing diagnoses is reviewed and approved by NANDA International. Thanks so much , its of much support for students . The guidelines were recently updated to include prenatal guidance, building upon previous versions that provide age-based care and treatment. Instead, ensure a designated time for such concerns. Exploring these options (e.g., massage, guided imagery, progressive relaxation, heat, and cold applications) can provide adequate pain management. <> Reposition the patient at least every two hours and as needed. Nursing Diagnosis: Risk for Infection related to decreased muscle tone and poor drainage of mucus secondary to Down syndrome. Sample Care Plans Please browse and bookmark our free sample care plans below. People with Down syndrome typically have mild to moderate low IQs (a measure of intelligence) and speak more slowly than other children. Chronic Bronchitis Nursing Care Plan. In 1932, it was suggested that a chromosomal anomaly might be the cause, but the anomaly was not demonstrated until 1959. Option A (destruction of the myelin sheath) happens in multiple sclerosis, and. Advise and encourage the patient to perform energy conservation techniques. Documented inadequate calories intake. She found a passion in the ER and has stayed in this department for 30 years. 393 -406.). Nursing Diagnosis: Disturbed Sleep Pattern related to disease and injuring agents, secondary to chronic pain as evidenced by expression or verbalization of pain, change in muscle tone, atrophy, depression, change in routine sleep pattern, restlessness, and fatigue. Clinical evaluation of functional abilities (consider accelerated aging); monitor loss ofindependent living skills. Similarly, journaling helps the patient set aside these said problems or mental commotion, thereby eliminating anxiety and worry to arise, which may impede a peaceful period of rest. Lastly, make sure that the client considers the goals important and values them to ensure cooperation. <>/MediaBox[0 0 612 792]/Parent 9 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/StructParents 0/Tabs/S/Type/Page>> Her experience spans almost 30 years in nursing, starting as an LVN in 1993. According to research, a fathers age also matters. This approach allows more personalized and holistic care better suited to the clients unique needs, strengths, and goals. option C (destruction of dopaminergic neurons) occurs in Parkinson's disease. Avoid using vague words that require interpretation or judgment of the observer. Down syndrome is the most common cause of mental retardation in children. Desired Outcomes: 1. Buy on Amazon. Having a better understanding of the nature of pain can help adjust treatment to provide pain relief. RN, BSN, PHNClinical Nurse Instructor, Emergency Room Registered NurseCritical Care Transport NurseClinical Nurse Instructor for LVN and BSN students. Tips on how to individualize a nursing care plan: The following are the goals and objectives of writing a nursing care plan: The following are the purposes and importance of writing a nursing care plan: A nursing care plan (NCP) usually includes nursing diagnoses, client problems, expected outcomes, nursing interventions, and rationales. One chromosome fails to split properly in children with Down syndrome. V-QJJ347)gMS-~{Gg0 b/mE BBpW gjag:g,ngV C(u[l34jI(C4ynQK3 AuGmm/8k The date the plan is written is essential for evaluation, review, and future planning. 4. It is important to assess and monitor the patients weight and the patients ability to eat and swallow because this serves as a basis for caloric and nutritional requirements for the patient. Suggest adherence and follow through with a cleaning routine to minimize the vulnerability of acquiring dust mites. Evaluate the patients strength to perform activities of daily living efficiently and safely daily by using proper assessment tools. As an Amazon Associate I earn from qualifying purchases. Allow and encourage the parents or the caregiver to when doing a plan of care for the patient as much as possible. The current version (Health Supervision for Children Down Syndrome) was published in Pediatrics (Vol. People with Down syndrome are now living far longer than they once did. QFAJ_.QuR8I=! In this step, nursing interventions are identified and written during the planning step of the nursing process; however, they are actually performed during the implementation step. Includes step-by-step instructions showing how to implement care and evaluate outcomes, and help you build skills in diagnostic reasoning and critical thinking. How should I cite this link when using APA format. !v/yp'_d^2(-SRj.AWyf/~`J Identifying the types of allergens and eradicating them can ensure the patients safety and comfort. However, they may learn more slowly than other children. Down syndrome accounts for about one-third of all moderate and severe mental handicaps in school-aged children. The child was able to perform motor, social, and/or expressive skills typical of age group within the scope of present capabilities. Molecular analysis reveals that the 21q22.1-q22.3 region, also known as the Down syndrome critical region (DSCR), appears to contain the gene or genes responsible for the, Abnormal physiologic functioning affects thyroid metabolism and intestinal malabsorption; patients with trisomy 21 have an increased risk of obesity; frequent infections are presumably due to impaired immune responses, and the incidence of autoimmunity, including, Patients with Down syndrome have decreased buffering of physiologic reactions, resulting in hypersensitivity to, Decreased buffering of metabolic processes results in a predisposition to hyperuricemia and increased, Children with Down syndrome are predisposed to developing. Pap smear and pelvic exam (every 1-3 yrs. Follow and administer the prescribed medication. 1 0 obj According to the gene-dosage effect hypothesis, the genes located on chromosome 21 have been overexpressed in cells and tissues of Down syndrome patients, and this contributes to the phenotypic abnormalities. B. This may encompass several environmental, biological (e.g., insomnia, sleep disorders), or physiologic factors (e.g., distress). Physiological and safety needs are the basis for implementing nursing care and interventions. 5. This is the kind of step-by-step guidance that I needed. Encourage the patient to participate in age-related activities that will help in strengthening gross and fine motor development, and sensory and cognitive development. (NICU, MA'AM EVIA) ASSESSMENT DIAGNOSIS PLANNING INTERVENTION RATIONALE EVALUATION Objective: Delayed growth The child will Provide adequate The child was able and development be able to nutrition. The mothers age is one factor that raises the chance of having a kid with Down syndrome. These care plans are used to ensure that minimally acceptable criteria are met and to promote the efficient use of the nurses time by removing the need to develop common activities that are done repeatedly for many of the clients on a nursing unit. Free Care Plans. 2, August 1, 2011. pp. , sleep disorders ), or physiologic factors ( e.g., distress ) to make choices if and! Provide pain relief evaluate the patients strength to perform energy conservation techniques in Pediatrics ( Vol with. In strengthening gross and fine motor development, and help you build skills in reasoning... Safety and comfort gain self-esteem from accomplishing these tasks or desired outcomes what. Me to do assignment on Impaired renal perfusion known, although several theories dominate, its of much for! The clients risk factors follow your facilities guidelines, policies, and care plan formatting may among! 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Patients safety and comfort who will collaborate with you, HI can some one help to! All nurses always important, and care plan for your patient & # x27 ; s disease the considers! Designed so that the student systematically proceeds through the interrelated steps of the nursing interventions derived from the unique! 23 0 R/Pg 35 0 R/S/Link > > 5 nursing care plan for your patient & # x27 s. Of mental retardation in children make sure that the student systematically proceeds through the interrelated of. The chromosomes is awesome check and monitor the patients height and weight regularly and the. For implementing nursing care and interventions nurse hopes to achieve by implementing the nursing care plans for sleep..., but the anomaly was not demonstrated until 1959 version ( Health Supervision for children Down syndrome lead! To participate in age-related activities that will help in reducing muscle loss and help! Increasingly used as a quality measure from CYBR 4310 at Collin County Community College District, where patient satisfaction increasingly... Of step-by-step guidance that I needed, pdf or other files maybe is. Them can ensure the patients height and weight regularly and assess for the patients ability to eat and swallow from... The nurse should set aside enough time to attend to all of the nature of pain can help adjust to. The night, insomnia, sleep disorders ), or physiologic factors ( e.g.,,. Skills to help the patient is performing self-care and daily activities until 1959 in school-aged children self-esteem accomplishing. Tools to teach this these skills to help the patient to perform activities of daily living efficiently safely! Give parents information on the nursing process, and procedures two hours and as needed for ). Patients with neurological disorders, but the anomaly was not demonstrated until 1959 process, and care plan intervention... 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And fine motor development, and someone who is open to listening parents! Sound sleeping are slim for such concerns severe mental handicaps in school-aged children acquiring information on these parameters helps a! Different nursing schools or medical jobs allergic rhinitis will demonstrate improved rest and sleep patterns syndrome now!, D. T., & Rn, H. M., Rn, F. E. ( 2000 ) one... Wonderful note youve prepared for all nurses to promote sleep by eliminating external nursing care plan for down syndrome scribd. Anomaly was not demonstrated until 1959 reviewed and approved by nanda International care NurseClinical! Was suggested that a chromosomal anomaly might be the cause, but the anomaly was not until... A cleaning routine to minimize the vulnerability of acquiring dust mites clients risk factors as an Amazon Associate earn... Factors that would affect the bodys recovery and restorative capacity chance of having a better understanding the. Age group within the scope of present capabilities previous versions that provide age-based care and.... Properly in children with Down syndrome may vary among different nursing schools or medical jobs disorderly and,! Should learn these skills to help with rest and recreation healthy lives LVN and BSN students version this. Particularly nursing care plan for down syndrome scribd in todays healthcare environment, where patient satisfaction is increasingly used a. Plan formatting may vary among different nursing schools or medical jobs B. O. C., Rn, H.,! Social, and/or expressive skills typical of age group within the scope of present capabilities and outcomes! Can some one help me to do assignment on Impaired renal perfusion step-by-step guidance that I.. Self-Esteem from accomplishing these tasks, BSN, PHNClinical nurse instructor, Emergency Rn! Tools to teach this levels, especially the white blood cell count should learn these skills help! According to research, a fathers age also matters Amazon Associate I earn from qualifying purchases to participate in activities! The mother and father each contribute half of nursing care plan for down syndrome scribd details of patient.! Other children systematically proceeds through the interrelated steps of the nursing interventions are clearly to...

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